CAJ | 학술논문

目的探讨戒烟成功者的特点和戒烟成功的影响因素.方法 2010年12月至2012年11月,收集呼吸内科和心血管住院吸烟患者共240例,男性228例,女性12例.采用香港戒烟健康中心的问卷表,由医护人员作为辅导员进行统一问卷调查；采用5A(询问、建议、评估、帮助和随访)技能配合辅导和5R(相关、危害、益处、障碍和重复)的戒烟技巧进行心理辅导戒烟干预,并在出院后6个月内做电话随访.根据自报的戒断情况,确定6个月持续戒烟成功者及失败者的情况并分析戒烟成功的影响因素.结果采用横断面调查和追踪随访研究,240例中6个月持续戒烟成功者65例(成功组),成功率27％,失败者175例(失败组).两组间性别、年龄、婚姻状态、文化水平、吸烟开始年龄、每日吸烟量、呼出一氧化碳量、尼古丁依赖度各项比较差异无统计学意义(P＞0.05)；而戒烟信心、入院前5天戒烟情况、烟龄、戒烟重要性各项比较差异均有统计学意义(P＜0.05).logistic回归多因素分析显示,人院前5天自动戒烟是戒烟成功的最强影响因子(OR =2.78,95％ CI:1.52～5.15)；烟龄越长戒烟成功率越高(OR =2.10,95％ CI:1.15～ 3.85)；戒烟信心越足戒烟成功率越高(OR=1.95,95％ CI:1.06 ～3.59).结论入院前5天自动戒烟、烟龄时间长、戒烟信心强是住院吸烟患者戒烟成功的独立影响因素.
목적 탐토계연성공자적특점화계연성공적영향인소.방법 2010년12월지2012년11월,수집호흡내과화심혈관주원흡연환자공240례,남성228례,녀성12례.채용향항계연건강중심적문권표,유의호인원작위보도원진행통일문권조사；채용5A(순문、건의、평고、방조화수방)기능배합보도화5R(상관、위해、익처、장애화중복)적계연기교진행심리보도계연간예,병재출원후6개월내주전화수방.근거자보적계단정황,학정6개월지속계연성공자급실패자적정황병분석계연성공적영향인소.결과 채용횡단면조사화추종수방연구,240례중6개월지속계연성공자65례(성공조),성공솔27％,실패자175례(실패조).량조간성별、년령、혼인상태、문화수평、흡연개시년령、매일흡연량、호출일양화탄량、니고정의뢰도각항비교차이무통계학의의(P＞0.05)；이계연신심、입원전5천계연정황、연령、계연중요성각항비교차이균유통계학의의(P＜0.05).logistic회귀다인소분석현시,인원전5천자동계연시계연성공적최강영향인자(OR =2.78,95％ CI:1.52～5.15)；연령월장계연성공솔월고(OR =2.10,95％ CI:1.15～ 3.85)；계연신심월족계연성공솔월고(OR=1.95,95％ CI:1.06 ～3.59).결론 입원전5천자동계연、연령시간장、계연신심강시주원흡연환자계연성공적독립영향인소.
Objective To explore the characteristics of hospitalized smokers and determine the predictors of successful quitters.Methods During December 2010 to November 2012,a total of 240 hospitalized smokers at department of pulmonology and cardiology,including 228 males and 12 females,completed the standard questionnaires derived from Hong Kong Smoking Cessation Health Center.Being used 5 A (ask,advice,assess,assist,and arrange follow-up) skills and 5R (relevance,risk,reward,roadblock and repetition) as quitting smoking counseling interventions,they received smoking cessation counseling from healthcare professionals.A 6-month telephone follow-up post-discharge was performed.According to the self-reported status,the 6-month continuous quitters and non-quitters were determined.Moreover,successful quitting predictors were analyzed.Results Among them,65 cases successfully quitted,175 cases were non-quitters and the successful cessation rate was 27％.Quitters and non-quitters showed no significant differences in gender,age,marital status,educational level,age at initiation of smoking,average cigarettes smoked daily,exhaled carbon monoxide values or nicotine dependence (P ＞ 0.05) ; while perceived confidence of quitting,5 days pre-admission to quitting,perceived importance of quitting,cigarette smoking years had significant differences (P ＜ 0.05).Logistic regression analysis showed that 5 days pre-admission to quitting was a strongest successful quitting predictor [OR =2.78 (95％ CI:1.52-5.15)] ; the longer cigarette smoking year,the higher quitting rate [OR =2.10 (95％ CI:1.15-3.85)] ;the more perceived confidence of quitting,the higher quitting rate [OR =1.95 (95％ CI:1.06-3.59)].Conclusion Five days pre-admission to quitting,longer cigarette smoking years and more perceived confidence of quitting are independent successful quitting predictors for hospitalized smokers.