慢性阻塞性肺疾病吸烟患者尼古丁依赖的影响因素分析  

Influencing factors for nicotine dependence among smoking patients with chronic obstructive pulmonary disease

作　　者：曹明鑫 杨濮瑞 郭爱敏 CAO Mingxin;YANG Purui;GUO Aimin(School of Nursing,Lanzhou University,Lanzhou,Gansu 730030,China;Peking Union Medical College,Beijing 100144,China)

机构地区：[1]兰州大学护理学院,甘肃兰州730030 [2]北京协和医学院,北京100144

出　　处：《预防医学》2024年第7期575-579,共5页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的 探讨慢性阻塞性肺疾病(COPD)吸烟患者尼古丁依赖的影响因素,为COPD吸烟患者制定针对性的戒烟干预措施提供参考。方法 选择2022年10月—2023年4月在兰州市3家医院门诊就诊的COPD吸烟患者为研究对象,通过问卷收集人口学信息、吸烟情况和戒烟意愿等资料;采用尼古丁依赖检测量表评估尼古丁依赖情况。采用多重线性回归模型分析COPD吸烟患者尼古丁依赖的影响因素。结果 发放问卷200份,回收有效问卷171份,问卷有效率为85.50%。研究对象年龄M (QR)为48.00 (10.00)岁;男性158例,占92.40%;大专及以上学历53例,占30.99%;吸烟时间M (QR)为15.00 (11.00)年;每日吸烟量21~30支73例,占42.69%;有戒烟意愿159例,占92.98%。COPD吸烟患者尼古丁依赖得分M (QR)为3.00 (1.00)分,年龄、文化程度、职业、人际关系、吸烟时间、每日吸烟量、吸烟危害认知和戒烟意愿不同的患者尼古丁依赖得分差异有统计学意义(均P<0.05)。多重线性回归分析结果显示,COPD吸烟患者的文化程度(β=-0.251)、人际关系(β=-0.246)、吸烟时间(β=0.038)、每日吸烟量(β=0.518)、戒烟意愿(β=-0.173)与尼古丁依赖存在统计学关联(均P<0.05)。结论 COPD吸烟患者尼古丁依赖受其文化程度、人际关系、吸烟时间、每日吸烟量和戒烟意愿的影响。Objective To investigate the nicotine dependence of patients with chronic obstructive pulmonary disease(COPD)who smoke and analyze its influencing factors,so as to provide insights into targeted smoking cessation interventions for smoking COPD patients.Methods The smoking COPD patients were selected from three hospitals in Lanzhou City using the convenience sampling method from October 2022 to April 2023.Demographic data,smoking status,and willingness to quit smoking were collected using questionnaire surveys.Nicotine dependence was assessed according to Fagerstrom Test for Nicotine Dependence.The influencing factors of nicotine dependence in smoking COPD patients were analyzed using a multiple linear regression model.Results A total of 200 questionnaires were distributed,and 171 valid questionnaires were collected,with a response rate of 85.50%.The median age was 48.00(interquartile range,10.00)years.There were 158 males,accounting for 92.40%;53 cases with a college degree or above,accounting for 30.99%.The median smoking duration was 15.00(interquartile range,11.00)years.There were 73 patients(42.69%)smoking 21 to 30 cigarettes per day,and 159 patients(92.98%)with the willingness to quit smoking.The median nicotine dependence score was 3.00(interquartile range,1.00)points.There were statistically significant differences in nicotine dependence scores among smoking COPD patients with different ages,educational levels,occupations,interpersonal relationships,smoking duration,daily cigarette consumption,awareness of smoking hazards and willingness to quit smoking(all P<0.05).Multiple linear regression analysis revealed that nicotine dependence was related with educational level(β=-0.251),interpersonal relationship(β=-0.246),smoking duration(β=0.038),daily cigarette consumption(β=0.518)and willingness to quit smoking(β=-0.173)among smoking COPD patients(all P<0.05).Conclusion The nicotine dependence among smoking COPD patients was influenced by educational level,interpersonal relationships,smoking duration,daily

关 键 词：慢性阻塞性肺疾病 吸烟 尼古丁依赖 影响因素 

分 类 号：R563.1[医药卫生—呼吸系统]