CAJ | 학술논문

目的探讨影响冠状动脉旁路移植术后患者吸烟及戒烟依从性的相关因素.方法以问卷调查的方式,对在北京大学人民医院心脏中心接受冠状动脉旁路移植术,并于2008年10月至2009年1月期间在门诊复查的160例冠心病患者进行吸烟及戒烟依从性影响因素调查.将其中问卷填写完整的153例患者分为不吸烟组(72例)和吸烟组(81例),并进行统计分析.结果不吸烟组对于吸烟危害他人健康认知的比例高于吸烟组(100%比91.4%,P=0.011),不吸烟组对于吸烟与慢性阻塞性肺疾病相关认知的比例也高于吸烟组(80.6%比60.5%,P=0.007),而吸烟组对于吸烟与缺血性心脏病相关认知的比例高于不吸烟组(61.7%比40.3%,P=0.008).吸烟组从朋友同事中获得吸烟及戒烟相关知识和从医护人员中获得吸烟及戒烟相关知识的比例均高于不吸烟组[分别为22.2%比8.3%(P=0.018)和55.6%比26.4%(P=0.000)].吸烟组中,已戒烟患者68例(84.0%),未戒烟患者13例(16.0%).戒烟患者的戒烟依从性比例及家庭成员对患者的戒烟支持比例均高于未戒烟患者[分别为82.4%比38.5%(P=0.001)和94.1%比61.5%(P=0.003)].未戒烟患者术后尼古丁依赖评分较术前显著减低(3.77±2.31比2.46±2.30,P=0.008).结论冠状动脉旁路移植术后患者对吸烟与冠心病和其他疾病的关联性存在不同程度的认知缺乏.医护人员对患者的戒烟宣教和家庭成员的支持是促使患者成功戒烟的重要因素.
목적 탐토영향관상동맥방로이식술후환자흡연급계연의종성적상관인소.방법 이문권조사적방식,대재북경대학인민의원심장중심접수관상동맥방로이식술,병우2008년10월지2009년1월기간재문진복사적160례관심병환자진행흡연급계연의종성영향인소조사.장기중문권전사완정적153례환자분위불흡연조(72례)화흡연조(81례),병진행통계분석.결과 불흡연조대우흡연위해타인건강인지적비례고우흡연조(100%비91.4%,P=0.011),불흡연조대우흡연여만성조새성폐질병상관인지적비례야고우흡연조(80.6%비60.5%,P=0.007),이흡연조대우흡연여결혈성심장병상관인지적비례고우불흡연조(61.7%비40.3%,P=0.008).흡연조종붕우동사중획득흡연급계연상관지식화종의호인원중획득흡연급계연상관지식적비례균고우불흡연조[분별위22.2%비8.3%(P=0.018)화55.6%비26.4%(P=0.000)].흡연조중,이계연환자68례(84.0%),미계연환자13례(16.0%).계연환자적계연의종성비례급가정성원대환자적계연지지비례균고우미계연환자[분별위82.4%비38.5%(P=0.001)화94.1%비61.5%(P=0.003)].미계연환자술후니고정의뢰평분교술전현저감저(3.77±2.31비2.46±2.30,P=0.008).결론 관상동맥방로이식술후환자대흡연여관심병화기타질병적관련성존재불동정도적인지결핍.의호인원대환자적계연선교화가정성원적지지시촉사환자성공계연적중요인소.
Objective To analyze the underlying factors related to smoking and cessation compliance in patients following coronary artery bypass graft surgery (CABG). Methods From October,2008 to January, 2009, a total of 160 CABG patients received questionnaires concerning smoking and smoking cessation compliance in Peking university people's hospital, 153 patients completed the questionnaires and were divided into non-smoking (72 patients) and smoking group (81 patients). Results Cognition was better in non-smokers than smokers on smoking-related health hazards ( 100% vs. 91.4%,P =0. 011 ) and on the relationship between smoking and chronic obstructive pulmonary diseases (80. 6%vs. 60. 5%, P =0. 007) while cognition was better in smokers than non-smokers on the relationship between smoking and ischemic heart disease (61.7% vs. 40. 3% ,P=0. 008). Compared with non-smoker,smokers acquired significantly more knowledge on smoking and smoking cessation from friends and colleagues (22.2% vs. 8.3%,P=0.018) and from medical professionals (55.6% vs. 26.4% ,P=0.000). In the smoking group, 68 patients quit smoking (84.0%), while the remaining 13 patients failed to quit smoking (16.0%) post CABG. The smoking cessation patients were superior to the smoker patients on smoking cessation compliance (82.4% vs. 38. 5%, P =0.001 ) and support from family members (94. 1% vs.61.5%, P =0. 003). The nicotine dependence scores of current smokers significantly declined after CABG (preoperative3.77±2.31 vs. postoperative 2.46 ±2.30, P=0. 008 ). Conclusions Cognition on the relationship between smoking and coronary heart disease as well as other diseases should be improved in patients underwent CABG. Medical staff and family members play an equal important role on improving the smoking cessation rate for patients post CABG.