| 何耀,林大庆,姜斌,刘庆辉,左芳,赛晓勇,周长喜,邹琳,吴蕾,郑家强,陈肇始.综合性医院开展戒烟干预方法研究的设计和初步结果[J].Chinese journal of Epidemiology,2011,32(2):192-195 |
| 综合性医院开展戒烟干预方法研究的设计和初步结果 |
| Study design and the preliminary results on the modes of smoking cessation in general hospitals |
| Received:August 30, 2010 |
| DOI： |
| KeyWord: 戒烟 干预模式 戒烟率 综合性医院 |
| English Key Word: moking cessation Intervention methods Quit rate General hospital |
| FundProject:英国癌症基金会(C1343／A10155)；国家科技支撑计划(2009BAl86801)；首都医学发展基金(2007-2039) |
| Author Name | Affiliation | E-mail | | HE Yao | Institute of ceriatrics, Chinese PLA General Hospital, Beijing 100853, China | yhe301@x263．Net | | LAM Tai-hing | Department of Community Medicine, University of Hong Kong | | | JIANG Bin | Department of Acupuncture, Chinese PM General Hosphal | | | LIU Qing-hui | Department of Respiratory Medicine, Chinese PLA Genera Hospital | | | ZUO Fang | Department of Acupuncture, Chinese PM General Hosphal | | | SAI Xiao-yong | Institute of ceriatrics, Chinese PLA General Hospital, Beijing 100853, China | | | ZHOU Chang-xi | Department of Respiratory Medicine, Chinese PLA General Hospital | | | ZOU Lin | Department of Respiratory Medicine, Chinese PLA General Hospital | | | WU Lei | Institute of ceriatrics, Chinese PLA General Hospital, Beijing 100853, China | | | CHENG KK | University of Birmingham, UK | | | CHAN SC Sophia | Department of Nursing Studies, University of Hongkong | |
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| Abstract: |
| 为探索综合性医院开展戒烟干预的方法并评价其效果,采用戒烟门诊专科干预、简单干预、义诊干预和集体干预等模式对不同吸烟人群进行包括健康咨询、心理干预和药物治疗等不同形式及内容的戒烟干预,以统一规范的指标和方法评价干预效果.在项目实施的20个月中,共对690名吸烟者进行干预,对其中402名完成6个月随访的干预对象进行的初步统计分析发现:目前已完成的戒烟门诊专科干预、集体干预和戒烟义诊时的简单干预3种模式均有一定干预效果,吸娴者的吸烟量有不同程度下降,吸烟者戒烟的动机、医生采用的干预模式及强度是影响干预效果的主要影响因素;戒烟门诊专科干预和集体干预的效果优于戒烟义诊的简单干预,其6个月随访时的时点戒烟率分别为31.6%、30.9%和15.1%.戒烟者的戒烟动机和医生的态度、戒烟方法的选择及干预技能水平对戒烟成功率影响较大,因此探索适合国情的戒烟服务模式及个体化干预方法十分必要. |
| English Abstract: |
| To study the intervention programs on smoking cessation in a general hospital and to evaluate its effects of the programs. Four methods including: a) the intervention through specialists in the smoking cessation clinic, b) short-time intervention in the out-patient department,c) free medical intervention, d) group intervention, were adopted for different smokers, with health counseling, psychological intervention and drug treatment. Intervention effect was evaluated by standard methods. During the 20-month period of the project, we treated 690 cases and 402 completed 6-month follow-up. Preliminary results in 402 cases showed that the three methods of smoking cessation interventions could reduce the amount of cigarette smoking and increase the quitting rate. Motivation to quit smoking, intervention methods and intensity of intervention seemed cessation clinic (31.6%) and in the group intervention (30.9%) was higher than short-time intervention in free medical events (15.1%). The successful rate of smoking cessation depended on the motivation of quitters, and the attitude, methods and intervention skills of the physicians.Therefore, it is necessary to explore and develop smoking cessation service models suitable to national context and individual intervention methods in China. |
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