哮喘联盟

   摘要
   由于戒烟干预对心脏病患者的长期戒烟率和对护士执行的依从性低的有效性较差，这些患者的戒烟干预需要改进。这项研究在心脏病患者中测试了两种戒烟干预措施相比常规护理的有效性，及其对患者的戒烟动机和社会经济地位（SES）的条件影响。该实验性研究于2009年至2012年进行\，纳入的荷兰心脏病吸烟患者被分配到常规护理组（UC，n=245）、电话辅导组（TC，n=223）或面对面辅导组（FC，n=157）。三组人群的基线状况具有可比性，并且在住院前每天平均吸21支香烟。六个月后，进行面谈随访并对其自我报告的吸烟状况进行评估。TC组和FC组患者的戒烟率较UC组患者显著提高（任何时候P≤0.05）。回归分析进一步显示，干预对较低SES患者的戒烟有明显的条件影响，与UC组相比，干预对TC组的影响较FC组大。这些结果表明，深入辅导可有效提高短期戒烟率，特别是对于较低SES的患者。对于较高SES的患者，如何从这些类型的干预措施中同样获益则需要进一步的研究来探讨。

 

（林江涛 审校）
J Behav Med. 2013 Jun 13. [Epub ahead of print]

 

Effectiveness of a telephone delivered and a face-to-face delivered counseling intervention for smoking cessation in patients with coronary heart disease: a 6-month follow-up.

Berndt N, Bolman C, Froelicher ES, Mudde A, Candel M, de Vries H, Lechner L.
 

Abstract
Smoking cessation interventions for cardiac patients need improvement given their weak effects on long-term abstinence rates and low compliance by nurses to implementation. This study tested the effectiveness of two smoking cessation interventions against usual care in cardiac patients, and conditional effects for patients' motivation to quit and socio-economic status (SES). An experimental study was conducted from 2009 to 2012 for which Dutch cardiac patient smokers were assigned to: usual care (UC; n = 245), telephone counseling (TC; n = 223) or face-to-face counseling (FC; n = 157). The three groups were comparable at baseline and had smoked on average 21 cigarettes a day before hospitalization. After six months, interviews occurred to assess self-reported smoking status. Patients in the TC and FC group had significantly higher smoking abstinence rates than patients in the UC group (p ≤ 0.05 at all times). Regression analysis further revealed significant conditional effects of the interventions on smoking abstinence in patients with lower SES, with a larger effect for TC than FC when compared to UC.These findings suggest that intensive counseling is effective in increasing short-term abstinence rates, particularly in patients with lower SES. Future studies need to investigate how patients with higher SES can profit equally from these type of interventions.

J Behav Med. 2013 Jun 13. [Epub ahead of print]