Outcome of tobacco cessation in workplace and clinic settings: A comparative study.
Outcome of tobacco cessation in workplace and clinic settings: A comparative study.
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工作场所和诊所环境中烟草停止的结果：比较研究。
DOI：
10.4103/2231-0762.192946
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发表时间：
2016-09
影响因子：
1.1
通讯作者：
Modak A
中科院分区：
文献类型：
--
作者：
Ransing RS;Patil DB;Desai MB;Modak A
一些生物、社会和文化因素导致戒烟干预效果不佳。无法吸引大量参与者是主要的可识别因素之一。本研究的目的是比较临床和工作场所戒烟干预的结果。在本研究中，我们招募了100名参与者，分为戒烟诊所（TCC）组和工作场所组（各50名参与者）。两组均定期进行干预，并于2周、4周、3个月、6个月定期随访。对所有参与者进行了积极干预，包括宣传讲座、重点小组讨论，以及必要时进行药物治疗（尼古丁/非尼古丁替代疗法）。结果被评估为无变化、伤害减少（减少>50%）、完全停止和脱落。使用社会科学统计软件包21.0版对数据进行统计分析。1个月后，工作场所组戒烟率为44%，高于TCC组（n = 22 vs18%; P < 0.0001）。即使在干预6个月后，戒烟率仍保持不变（n = 30，60% vs n = 12，24%; P = 0.002），工作场所组的辍学率也低于TCC组（n = 14，28% vs n = 27，54%; P < 0.0001）。我们的研究结果表明，工作场所的设置有上级的戒烟效果和危害减少比临床设置。此外，它与低辍学率有关，戒烟效果维持了6个月。
Several biological, social, and cultural factors contribute to the poor outcome of tobacco cessation interventions. Inability to engage large number of participants is one of the major identifiable factors. The objective of this study was to compare the outcome of tobacco cessation interventions in the clinical and workplace settings. In the present study, we recruited 100 participants in tobacco cessation clinic (TCC) group and workplace group (50 participants in each). Both the groups were regularly intervened and were followed up regularly at 2 weeks, 4 weeks, 3 months, and 6 months. Active interventions in the form of awareness lectures, focused group discussions, and if needed, pharmacotherapy (nicotine/non-nicotine replacement therapy) was carried out for all participants. The outcome was assessed as no change, harm reduction (>50% reduction), complete cessation, and drop out. Statistical analysis of the data was done using the Statistical Package for the Social Sciences version 21.0. At the end of 1 month, there was higher tobacco cessation rate in the workplace group versus TCC group (n = 22, 44% vs n = 9, 18%; P < 0.0001). The tobacco cessation rate was maintained even after 6 months of intervention (n = 30, 60% vs n = 12, 24%; P = 0.002) and dropout rate was also lower among the workplace group than the TCC group (n = 14, 28% vs n = 27, 54%; P < 0.0001). Our study findings suggest that the workplace setting has superior outcome in tobacco cessation and harm reduction than clinical setting. In addition, it is associated with low dropout rate and the cessation effect is maintained over a period of 6 months.