慢性阻塞性肺疾病患者戒烟现状及影响因素分析  

Smoking cessation status and influencing factors of patients with chronic obstructive pulmonary disease

作　　者：周胜亮[1] 王德峰[1] 聂晓东[1] 叶涵[1] 龚蕊[1] 杨玉瓶[1] ZHOU Sheng-liang;WANG De-feng;NIE Xiao-dong;YE Han;GONG Rui;YANG Yu-ping(the Fourth Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330003,China)

机构地区：[1]南昌大学第四附属医院,江西南昌330003

出　　处：《临床肺科杂志》2018年第10期1776-1781,共6页Journal of Clinical Pulmonary Medicine

基　　金：江西省卫生计生委科技计划项目(No 20155376)

摘　　要：目的分析慢性阻塞性肺疾病患者戒烟现状,探讨其戒烟影响因素及预测因子。方法采用问卷调查的方式,收集慢性阻塞性肺疾病患者的一般情况、疾病严重程度、尼古丁依赖程度、戒烟健康信念、戒烟自我效能及戒烟行为阶段等资料,分析其相关性。结果不同戒烟行为阶段的慢性阻塞性肺疾病患者,在性别、教育程度、肺功能分级等方面均存在统计学差异(P<0.05)。在戒烟健康信念及自我效能得分方面存在显著差异性(P<0.001)。此外,通过多元回归分析发现,戒烟自我效能得分越高,患者戒烟的可能性越大,可作为慢性阻塞性肺疾病患者能否戒烟的独立预测因子。结论慢性阻塞性肺疾病患者是否戒烟与戒烟健康信念及自我效能之间存在显著相关性,加强戒烟健康信念,提高自我效能有助于慢性阻塞性肺疾病患者戒烟。Objective To analyze the cessation situation of patients with chronic obstructive pulmonary disease,and to explore the influencing factors and predictors of smoking cessation.Methods A questionnaire survey was conducted to collect general condition,disease severity,nicotine dependence,smoking cessation health beliefs,self-efficacy and quitting smoking cessation phase behavior and other information of patients with chronic obstructive pulmonary disease,and the relevance between the information was analyzed.Results At different stages of the cessation behavior,there were significant differences in sex,education level,and lung function grading（ P〈0.05）.There was a significant difference in smoking cessation health beliefs and self-efficacy scoring（ P〈0.001）.In addition,multiple regression analysis showed that the higher score of smoking cessation self-efficacy,the greater possibility of smoking cessation had,so it can be used as an independent predictor of smoking cessation.Conclusion Significant correlation can be found between cessation situation,health beliefs and self-efficacy of patients with chronic obstructive pulmonary disease.Strengthening smoking cessation health beliefs and improving self-efficacy can help cigarette smoking cessation in patients with chronic obstructive pulmonary disease.

关 键 词：慢性阻塞性肺疾病 戒烟 影响因素 

分 类 号：R563.9[医药卫生—呼吸系统]