妊娠女性对个性化戒烟干预措施的反应：从无望到充满信心
2011/03/23
摘要
背景：认知行为干预包括针对妊娠的简短咨询和提供自助材料。研究显示，该干预措施能有效的帮助孕妇戒烟。然而，有必要了解目标人群对该干预措施的看法。
目的：观察孕妇对基于临床的戒烟干预措施的认知、情感和行为反应。
方法：对南非开普敦4个产前门诊的女性进行深度访谈，这些女性正在接受由助产士或同龄咨询员提供的戒烟干预措施。有目的的选择吸烟行为不同的女性。13名女性在首次产前门诊就诊时进行访谈，对其中10名女性进行了随访，并在妊娠期进行再次访谈。采用内容分析法，对研究对象对干预措施的经历、想法及感受进行归类，分为不同主题。
结果：5名女性戒烟，5名减少吸烟，3名女性不能追踪随访。所有合作者都正面回应干预措施。可用5个主题来概括干预措施对女性吸烟行为的影响，包括“了解他们的实际情况”，随后为“欢迎改变”和“决定不再隐瞒”，这些态度是“从无望向充满自信”转变的基础。
结论：干预措施成功将女性有关戒烟的悲观看法，转变为对戒烟自信，努力寻求戒烟。合作者对其接受的戒烟支持高度评价，并表明，有必要将该干预措施作为门诊服务的常规内容。
（林江涛 审校）
Glob Health Action. 2010 Dec 14;3. doi: 10.3402/gha.v3i0.5379.
Pregnant women’s responses to a tailored smoking cessation intervention: turning hopelessness into competence.
Petersen Z, Steyn K, Everett-Murphy K, Emmelin M.
Chronic Diseases of Lifestyle Unit, Medical Research Council of South Africa, Cape Town, South Africa.
Abstract
BACKGROUND: Cognitive behavioral interventions consisting of brief counseling and the provision of self-help material designed for pregnancy have been documented as effective smoking cessation interventions for pregnant women. However, there is a need to understand how such interventions are perceived by the targeted group.
AIM: To understand the cognitive, emotional, and behavioral responses of pregnant women to a clinic-based smoking cessation intervention.
METHODS: In-depth interviews with women attending four antenatal clinics in Cape Town, South Africa, who were exposed to a smoking intervention delivered by midwives and peer counselors. Women were purposively selected to represent a variation in smoking behavior. Thirteen women were interviewed at their first antenatal visit and 10 were followed up and reinterviewed later in their pregnancies. A content analysis approach was used, which resulted in categories and themes describing women’s experiences, thoughts, and feelings about the intervention.
RESULTS: Five women quit, five had cut down, and three could not be traced for follow-up. All informants perceived the intervention positively. Four main themes captured the intervention’s role in influencing women’s smoking behavior. The process started with ’understanding their reality,’ which led to ’embracing change’ and ’deciding to hold nothing back,’ which created a basis for ’turning hopelessness into a feeling of competence.’
CONCLUSION: The intervention succeeded in shifting women from feeling pessimistic about ever quitting to feeling encouraged to try and quit. Informants rated the social support they received very highly and expressed the need for the intervention to become a routine component of clinic services.
Glob Health Action. 2010 Dec 14;3. doi: 10.3402/gha.v3i0.5379.
背景：认知行为干预包括针对妊娠的简短咨询和提供自助材料。研究显示，该干预措施能有效的帮助孕妇戒烟。然而，有必要了解目标人群对该干预措施的看法。
目的：观察孕妇对基于临床的戒烟干预措施的认知、情感和行为反应。
方法：对南非开普敦4个产前门诊的女性进行深度访谈，这些女性正在接受由助产士或同龄咨询员提供的戒烟干预措施。有目的的选择吸烟行为不同的女性。13名女性在首次产前门诊就诊时进行访谈，对其中10名女性进行了随访，并在妊娠期进行再次访谈。采用内容分析法，对研究对象对干预措施的经历、想法及感受进行归类，分为不同主题。
结果：5名女性戒烟，5名减少吸烟，3名女性不能追踪随访。所有合作者都正面回应干预措施。可用5个主题来概括干预措施对女性吸烟行为的影响，包括“了解他们的实际情况”，随后为“欢迎改变”和“决定不再隐瞒”，这些态度是“从无望向充满自信”转变的基础。
结论：干预措施成功将女性有关戒烟的悲观看法，转变为对戒烟自信，努力寻求戒烟。合作者对其接受的戒烟支持高度评价，并表明，有必要将该干预措施作为门诊服务的常规内容。
（林江涛 审校）
Glob Health Action. 2010 Dec 14;3. doi: 10.3402/gha.v3i0.5379.
Pregnant women’s responses to a tailored smoking cessation intervention: turning hopelessness into competence.
Petersen Z, Steyn K, Everett-Murphy K, Emmelin M.
Chronic Diseases of Lifestyle Unit, Medical Research Council of South Africa, Cape Town, South Africa.
Abstract
BACKGROUND: Cognitive behavioral interventions consisting of brief counseling and the provision of self-help material designed for pregnancy have been documented as effective smoking cessation interventions for pregnant women. However, there is a need to understand how such interventions are perceived by the targeted group.
AIM: To understand the cognitive, emotional, and behavioral responses of pregnant women to a clinic-based smoking cessation intervention.
METHODS: In-depth interviews with women attending four antenatal clinics in Cape Town, South Africa, who were exposed to a smoking intervention delivered by midwives and peer counselors. Women were purposively selected to represent a variation in smoking behavior. Thirteen women were interviewed at their first antenatal visit and 10 were followed up and reinterviewed later in their pregnancies. A content analysis approach was used, which resulted in categories and themes describing women’s experiences, thoughts, and feelings about the intervention.
RESULTS: Five women quit, five had cut down, and three could not be traced for follow-up. All informants perceived the intervention positively. Four main themes captured the intervention’s role in influencing women’s smoking behavior. The process started with ’understanding their reality,’ which led to ’embracing change’ and ’deciding to hold nothing back,’ which created a basis for ’turning hopelessness into a feeling of competence.’
CONCLUSION: The intervention succeeded in shifting women from feeling pessimistic about ever quitting to feeling encouraged to try and quit. Informants rated the social support they received very highly and expressed the need for the intervention to become a routine component of clinic services.
Glob Health Action. 2010 Dec 14;3. doi: 10.3402/gha.v3i0.5379.
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成人期开始吸烟者中戒烟的优势：是否能运用于黑人女性
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社会不平等在戒烟中的作用：哪些因素影响了社会经济地位与戒烟的关系？
