“5R”联合“5A”戒烟干预在社区高血压随访管理中的应用效果  

Application Effect of"5R"+"5A"Smoking Cessation Intervention in Community Follow-Up Management of Hypertension

作　　者：杨娟 陈丽 曾健 朱琴 张会容 Yang Juan;Chen Li;Zeng Jian;Zhu Qin;Zhang Hui-rong(Xinhua Street Community Health Service Center in Changning District,Shanghai 200052,China)

机构地区：[1]上海市长宁区新华街道社区卫生服务中心,上海200052

出　　处：《中国社区医师》2022年第31期131-133,共3页Chinese Community Doctors

基　　金：上海市长宁区科学技术委员会科研课题项目(编号:CNKW2018Y28)。

摘　　要：目的:评价“5R”联合“5A”戒烟干预法在社区高血压随访管理中的应用效果。方法:选取2019年6月-2020年6月上海市长宁区新华社区卫生服务中心倪金燕家庭医生工作室在管120例高血压吸烟患者为研究对象,采用随机分组法分为对照组和干预组,各60例。对照组采用自然戒烟法,干预组采用“5R”联合“5A”戒烟干预法,比较两组戒烟情况、控烟知识知晓率。结果:干预后3、6、9个月及1年,干预组的戒烟率高于对照组,差异有统计学意义(P<0.05)。干预前,两组控烟知识知晓率评分比较,差异无统计学意义(P>0.05);干预后3、6、9个月及1年,干预组控烟知识知晓率高于对照组,差异有统计学意义(P<0.05)。干预前,两组CO呼出试验比较,差异均无统计学意义(P>0.05);干预后3、6、9个月及1年,两组CO呼出测试指标均有改善,且干预组CO呼出测试情况均优于对照组,差异有统计学意义(P<0.05)。结论:“5R”联合“5A”戒烟干预在社区高血压随访管理中,可提升患者的戒烟意愿,减少吸烟数量,提高戒烟率,值得在社区慢性病随访管理中应用并予以推广。Objective:To evaluate the application effect of"5R"+"5A"smoking cessation intervention in community hypertension follow-up management.Methods:A total of 120 hypertensive patients with smoking status who were managed by Ni Jin-yan Family Doctor Office of Xinhua Street Community Health Service Center in Changning District of Shanghai from June 2019 to June 2000 were selected as the study subjects.Using random grouping method,the patients were divided into control group and intervention group,with 60 cases in each group.The control group implemented natural smoking cessation method,and the intervention group implemented"5R"+"5A"smoking cessation method.The smoking cessation and tobacco control knowledge awareness were compared between the two groups.Results:At 3,6,9 months and 1 year after the intervention,the smoking cessation rate in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).At 1 year after the intervention,2 cases(3.33%)in each of the control group and the intervention group relapsed.Before the intervention,there was no significant difference in the awareness rate of tobacco control knowledge between the two groups(P>0.05).At 3,6,9 months and 1 year after the intervention,the awareness rate of tobacco control knowledge in the intervention group was higher than that in the control group,and the difference was statistically significant(P<0.05).Before the intervention,there was no significant difference in the CO exhalation test between the two groups(P>0.05).At 3,6,9 months and 1 year after the intervention,the CO exhalation test indexes in two groups were improved,and the CO exhalation test results in the intervention group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The"5R"+"5A"smoking cessation intervention has a certain effect on tobacco control management in community hypertension follow-up management,it can improve patients'willingness to quit smoking,reduce the num

关 键 词：高血压 控烟干预 社区 

分 类 号：R544.1[医药卫生—心血管疾病] R163[医药卫生—内科学]