汕头大学医学院学报2024，Vol.37Issue(1)：26-29,34,5.DOI:10.13401/j.cnki.jsumc.2024.01.006
肺功能检查联合5A行为干预的短期戒烟效果评价
Evaluation of short-term smoking cessation effects of pulmonary function testing combined with 5A behavioral intervention
张秋艳 1张庆英 2李娥 1王文莉 1谢燕娜1
作者信息
- 1. 汕头大学医学院第一附属医院呼吸内科,广东 汕头 515041
- 2. 汕头大学医学院公共卫生与预防医学教研室,广东 汕头 515041
- 折叠
摘要
Abstract
Objective:To investigate the short-term smoking cessation effects of pulmonary function testing and education combined with 5A behavioral intervention.Methods:439 patients,all male,aged(54.9±12.5)years old,who attended the outpatient clinic of the Respiratory Department of the First Affiliated Hospital of Shantou University Medical College from May 2019 to December 2021 and had a history of smoking,were selected for the study.According to the patients' wishes,they were divided into the group of pulmonary function test combined with 5A behavioral intervention(intervention group,224 cases)and the group of only implementing 5A behavioral intervention(control group,215 cases),and the intervention time was 1 month.Successful smoking cessation rate and tobacco dependence level were used to evaluate the short-term smoking cessation effect.Logistic regression analysis was used to evaluate the smoking cessation effect of pulmonary function testing and education combined with 5A behavioral intervention.Sensitivity analyses were performed with propensity score matching to assess the robustness of the results of logistic regression analyses.Results:The successful smoking cessation rate was 43.8%(98/224)in the intervention group and 13.5%(29/215)in the control group,which was higher than that of the control group(χ2=48.86,P<0.001).Among the patients who failed to quit smoking after the intervention,the percentage of patients with severe tobacco dependence decreased in the intervention group compared with the pre-intervention group and was lower than that in the control group,and the difference was statistically significant(pre-intervention severe tobacco dependence:35.7%versus 34.9%;post-intervention severe tobacco dependence:19.1%versus 29.6%).Logistic regression analysis showed that compared with the control group,the short-term successful smoking cessation rate increased in the intervention group(OR=3.92,95%CI:2.18-7.06),and tobacco dependence among patients who failed to quit smoking decreased in the intervention group(OR=4.34,95%CI:1.72-10.92).Conclusion:Pulmonary function testing and education combined with 5A behavioral interventions may be helpful in the short term to increase the success rate of smoking cessation among smoking patients in the respiratory clinic and reduce the degree of tobacco dependence among patients who fail to quit.关键词
肺功能检查/健康宣教/烟草依赖/戒烟/干预Key words
pulmonary function tests/health promotion/tobacco dependence/smoking cessation/intervention分类
医药卫生引用本文复制引用
张秋艳,张庆英,李娥,王文莉,谢燕娜..肺功能检查联合5A行为干预的短期戒烟效果评价[J].汕头大学医学院学报,2024,37(1):26-29,34,5.
