中国临床医学Issue(3):362-363,2.
戒烟干预对慢性阻塞性肺疾病患者近期呼吸道症状的影响
Effect of Smoking Cessation Intervention on Short Term Respiratory Clinical Symptoms in Patients with Chro-nic Obstructive Pulmonary Disease
冯丽 1张静2
作者信息
- 1. 复旦大学附属中山医院急诊科
- 2. ]复旦大学附属中山医院 呼吸科,上海 200032
- 折叠
摘要
Abstract
Objective:To investigate the effect of nurse-led group intervention of smoking on short term respiratory clinical symptoms in patients with chronic obstructive pulmonary disease (COPD) .Methods :Thirty-three smoking patients with stable COPD who intended to give up smoking after a brief verbal advice were recruited into the study .Weekly group intervention was performed for every participants till one month after cessation .The contents of intervention included teaching knowledge deliv-ered by the nursing staff ,counseling cessation skills ,encouraging and supervising ,companion encouragement ,and guide on in-haled medications .Smoking status ,cough ,sputum and dyspnea were recorded ,and symptoms and quality of life were evalua-ted by COPD assessment test (CAT) and the modified Medical Research Council (mMRC) scale during the study period . Results:Twenty-five subjects (75% ) reported chronic cough ,18(54 .5% ) had chronic sputum ,and 21 (63 .6% ) had dyspnea , 28 (84 .8% ) successfully maintained smoking cessation .One month after cessation ,the CAT score and mMRC score were both significantly lower than before cessation (P<0 .01) .Conclusions :Nurse-led smoking cessation group intervention in patients with COPD can achieve a high cessation rate .Respiratory symptoms and quality of life can be improved even after a short peri-od of cessation .关键词
慢性阻塞性肺疾病/吸烟/戒烟/群组干预Key words
Chronic obstructive pulmonary disease/Smoking/Smoking cessation/Group intervention分类
医药卫生引用本文复制引用
冯丽,张静..戒烟干预对慢性阻塞性肺疾病患者近期呼吸道症状的影响[J].中国临床医学,2014,(3):362-363,2.