CAJ | 학술논문

目的了解急性冠状动脉综合征(ACS)并吸烟患者出院后6个月持续戒烟率、复吸率,评价简单干预的戒烟效果.方法收集ACS并吸烟患者150例,分为简单干预组(87例)和常规治疗组(63例),随访6个月,比较两组患者2个月、6个月戒烟率、复吸率,应用logistic回归模型进行复吸相关因素分析.结果 ACS患者现吸烟率为31.14%,6个月持续戒烟率为64.6%,6个月复吸率为36.4%.简单干预组和常规治疗组6个月持续戒烟率和复吸率无差异.尼古丁依赖评分4分以上可作为复吸的预测指标.结论 ACS患者6个月持续戒烟率高于一般人群.给予简单戒烟干预不增加ACS患者戒烟成功率,需要强化干预.
목적 료해급성관상동맥종합정(ACS)병흡연환자출원후6개월지속계연솔、복흡솔,평개간단간예적계연효과.방법 수집ACS병흡연환자150례,분위간단간예조(87례)화상규치료조(63례),수방6개월,비교량조환자2개월、6개월계연솔、복흡솔,응용logistic회귀모형진행복흡상관인소분석.결과 ACS환자현흡연솔위31.14%,6개월지속계연솔위64.6%,6개월복흡솔위36.4%.간단간예조화상규치료조6개월지속계연솔화복흡솔무차이.니고정의뢰평분4분이상가작위복흡적예측지표.결론 ACS환자6개월지속계연솔고우일반인군.급여간단계연간예불증가ACS환자계연성공솔,수요강화간예.
Objective To evaluate the abstinence rate and relapse rate of smoker with ACS after discharged from hospital, to evaluate the effect of simple smoking cessation interventions.Methods 150 smokers with ACS were collected and was divided into simple intervention group ( n = 87) and control group (n = 63) , respectively, followed up for 6 months.2 months, 6 months abstinence rate, relapse rate were compared between two groups, logistic regression model was used to analyzed the relevant factors for relapse.Results The smoking rate in patients with ACS was 31.14% , 6-month continuous abstinence rate and 6-month relapse rate was 64.6% , 36.4% , respectively.6-month continuous abstinence rate and relapse rate between simple quit-smoking intervention group and control group showed no difference.Nicotine dependence score more than 4 points can be used as predictor of relapse.Conclusions The smoking rate and the abstinence rate of smoker with ACS is higher than the general population, simple quit-smoking intervention do not increase the success rate of quit-smoking, indicated the need to strengthen the intervention in patients with ACS and smoking.