戒烟门诊手机戒烟应用程序使用频率与戒烟效果的关系  

Association of the APP usage frequency and the effect in smoking cessation clinic intervention Association of the APP usage frequency with the effect in smoking cessation clinic intervention

作　　者：魏肖文 秦瑞 程安琪 周心玫 苏征 崔紫阳 李劲萱 肖丹[3] 王辰[2] Wei Xiaowen;Qin Rui;Cheng Anqi;Zhou Xinmei;Su Zheng;Cui Ziyang;Li Jinxuan;Xiao Dan;Wang Chen(Capital Medical University China-Japan Friendship School of Clinical Medicine,Beijing 100029,China;Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100730,China;Department of Tobacco Control and Prevention of Respiratory Disease of China-Japan Friendship Hospital,WHO Collaborating Center for Tobacco Cessation and Respiratory Diseases Prevention,National Respiratory Medical Center,China National Clinical Research Center for Respiratory Diseases,Institute of Respiratory Medicine of Chinese Academy of Medical Sciences,Beijing 100029,China;Department of Geriatric Medicine of Beijing Shijitan Hospital,Capital Medical University,Beijing,100038,China)

机构地区：[1]首都医科大学中日友好临床医学院,北京100029 [2]中国医学科学院北京协和医学院,北京100730 [3]中日友好医院控制吸烟与呼吸疾病预防部,世界卫生组织戒烟与呼吸疾病预防合作中心,国家呼吸医学中心,国家呼吸系统疾病临床医学研究中心,中国医学科学院呼吸病学研究院,北京100029 [4]首都医科大学附属北京世纪坛医院老年医学科,北京100038

出　　处：《中华健康管理学杂志》2023年第9期661-667,共7页Chinese Journal of Health Management

基　　金：中央高水平医院临床科研业务费资助(2022-NHLHCRF-LX-01)。

摘　　要：目的探讨门诊手机戒烟应用程序(APP)使用频率与戒烟效果的关系。方法本研究为试验性研究,采用非随机对照设计。2019年7月至2021年6月从中日友好医院戒烟门诊招募年龄18~85岁且愿意在未来2周内戒烟的吸烟者200例,给予手机APP(烟燃)联合安非他酮的综合戒烟干预方法。分析APP使用频率及与经呼出气一氧化碳检测验证的9~12周持续戒烟率的关系。结果最终分析纳入受试者187例。经过12周的戒烟干预后,受试者9~12周持续戒烟率为42.2%。39例(20.9%)受试者APP使用频率≥6 d/周,116例(62.0%)在2~5 d/周,32例(17.1%)≤1 d/周。多因素分析显示戒烟的影响因素包括吸烟年限、每日吸烟量和APP使用频率。其中,APP使用频率越高,戒烟的可能性越大(OR=4.95,95%CI:1.32~18.63)。结论手机戒烟APP使用频率增加有助于提高戒烟成功率。Objective To explore the association between the frequency of using smoking cessation application(APP)and the effect of smoking cessation in smoking cessation clinic.Methods A clinical trial with a non-randomized controlled design was conducted in the smoking cessation clinic of China-Japan Friendship Hospital from July 2019 to June 2021.Participants were given a comprehensive smoking cessation intervention of mobile APP combined with bupropion.The primary outcome measures were carbon monoxide validated sustained abstinence at 9-12 weeks.Results A total of 187 participants were included in the final analysis.After 12-week intervention,the sustained abstinence at 9-12 weeks was 42.2%.For the frequency of APP use,20.9%(39/187)of the participants used it≥6 days per week,62.0%(116/187)used it 2-5 days per week,and 17.1%(32/187)used it≤1 day per week.Multivariate analysis showed that smoking cessation rate was associated with smoking duration,cigarettes smoked per day and frequency of APP use.Participants with higher frequency of APP use had a higher likelihood of quitting smoking(OR=4.95,95%CI:1.32-18.63).Conclusion The increased frequency of mobile smoking cessation APP use is associated with higher probability of quitting smoking in smoking cessation clinic.

关 键 词：戒烟 门诊部 医院 应用程序 安非他酮 效果 

分 类 号：R163[医药卫生—公共卫生与预防医学]