慢性阻塞性肺疾病患者基于计划行为理论的戒烟干预  

Application of smoking cessation intervention based on the Theory of Planned Behavior for patients with chronic obstructive pulmonary disease

作　　者：向邱 徐素琴 张梦 Xiang Qiu;Xu Suqin;Zhang Meng(Department of Nursing,Tongji Hospital of Tongji Medical Collage of Huazhong University of Science and Technology,Wuhan 430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院护理部,湖北武汉430030

出　　处：《护理学杂志》2025年第7期1-6,共6页Journal of Nursing Science

基　　金：华中科技大学同济医学院附属同济医院科研基金护理专项(2023D34,2024D09);第二十七届中国科协年会学术论文。

摘　　要：目的探讨基于计划行为理论的戒烟干预对慢性阻塞性肺疾病患者戒烟效果的影响。方法采用便利抽样法,选取住院治疗的慢性阻塞性肺疾病患者为研究对象,将2023年10月至2024年1月收治的35例分为对照组,实施常规戒烟干预;2024年2-5月收治的35例分为干预组,采用人机耦合管理,实施基于计划行为理论的戒烟干预。比较两组戒烟率、烟草依赖程度评分及戒断症状评分。结果对照组31例、干预组32例完成研究。出院后1个月,干预组烟草依赖程度评分显著低于对照组(P<0.05);出院后6个月干预组戒烟率显著高于对照组(P<0.05);两组出院后1、6个月戒断症状得分比较,差异无统计学意义(均P>0.05)。结论基于计划行为理论的戒烟干预有助于慢性阻塞性肺疾病患者改善戒烟行为,降低患者短期内烟草依赖程度,提高持续戒烟率,但尚不能改善其戒断症状。Objective To explore the effect of smoking cessation intervention based on Theory of Planned Behavior on smoking cessation effect of hospitalized patients with chronic obstructive pulmonary disease(COPD).Methods A convenience sampling method was employed to select 70 hospitalized patients with COPD.Among them,35 patients admitted from October 2023 to January 2024 were assigned to the control group,receiving standard smoking cessation intervention.The remaining 35 patients admitted from February to May 2024 were assigned to the intervention group,which was subjected to a human-machine coupling management approach based on the Theory of Planned Behavior.The smoking cessation rates during hospitalization,as well as the rates of sustained cessation one month and six months after discharge,were compared between the two groups,along with assessments of tobacco dependence and withdrawal symptom scores.Results Thirty-one cases in the control group versus 32 cases in the intervention group completed the study.One month after discharge,the Heaviness of Smoking Index score in the intervention group was significantly lower than that in the control group(P<0.05).Six months post-discharge,the sustained smoking cessation rate in the intervention group was significantly higher than that in the control group(P<0.05).However,there were no statistically significant differences in withdrawal symptom scores between the two groups at one month and six months post-discharge(both P>0.05).Conclusion Smoking cessation intervention based on the Theory of Planned Behavior is beneficial for improving smoking cessation behaviors in patients with COPD,reducing their short-term tobacco dependence,and increasing sustained cessation rates.However,it does not appear to improve withdrawal symptoms.

关 键 词：慢性阻塞性肺疾病 计划行为理论 戒烟 烟草依赖 戒断症状 肺康复 呼吸内科护理 

分 类 号：R473.5[医药卫生—护理学]