基于护士的动机访谈在心血管疾病高危门诊患者中的戒烟作用：随机试验
2010/09/14
摘要
目的：在心血管门诊二级预防机构的生活方式反馈调查(LIFE)研究中，研究基于护士的动机访谈(NBMI)的可行性和有效性。
方法：在连续619名因心血管疾病就诊的患者中，选取目前吸烟者（n=112），随机分为常规护理组（LIFE组）和LIFE+ NBMI 组（干预组）。记录累积投入时间。
结果：3个月的随访后，对照组的吸烟戒断率为7％，另外15％的对照组吸烟者减少了吸烟数量。而干预组有26％的吸烟者戒烟(p<0.017)，另有31％的吸烟者吸烟数量减少。平均来说，每次动机访谈需花费63.5分钟。对于每名戒烟者，其时间投入为3.8小时，NNT为5.9。
结论：在有专业回馈的生活方式自我评价中，NBMI能显著提高门诊二级预防机构中患者的戒烟率。虽然需要强调成本-效益比，但本研究中每名采用此法戒烟的戒烟者其所花时间还是相对较低的。
（林江涛 审校）
Eur J Cardiovasc Nurs. 2010 Jul 10. [Epub ahead of print]
Effectiveness of Nurse Based Motivational Interviewing for smoking cessation in high risk cardiovascular outpatients: A randomized trial
Bredie SJ, Fouwels AJ, Wollersheim H, Schippers GM.
Dept. of General Internal Medicine, Radboud University, Medical Centre Nijmegen, The Netherlands.
Abstract
OBJECTIVE: To evaluate the feasibility and effectiveness of Nurse Based Motivational Interviewing (NBMI) on top of a routine patient based Lifestyle Inventory with Feedback (LIFE) in a cardiovascular outpatient secondary prevention setting.
METHODS: All current smokers (n=112), identified in 619 successive patients with cardiovascular disease, were randomized for either care as usual (LIFE), or LIFE plus NBMI (intervention group). Cumulative time investment was recorded.
RESULTS: After 3months of follow-up, the abstinence rate in the control group was 7%, and another 15% diminished the number of cigarettes, whereas 26% of intervention patients quit smoking (p<0.017) and another 31% diminished smoking. On average, each completed motivational interviewing session took 63.5min. Per quitter, time investment was 3.8h and NNT appeared 5.9.
CONCLUSION: NBMI strategy on top of routinely administrated lifestyle self evaluation with professional feedback, significantly increases smoking cessation in an outpatient secondary prevention setting. Although cost effectiveness needs to be addressed, time investment per quitter in this approach appears low.
Eur J Cardiovasc Nurs. 2010 Jul 10. [Epub ahead of print]
目的：在心血管门诊二级预防机构的生活方式反馈调查(LIFE)研究中，研究基于护士的动机访谈(NBMI)的可行性和有效性。
方法：在连续619名因心血管疾病就诊的患者中，选取目前吸烟者（n=112），随机分为常规护理组（LIFE组）和LIFE+ NBMI 组（干预组）。记录累积投入时间。
结果：3个月的随访后，对照组的吸烟戒断率为7％，另外15％的对照组吸烟者减少了吸烟数量。而干预组有26％的吸烟者戒烟(p<0.017)，另有31％的吸烟者吸烟数量减少。平均来说，每次动机访谈需花费63.5分钟。对于每名戒烟者，其时间投入为3.8小时，NNT为5.9。
结论：在有专业回馈的生活方式自我评价中，NBMI能显著提高门诊二级预防机构中患者的戒烟率。虽然需要强调成本-效益比，但本研究中每名采用此法戒烟的戒烟者其所花时间还是相对较低的。
（林江涛 审校）
Eur J Cardiovasc Nurs. 2010 Jul 10. [Epub ahead of print]
Effectiveness of Nurse Based Motivational Interviewing for smoking cessation in high risk cardiovascular outpatients: A randomized trial
Bredie SJ, Fouwels AJ, Wollersheim H, Schippers GM.
Dept. of General Internal Medicine, Radboud University, Medical Centre Nijmegen, The Netherlands.
Abstract
OBJECTIVE: To evaluate the feasibility and effectiveness of Nurse Based Motivational Interviewing (NBMI) on top of a routine patient based Lifestyle Inventory with Feedback (LIFE) in a cardiovascular outpatient secondary prevention setting.
METHODS: All current smokers (n=112), identified in 619 successive patients with cardiovascular disease, were randomized for either care as usual (LIFE), or LIFE plus NBMI (intervention group). Cumulative time investment was recorded.
RESULTS: After 3months of follow-up, the abstinence rate in the control group was 7%, and another 15% diminished the number of cigarettes, whereas 26% of intervention patients quit smoking (p<0.017) and another 31% diminished smoking. On average, each completed motivational interviewing session took 63.5min. Per quitter, time investment was 3.8h and NNT appeared 5.9.
CONCLUSION: NBMI strategy on top of routinely administrated lifestyle self evaluation with professional feedback, significantly increases smoking cessation in an outpatient secondary prevention setting. Although cost effectiveness needs to be addressed, time investment per quitter in this approach appears low.
Eur J Cardiovasc Nurs. 2010 Jul 10. [Epub ahead of print]
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肺癌筛查和戒烟：来自于荷兰-比利时肺癌筛查随机对照试验中2年的随访数据
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术前戒烟干预
