认知行为干预对不同文化程度吸烟患者戒烟效果的影响  

Effect of cognitive behavioral intervention on smoking cessation among smokers with different educational backgrounds

作　　者：尹迎秋[1] 刘伟斯 韦杰[1] 杨印楼[1] YIN Ying-qiu;LIU Wei-si;WEI Jie;YANG Yin-lou(Department of Respiratory Medicine,Yuebei People＇s Hospital,Shaoguan,Guangdong 512026,China)

机构地区：[1]粤北人民医院呼吸内科,广东韶关512026

出　　处：《临床肺科杂志》2018年第8期1383-1386,共4页Journal of Clinical Pulmonary Medicine

基　　金：韶关市卫生计生科研计划项目(No Y16001)

摘　　要：目的探讨认知行为干预对不同文化程度吸烟患者戒烟效果的影响。方法选取2016年1月至2017年6月在我院戒烟门诊就医的吸烟者80例,采用随机数字表法将患者分为干预组(n=41)和对照组(n=39),对照组给予常规药物治疗,干预组在对照组基础上给予认知疗法,观察随访两组戒烟成功情况。结果干预组时点戒烟成功率和吸烟减少率分别为34.15%和65.85%,明显高于对照组(P<0.05);干预组中大专及以上患者时点戒烟成功率为60.00%,明显高于小学及以下患者(P<0.05);中学及中专、大专及以上患者吸烟减少率分别为85.00%和80.00%,明显高于小学及以下患者(P<0.05);干预组<45岁和≥45岁患者时点戒烟成功率和吸烟减少率差异比较无统计学意义(P>0.05)。结论认知行为干预可明显提高戒烟效果,其与患者文化程度有一定关系,在干预时应考虑吸烟患者文化程度。Objective To explore the effect of cognitive behavioral intervention on smoking cessation among smokers with different educational backgrounds. Methods From January 2016 to June 2017,80 smokers in our hospital smoking cessation clinic were selected,and the patients were randomly divided into the intervention group（ n =41） and the control group（ n = 39）. The control group was given conventional medication,and the intervention group was given cognitive therapy on the basis of the control group. The success of smoking cessation in the two groups was observed and followed up. Results The success rate of time point smoking cessation and the rate of smoking reduction inthe intervention group were 34. 15% and 65. 85%,which were significantly higher than those in the control group（ P〈0. 05）. In the intervention group,the successful rate of time point smoking cessation of junior college or above was 60%,which was higher than that of the primary school or below（ P〈0. 05）. The rate of smoking reductions in secondary schools and special schools,junior college or above were 85% and 80%,significantly higher than those in primary school of below（ P〈0. 05）. There was no significant difference in smoking cessation success rate and smoking reduction rate of patients 45 years and ≥45 years old patients in the intervention group（ P〉0. 05）.Conclusion Cognitive behavioral intervention can significantly improve smoking cessation effect,which is related to the patient＇s educational level,and the education level of smokers should be considered in the intervention.

关 键 词：认知行为干预 吸烟 文化程度 戒烟效果 

分 类 号：R163[医药卫生—公共卫生与预防医学]