中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2011年
5期
406-409
,共4页
罗太阳%雷涛%刘小慧%彭雪梅%康俊萍%吕强%王海云%马长生
囉太暘%雷濤%劉小慧%彭雪梅%康俊萍%呂彊%王海雲%馬長生
라태양%뢰도%류소혜%팽설매%강준평%려강%왕해운%마장생
冠状动脉疾病%吸烟%戒烟
冠狀動脈疾病%吸煙%戒煙
관상동맥질병%흡연%계연
Coronary disease%Smoking%Smoking cessation
目的 了解吸烟的冠心病患者对于吸烟问题的认识及戒烟状况,揭示戒烟及戒烟未成功的原因和影响因素,为更有效地帮助冠心病患者控烟提供参考.方法 对350例吸烟的冠心病患者进行问卷调查,包括性别、年龄、吸烟史等,采用分组分析、logistic回归分析等方法分析戒烟的影响因素.结果 350例吸烟的冠心病患者平均年龄(59.6±10.2)岁,男321例(占91.7%).57.1%(200/350)的患者已戒烟,42.9%(150/350)的患者目前仍在吸烟.将患者按年龄分两组,非老年组患者(≤65岁,n=239)戒烟率50.6%,显著低于老年组患者(>65岁,n=111)的71.2%(P<0.001).非老年组有戒烟意愿及尝试过戒烟的比例分别为70.3%和48.3%,均低于老年组的81.2%和59.4%(P<0.001).76例戒烟复吸者中,复吸最主要原因为缺乏自我控制能力,占76.3%.logistic回归分析,影响戒烟未成功的因素:年龄≤65岁(OR=2.336,P=0.004)、文化程度低(OR=1.310,P=0.028)、行经皮冠状动脉介入治疗术(OR=0.261,P<0.001)、行冠状动脉旁路移植术(OR=0.107,P=0.004)、家庭总收入>4000 元/月(OR=1.828,P=0.003).结论 吸烟的冠心病患者戒烟水平和意识仍有待提高;除现有的控烟政策外,应更加关注中青年、文化程度较低、未行经皮冠状动脉介入治疗及冠状动脉旁路移植术、家人有人吸烟、体质指数及家庭总收入越高的吸烟冠心病患者的控烟活动;在针对吸烟冠心病患者控烟活动的同时对其周围环境宣传控烟活动也是迫切需要的.
目的 瞭解吸煙的冠心病患者對于吸煙問題的認識及戒煙狀況,揭示戒煙及戒煙未成功的原因和影響因素,為更有效地幫助冠心病患者控煙提供參攷.方法 對350例吸煙的冠心病患者進行問捲調查,包括性彆、年齡、吸煙史等,採用分組分析、logistic迴歸分析等方法分析戒煙的影響因素.結果 350例吸煙的冠心病患者平均年齡(59.6±10.2)歲,男321例(佔91.7%).57.1%(200/350)的患者已戒煙,42.9%(150/350)的患者目前仍在吸煙.將患者按年齡分兩組,非老年組患者(≤65歲,n=239)戒煙率50.6%,顯著低于老年組患者(>65歲,n=111)的71.2%(P<0.001).非老年組有戒煙意願及嘗試過戒煙的比例分彆為70.3%和48.3%,均低于老年組的81.2%和59.4%(P<0.001).76例戒煙複吸者中,複吸最主要原因為缺乏自我控製能力,佔76.3%.logistic迴歸分析,影響戒煙未成功的因素:年齡≤65歲(OR=2.336,P=0.004)、文化程度低(OR=1.310,P=0.028)、行經皮冠狀動脈介入治療術(OR=0.261,P<0.001)、行冠狀動脈徬路移植術(OR=0.107,P=0.004)、傢庭總收入>4000 元/月(OR=1.828,P=0.003).結論 吸煙的冠心病患者戒煙水平和意識仍有待提高;除現有的控煙政策外,應更加關註中青年、文化程度較低、未行經皮冠狀動脈介入治療及冠狀動脈徬路移植術、傢人有人吸煙、體質指數及傢庭總收入越高的吸煙冠心病患者的控煙活動;在針對吸煙冠心病患者控煙活動的同時對其週圍環境宣傳控煙活動也是迫切需要的.
목적 료해흡연적관심병환자대우흡연문제적인식급계연상황,게시계연급계연미성공적원인화영향인소,위경유효지방조관심병환자공연제공삼고.방법 대350례흡연적관심병환자진행문권조사,포괄성별、년령、흡연사등,채용분조분석、logistic회귀분석등방법분석계연적영향인소.결과 350례흡연적관심병환자평균년령(59.6±10.2)세,남321례(점91.7%).57.1%(200/350)적환자이계연,42.9%(150/350)적환자목전잉재흡연.장환자안년령분량조,비노년조환자(≤65세,n=239)계연솔50.6%,현저저우노년조환자(>65세,n=111)적71.2%(P<0.001).비노년조유계연의원급상시과계연적비례분별위70.3%화48.3%,균저우노년조적81.2%화59.4%(P<0.001).76례계연복흡자중,복흡최주요원인위결핍자아공제능력,점76.3%.logistic회귀분석,영향계연미성공적인소:년령≤65세(OR=2.336,P=0.004)、문화정도저(OR=1.310,P=0.028)、행경피관상동맥개입치료술(OR=0.261,P<0.001)、행관상동맥방로이식술(OR=0.107,P=0.004)、가정총수입>4000 원/월(OR=1.828,P=0.003).결론 흡연적관심병환자계연수평화의식잉유대제고;제현유적공연정책외,응경가관주중청년、문화정도교저、미행경피관상동맥개입치료급관상동맥방로이식술、가인유인흡연、체질지수급가정총수입월고적흡연관심병환자적공연활동;재침대흡연관심병환자공연활동적동시대기주위배경선전공연활동야시박절수요적.
Objective To investigate the status quo of smoking cessation and analyze factors influencing smoking cessation in cigarette smoking patients with coronary artery disease(CAD).Method A total of 350 smoking patients with CAD was surveyed by questionnaire,logistic regression analysis was performed to analyze factors influencing smoking cessation.Results Incidence of smoking cessation was 57.1%(200/350)in this cohort.Patients were divided into two groups,the elderlv(>65 years old,n=111)and the young group(≤65 years old,n=239).The smoking cessation rate in the elderlv group is significantly higher than in the young group(71.2%vs.50.6%,P<0.001).Aged patients and patients with high cultural level are easier to give up smoking.Logistic analysis showed that age≤65 years old (OR=2.336,P=0.004),low cultural level(OR=1.310,P=0.028),PCI(OR=0.261.P<0.001).coronary artery bypass graft(OR=0.107,P=0.004),total family income>4000 RMB/month (OR=1.828,P=0.003)are risk factors for failed smoking cessation.There are 76 patients smoking again in current smokers,most due to lack of self-control(76.3%).Compared to the elderly group,there is a higher proportion of smoking again due to the need of daily communication and work in the young group.Conclusions We still need to raise the awareness of smoking cessation for smoking patients with CAD.Following factors should be focused for tobacco control in CAD patients:younger age,lower cuItural level,not treated with PCI or CABG,patients with smoking family members.higher body mass index and higher total family income.
