Effectiveness of individual counseling for smoking cessation in smokers with chronic obstructive pulmonary disease and asymptomatic smokers.
Effectiveness of individual counseling for smoking cessation in smokers with chronic obstructive pulmonary disease and asymptomatic smokers.
复制标题
慢性阻塞性肺疾病吸烟者和无症状吸烟者戒烟个体咨询的有效性
DOI：
10.3892/etm.2013.1463
复制
发表时间：
2014-03
影响因子：
2.7
通讯作者：
Cai S
中科院分区：
文献类型：
--
作者：
Chen J;Chen Y;Chen P;Liu Z;Luo H;Cai S
在中国，很少有研究考察个体戒烟咨询的效果。本研究评估了个体化咨询对慢性阻塞性肺疾病（COPD）患者和无症状吸烟者的疗效。这项前瞻性随机研究评估了85名COPD吸烟者和105名肺功能正常的无症状吸烟者。这些人被随机分配到干预组和对照组。干预组采用面对面个体咨询、发放自助材料和9次电话随访的方式进行个体认知咨询。对照组给予简单的戒烟建议。在基线、第4周和第6个月评估所有受试者的吸烟状态和COPD患者的圣乔治呼吸问卷（SGRQ）。记录6个月内COPD患者的急性加重。在总的研究人群中，与对照组相比，个体咨询导致更高的禁欲率：干预组与对照组，分别为23.4%和10.4%（P=0.007）。在COPD吸烟者中观察到类似的结果：干预组与对照组，分别为40.5%与18.6%（P=0.027）。然而，对于无症状吸烟者，个体咨询的效果被认为是统计学上不显著的：干预组与对照组，分别为9.6%与3.8%（P=0.230）。与未能戒烟的患者相比，戒烟患者的SGRQ评分和COPD急性加重显著改善。气道阻塞、戒烟动机和个人咨询是戒烟的预测因素。气道阻塞是戒烟最重要的预测因素（比值比，4.215; 95%可信区间，2.215-7.865）。本研究的结果表明，个人咨询是一种有效的戒烟方法，特别是在COPD患者。然而，其对无症状吸烟者的疗效需要进一步研究证实。
Few studies have examined the effect of individual counseling for smoking cessation in China. The present study evaluated the efficacy of individual counseling in patients with chronic obstructive pulmonary disease (COPD) and asymptomatic smokers. This prospective randomized study evaluated 85 smokers with COPD and 105 asymptomatic smokers with normal lung function. The individuals were randomly allocated to intervention and control groups. Subjects in the intervention group were provided with individual cognitive counseling based on face-to-face individual consultation, self-help materials and nine telephone follow-ups. Subjects in the control group were provided with simple smoking cessation advice. The smoking status for all subjects and the St. George’s Respiratory Questionnaire (SGRQ) for COPD patients were assessed at baseline, week 4 and month 6. The COPD patient exacerbations during the 6 months were recorded. In the total study population, individual counseling resulted in higher abstinence rates compared with those in the control: Intervention vs. control, 23.4 vs. 10.4% (P=0.007), respectively. Similar results were observed in the smokers with COPD: Intervention vs. control, 40.5 vs. 18.6% (P=0.027), respectively. However, for asymptomatic smokers, the effect of individual counseling was identified to be statistically insignificant: Intervention vs. control, 9.6 vs. 3.8% (P=0.230), respectively. SGRQ scores and COPD exacerbations were significantly improved in patients who abstained from smoking compared with those in the patients who failed to stop smoking. Airway obstruction, quitting motivation and individual counseling were predictors associated with smoking cessation. Airway obstruction was the most significant predictor of smoking cessation (odds ratio, 4.215; 95% confidence interval, 2.215–7.865). The results of the present study show that individual counseling is an effective method for smoking cessation, particularly in COPD patients. However, its efficacy in asymptomatic smokers requires confirmation in further studies.
登录
查看更多内容
影响因子：
4.5
作者：
Sieminska A;Buczkowski K;Jassem E;Lewandowska K;Ucinska R;Chelminska M
通讯作者：
Chelminska M
影响因子：
4.7
作者：
Hyland, A;Li, Q;Cummings, KN
通讯作者：
Cummings, KN
影响因子：
24.3
作者：
Willemse, BWM;ten Hacken, NHT;Timens, W
通讯作者：
Timens, W
影响因子：
10
作者：
Bednarek, M.;Gorecka, D.;Zielinski, J.
通讯作者：
Zielinski, J.
影响因子：
9.3
作者：
Lee PN;Fry JS
通讯作者：
Fry JS