广州市胸科医院门诊戒烟者戒烟效果和影响因素分析  

Analysis of smoking cessation effect and influencing factors among outpatients in Guangzhou Chest Hospital

作　　者：陈文翰[1] 谭守勇[2] 周强[1] 赖铿 郑闽莉[2] 龙慧妍 黄娥林[1] 谢玮 刘玉美[1] 李丽桃[1] Chen Wenhan;Tan Shouyong;Zhou Qiang;Lai Keng;Zheng Minli;Long Huiyan;Huang Elin;Xie Wei;Liu Yumei;Li Litao(Department of Preventive Health Care,Guangzhou Chest Hospital,Guangzhou 510095,China;Department of Tuberculosis Medicine,Guangzhou Chest Hospital,Guangzhou 510095,China;Department of Tuberculosis Control,Guangzhou Chest Hospital,Guangzhou 510095,China)

机构地区：[1]广州市胸科医院预防保健科,广州510095 [2]广州市胸科医院结核内科,广州510095 [3]广州市胸科医院结核病控制科,广州510095

出　　处：《结核与肺部疾病杂志》2023年第2期141-146,共6页Journal of Tuberculosis and Lung Disease

基　　金：广州市结核病临床医学研究与转化中心(155700012)。

摘　　要：目的:探讨戒烟门诊干预后戒烟者的戒烟效果和影响因素,提出戒烟干预改进措施。方法:采用前瞻性干预研究设计,对2021年1月至2022年1月在广州市胸科医院戒烟门诊咨询的吸烟者采用强化戒烟干预,明确提出戒烟建议,然后顺序进行1周、1个月、3个月、6个月的规范化随访。把未戒烟者和戒烟<7 d者记为戒烟失败组,把戒烟≥7 d(包括戒烟7 d后复吸)者记为7 d戒烟成功组。完成6个月随访后分析吸烟者的戒烟行为、戒烟结局、复吸情况并探讨戒烟成败影响因素。结果:共79名吸烟者完成6个月随访,7 d戒烟成功者为23名,未戒烟者为15名,复吸者为41名。各随访期均有复吸发生,但大部分复吸发生在戒烟后第一周内,占48.8%(20/41)。7日戒烟成功率为55.7%(44/79),比较戒烟失败组和戒烟成功组两组的基线情况,戒烟成功组的日平均吸烟量[(17.43±4.95)支]明显低于戒烟失败组[(21.43±7.43)支],差异有统计学意义(t=-2.859,P=0.005);烟草依赖评分[(5.43±1.11)分]明显低于戒烟失败组[(6.14±0.97)分],差异有统计学意义(t=-2.987,P=0.004)。多因素logistic回归分析显示,日平均吸烟量≥20支是戒烟成败的独立影响因素[OR(95%CI):4.441(1.652~11.940),P=0.003]。结论:吸烟者经戒烟门诊强化干预后,可取得较好的戒烟效果;日平均吸烟量是影响戒烟的主要因素。Objective:To explore the effect and influencing factors of smoking cessation among smokers after intervention in the smoking cessation clinic,and propose measures for improving smoking cessation intervention.Methods:Using a prospective intervention study design,intensive smoking cessation intervention was conducted among smokers who were consulted at the Quitting Clinic of Guangzhou Chest Hospital from January 2021 to January 2022,with clear recommendations for quitting smoking.Then,standardized follow-up visits were conducted for 1 week,1 month,3 months,and 6 months in sequence.Those who did not quit smoking and those who quit smoking for less than 7 days were recorded as quitting failure groups,while those who quit smoking for more than 7 days(including relapse after quitting for 7 days)were recorded as quitting success groups for 7 days.After completing a 6-month follow-up,the smoking cessation behavior,smoking cessation outcomes,and relapse status of smokers were analyzed,and the influencing factors of success or failure in quitting smoking were explored.Results:A total of 79 smokers completed a 6-month follow-up.Twenty-three successfully quit smoking,15 did not quit smoking,and 41 relapsed smokers.Relapse occurred in all follow-up periods,but most relapse occurred within the first week after quitting smoking,accounting for 48.8%(20/41).The success rate of quitting smoking was 55.7%(44/79).Comparing the baseline status of the two groups,the average daily smoking volume in the successful quitting group(17.43±4.95)was significantly lower than that in the unsuccessful quitting group(21.43±7.43),with a statistically significant difference(t=-2.859,P=0.005);The score of tobacco dependence(5.43±1.11)was significantly lower than that of smoking cessation failure group(6.14±0.97),with a statistically significant difference(t=-2.987,P=0.004).Multivariate logistic regression analysis showed that daily average smoking volume(≥20)was an independent influencing factor for smoking cessation failure(OR(95%CI):4.441(1.

关 键 词：门诊部 医院 戒烟 随访研究 

分 类 号：R163[医药卫生—公共卫生与预防医学]