Three year evaluation of a programme by general practitioners to help patients to stop smoking.
Three year evaluation of a programme by general practitioners to help patients to stop smoking.
复制标题
对全科医生帮助患者戒烟的计划进行三年评估。
作者：
R. Richmond;A. Austin;I. Webster
进行了一项对照研究，以衡量全科医生使用强化方案帮助患者戒烟的有效性。200名参加全科实践的吸烟者被分配到治疗组（n = 100）或非干预对照组（n = 100）。初次就诊后，治疗包括一次教育咨询和四次随访。在6个月和3年时对吸烟状态进行了生化评估。治疗组中有35名患者在三年内戒断，而对照组中有8名（p <0.001）。64名患者参加了教育咨询和首次随访访视;其中，45名患者在首次随访访视时不吸烟，30名患者保持戒烟长达6个月，22名患者在3年后仍然不吸烟。在完成治疗方案并参加所有随访的37例患者中，57%在3年时禁欲。这项研究的结果表明，全科医生可以帮助患者戒烟。
A controlled study was undertaken to measure the effectiveness of general practitioners' use of an intensive programme to help patients to stop smoking. Two hundred cigarette smokers who attended a general practice were allocated to either a treatment (n = 100) or a non-intervention control (n = 100) group. After the initial visit treatment consisted of an educational consultation and four follow up visits. Smoking state was assessed biochemically at six months and three years. Thirty five patients in the treatment group were abstinent at three years compared with eight in the control group (p less than 0.001). Sixty four patients attended the educational consultation and first follow up visit; of these, 45 were not smoking at the first follow up visit, 30 maintained abstinence up to six months, and 22 were still not smoking after three years. Among the 37 patients who completed the treatment programme and attended all the follow up visits 57% were abstinent at three years. The results of this study suggest that general practitioners can help patients to stop smoking.