以时机理论为框架的戒烟干预在老年COPD合并烟草依赖患者中的应用  

Application of smoking cessation intervention based on timsing theory in elderly patients with COPD complicated with tobacco dependence

作　　者：周芮伊 崔嬿嬿 王晓东[3] Zhou Ruiyi;Cui Yanyan;Wang Xiaodong(Department of Medical Technology and Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Critical Care Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Respiratory Medicine,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第一附属医院医技医学部,郑州450000 [2]郑州大学第一附属医院重症医学科,郑州450000 [3]郑州大学第一附属医院呼吸科,郑州450000

出　　处：《中华现代护理杂志》2022年第36期5084-5089,共6页Chinese Journal of Modern Nursing

摘　　要：目的探讨与分析以时机理论为框架的戒烟干预在老年慢性阻塞性肺疾病(COPD)合并烟草依赖患者中的应用。方法采用便利抽样法,选取郑州大学第一附属医院2020年1月—2021年3月收治的120例老年COPD合并烟草依赖患者,采用随机数字表法分为对照组与观察组,每组60例。对照组给予常规干预,观察组给予以时机理论为框架的戒烟干预,比较两组戒烟率、尼古丁依赖程度、临床综合症状评分、肺功能恢复情况。结果出院3个月,观察组的尼古丁依赖程度低于对照组,差异有统计学意义(P<0.05);观察组出院1、2、3个月的戒烟率高于对照组,差异有统计学意义(P<0.05);出院3个月,观察组的PEF高于对照组,差异有统计学意义(P<0.05);观察组出院3个月的临床综合症状评分低于对照组,差异有统计学意义(P<0.05)。结论以时机理论为框架的戒烟干预在老年COPD合并烟草依赖患者中的应用可提高戒烟率,减轻患者对尼古丁的依赖程度,同时有效地缓解COPD相关临床症状。Objective To explore and analyze the application of smoking cessation intervention based on timing theory in elderly patients with chronic obstructive pulmonary disease(COPD)complicated with tobacco dependence.Methods A total of 120 elderly patients with COPD combined with tobacco dependence who were admitted to the First Affiliated Hospital of Zhengzhou University from January 2020 to March 2021 were selected by the convenient sampling method.They were divided the control group and the observation group according to the random number table method,with 60 cases in each group.The control group was given routine intervention,while the observation group was given smoking cessation intervention based on timing theory.The smoking cessation rate,nicotine dependence degree,clinical symptom score and lung function recovery were compared between the two groups.Results Three months after discharge,the nicotine dependence degree of observation group was lower than that of control group,and the difference was statistically significant(P<0.05).The smoking cessation rates of 1,2 and 3 months after discharge in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Three months after discharge,PEF of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).The clinical symptom score of the observation group at 3 months after discharge was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The application of smoking cessation intervention based on timing theory in elderly patients with COPD complicated with tobacco dependence can improve the smoking cessation rate,reduce the degree of nicotine dependence of patients and effectively alleviate COPD related clinical symptoms.

关 键 词：肺疾病 慢性阻塞性 时机理论 戒烟干预 烟草依赖 

分 类 号：R563.9[医药卫生—呼吸系统]