依据临床指南的强化戒烟干预在特勤人员中实施的可行性及有效性评价  

作　　者：王征 何登科 何丽 宋梦 韩金凤 刘潞 余洋 

机构地区：[1]空军杭州特勤疗养中心疗养一区疗养二科,310007

出　　处：《中国疗养医学》2022年第5期548-551,共4页Chinese Journal of Convalescent Medicine

摘　　要：目的评价依据临床指南的强化戒烟干预在疗养期间的军队特勤人员中实施的可行性及有效性。方法以2019年1至12月来空军杭州特勤疗养中心疗养的219名现吸烟的军队特勤疗养员为研究对象,其中干预组103人,接受强化戒烟干预,包括面对面心理咨询、手机短信推送。对照组116人,仅接受日常简短戒烟提醒。在4周疗养期结束时,比较两组的吸烟危害性认知、戒烟意愿以及4周、24周时的戒烟效果;Logistic回归分析影响戒烟效果的因素。结果4周后干预组与对照组比较,认知吸烟危害性为58.25%和16.38%;有戒烟意愿为55.34%和29.31%;7 d时点戒烟率(PPA)为37.86%和15.52%,P值均<0.01;24周7 d PPA为26.21%和5.17%,持续戒烟率为22.33%和3.45%;日均吸烟量减少≥50%为42.72%和23.28%,差异均有统计学意义;Logistic回归显示,24周时7 d PPA与4周时认知吸烟危害、有戒烟意愿、开始吸烟年龄≥18岁及参加戒烟干预等4个变量呈正相关,与基线尼古丁依赖程度高呈负相关,其OR值分别为(95%CI)分别为1.93(1.04,3.57),3.15(1.26,7.88),3.65(1.23,10.84),3.13(1.04,9.36),0.31(0.14,0.70)。结论初步研究显示基于临床指南的强化戒烟干预能够有效帮助军队特勤疗养员戒烟,做法可行,值得疗养机构鼓励提倡。Objective To evaluate the feasibility and effectiveness of intensive smoking cessation intervention according to clinical guidelines in military special service personnel during convalescence.Methods A total of 219 current smoking military convalescents who came to Hangzhou Special Service Sanatorium of Air Force from January to December 2019 were selected as the research objects.Among them,103 in the intervention group received intensive smoking cessation intervention,including face-to-face psychological counseling and mobile phone SMS push.A total of 116 subjects in the control group received only brief daily reminders to quit smoking.At the end of the 4-week convalescent period,the two groups were compared in terms of their perception of the dangers of smoking,their willingness to quit smoking,and the smoking cessation effects at 4 weeks and 24 weeks.Logistic regression analysis was made to analyze the factors affecting the effect of smoking cessation.Results After 4 weeks,the intervention group compared with the control group,the cognitive harmfulness of smoking was 58.25%and 16.38%,willingness to quit smoking was 55.34%and 29.31%.Point prevalence abstinence(PPA)at 7 d were 37.86%and 15.52%,P<0.01.PPA of 7 days in 24 weeks were 26.21%and 5.17%,and the rates of continuing smoking cessation rates were 22.33%and 3.45%.The average daily decrease of smoking quantity≥50%was 42.72%and 23.28%,and the differences were statistically significant.Logistic regression showed that PPA at 7 d of 24 weeks was positively correlated with cognition of smoking hazard,willingness to quit smoking,age≥18 years of smoking initiation and participation in smoking cessation intervention at 4 weeks,and negatively correlated with high baseline nicotine dependence,with OR values(95%CI)of 1.93(1.04,3.57),3.15(1.26,7.88),3.65(1.23,10.84),3.13(1.04,9.36),0.31(0.14,0.70)respectively.Conclusion Preliminary study shows that intensive smoking cessation intervention based on clinical guidelines can effectively help special service convalescent

关 键 词：特勤人员 戒烟 心理咨询 时点戒烟率 

分 类 号：R163[医药卫生—公共卫生与预防医学]