慢性阻塞性肺疾病患者家庭参与式戒烟干预的效果评价  

Effect of Family-Integrated Intervention on Smoking Cessation in Patients with COPD

作　　者：张春瑾 向邱[2] 徐素琴[2] ZHANG Chunjin;XIANG Qiu;XU Suqin(Department of Nursing,Tongji Hospital Affiliated toTongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,Hubei Province,China;Department of Respiratory and Critical Care Medicine,Tongiji Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030 [2]华中科技大学同济医学院附属同济医院呼吸与危重症医学科

出　　处：《解放军护理杂志》2020年第9期73-76,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：国家重点研发计划项目(2017YFC1309400)。

摘　　要：目的探讨家庭参与模式对慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)患者戒烟效果的影响。方法便利选取某院2018年11月至2019年2月收治的COPD患者110例,采用随机抽签法均分为观察组和对照组。对照组患者接受常规的戒烟干预,观察组在常规戒烟干预的基础上实施家庭参与模式。观察两组患者戒烟药物的使用情况、戒烟率,烟草依赖严重程度及家属家庭负担状况。结果两组患者戒烟药物使用人数及其家属的家庭负担感总分比较,差异均无统计学意义(均P>0.05);两组患者戒烟率以及烟草依赖程度在时间效应、组间效应及二者的交互作用比较,差异均有统计学意义(均P<0.05)。结论家庭参与模式戒烟干预有助于提高COPD患者的戒烟率,降低其烟草依赖程度,且不增加患者家属的家庭负担感。Objective To explore and analyze the influence of family-integrated intervention on smokingcessation in patients with chronic obstructive pulmonary disease(COPD).Methods By convenience sam-pling method,110 patients with COPD admitted to our hospital from November 2018 to February 2019were selected and randomly divided into intervention group and control group.The control group receivedthe routine smoking cessation intervention.The intervention group received family-integrated interventionin addition to the routine intervention.The use of smoking cessation drugs stmoking cessation rates,the se-verity of tobacco dependence,anxiety,and depression of patients and fatmily burden in the two groups wereobserved.Results There was no significant difference in the number of drug users and the total score of thefamily burden of their families between the two groups(all P>0.05);there were significant differences inthe time effect,intergroup effect,and interaction between the two groups in the smoking cessation rate andthe degree of tobacco dependence between the two groups(all P<0.05).Conclusion Family-integrated in-tervention can improve the smoking cessation rate,reduce the degree of tobacco dependence,and do not in-crease the family burden.

关 键 词：家庭参与式护理 慢性阻塞性肺疾病 戒烟 

分 类 号：R473.56[医药卫生—护理学]