吸烟者去大学总医院寻求门诊戒烟的动机因素
2010/12/29
摘要
目的：描述吸烟者寻求戒烟治疗的原因，及其与社会人口学特征、临床数据、准备改变的阶段及尼古丁依赖严重程度之间的关系。
方法：2008年2月至2009年2月之间，对53名在大学总医院精神活性物质滥用门诊寻求戒烟治疗的吸烟者进行评价。检测手段包括：收集社会人口统计学信息、临床数据、针对尼古丁依赖的Fagerström测试、罗德岛大学变化评价表、针对吸烟习惯的问卷调查。
结果：入选者包括34名女性和19名男性，平均年龄为48.1岁。大部分患者受教育时间少于8年、患有烟草相关性疾病、青少年时就开始吸烟、吸烟史超过20年、具有较高的尼古丁依赖。戒烟意愿主要受到家庭成员建议的影响，寻求戒烟治疗的决定受医生的影响。大部分男性吸烟者处于变化的深思阶段，而女性吸烟者各阶段平均分布(p = 0.007)。女性戒烟的冲动高于男性吸烟者(p = 0.017)，且女性吸烟者具有较高的尼古丁依赖(p = 0.053)。
结论：研究显示有必要强调健康专业人士在戒烟中的作用，由于男性吸烟者与女性吸烟者存在差异，戒烟措施应该更具有针对性。
（林江涛 审校）
J Bras Pneumol. 2010 Oct;36(5):603-611.
Factors that motivate smokers to seek outpatient smoking cessation treatment at a university general hospital.
[Article in Portuguese]
Russo AC, Azevedo RC.
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
Abstract
OBJECTIVE: To describe the reasons smokers give for seeking smoking cessation treatment, correlating those reasons with sociodemographic characteristics, clinical data, stage of readiness to change, and severity of nicotine dependence.
METHODS: Between February of 2008 and February of 2009, we evaluated 53 smokers who were naive to smoking cessation treatment and sought such treatment at the psychoactive substance abuse outpatient clinic of a university general hospital. The instruments used in the study were as follows: a form for the collection of sociodemographic and clinical data; the Fagerström Test for Nicotine Dependence; the University of Rhode Island Change Assessment scale; and a questionnaire on the smoking habit.
RESULTS: The sample comprised 34 women and 19 men, with a mean age of 48.1 years. Most of the participants had less than 8 years of schooling, had tobacco-related diseases, started smoking during adolescence, had smoked for more than 20 years, and had high nicotine dependence. The decision to quit smoking was mainly influenced by advice from family members, and the decision to seek specialized smoking cessation treatment was influenced by physicians. Most of the men were in the contemplation stage of change, whereas the women tended to have a more balanced distribution of the stages (p = 0.007). The women had attempted to quit smoking more often than had the men (p = 0.017) and also had a higher level of nicotine dependence (p = 0.053).
CONCLUSIONS: The findings of this study highlight the role of health professionals in the approach to smoking cessation and suggest the importance of interventions that are more targeted, in view of the differences between men and women.
J Bras Pneumol. 2010 Oct;36(5):603-611.
目的：描述吸烟者寻求戒烟治疗的原因，及其与社会人口学特征、临床数据、准备改变的阶段及尼古丁依赖严重程度之间的关系。
方法：2008年2月至2009年2月之间，对53名在大学总医院精神活性物质滥用门诊寻求戒烟治疗的吸烟者进行评价。检测手段包括：收集社会人口统计学信息、临床数据、针对尼古丁依赖的Fagerström测试、罗德岛大学变化评价表、针对吸烟习惯的问卷调查。
结果：入选者包括34名女性和19名男性，平均年龄为48.1岁。大部分患者受教育时间少于8年、患有烟草相关性疾病、青少年时就开始吸烟、吸烟史超过20年、具有较高的尼古丁依赖。戒烟意愿主要受到家庭成员建议的影响，寻求戒烟治疗的决定受医生的影响。大部分男性吸烟者处于变化的深思阶段，而女性吸烟者各阶段平均分布(p = 0.007)。女性戒烟的冲动高于男性吸烟者(p = 0.017)，且女性吸烟者具有较高的尼古丁依赖(p = 0.053)。
结论：研究显示有必要强调健康专业人士在戒烟中的作用，由于男性吸烟者与女性吸烟者存在差异，戒烟措施应该更具有针对性。
（林江涛 审校）
J Bras Pneumol. 2010 Oct;36(5):603-611.
Factors that motivate smokers to seek outpatient smoking cessation treatment at a university general hospital.
[Article in Portuguese]
Russo AC, Azevedo RC.
Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, SP, Brasil.
Abstract
OBJECTIVE: To describe the reasons smokers give for seeking smoking cessation treatment, correlating those reasons with sociodemographic characteristics, clinical data, stage of readiness to change, and severity of nicotine dependence.
METHODS: Between February of 2008 and February of 2009, we evaluated 53 smokers who were naive to smoking cessation treatment and sought such treatment at the psychoactive substance abuse outpatient clinic of a university general hospital. The instruments used in the study were as follows: a form for the collection of sociodemographic and clinical data; the Fagerström Test for Nicotine Dependence; the University of Rhode Island Change Assessment scale; and a questionnaire on the smoking habit.
RESULTS: The sample comprised 34 women and 19 men, with a mean age of 48.1 years. Most of the participants had less than 8 years of schooling, had tobacco-related diseases, started smoking during adolescence, had smoked for more than 20 years, and had high nicotine dependence. The decision to quit smoking was mainly influenced by advice from family members, and the decision to seek specialized smoking cessation treatment was influenced by physicians. Most of the men were in the contemplation stage of change, whereas the women tended to have a more balanced distribution of the stages (p = 0.007). The women had attempted to quit smoking more often than had the men (p = 0.017) and also had a higher level of nicotine dependence (p = 0.053).
CONCLUSIONS: The findings of this study highlight the role of health professionals in the approach to smoking cessation and suggest the importance of interventions that are more targeted, in view of the differences between men and women.
J Bras Pneumol. 2010 Oct;36(5):603-611.
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