Impact and Duration of Brief Surgeon-Delivered Smoking Cessation Advice on Attitudes Regarding Nicotine Dependence and Tobacco Harms for Patients with Peripheral Arterial Disease.
Impact and Duration of Brief Surgeon-Delivered Smoking Cessation Advice on Attitudes Regarding Nicotine Dependence and Tobacco Harms for Patients with Peripheral Arterial Disease.
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DOI：
10.1016/j.avsg.2016.06.005
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发表时间：
2017-01
影响因子：
1.5
通讯作者：
Goodney, Philip
中科院分区：
文献类型：
--
作者：
Newhall, Karina;Suckow, Bjoern;Spangler, Emily;Brooke, Benjamin S.;Schanzer, Andres;Tan, Tze-Woei;Burnette, Mary;Edelen, Maria Orlando;Farber, Alik;Goodney, Philip
尽管戒烟的好处是公认的，但许多临床医生质疑简短的戒烟干预是否可以帮助患有外周动脉疾病的吸烟者了解尼古丁依赖和吸烟相关的危害。我们调查了多模式戒烟干预对患者尼古丁依赖和吸烟对健康影响的态度的影响和持久性。我们在2014年9月1日至2015年8月31日期间在8个血管外科实践中进行了一项短暂戒烟干预的试点随机分组试验。与对照组相比，干预组的患者接受了简短的戒烟咨询、药物治疗和转诊。在他们的诊所访问和再次在3个月后，参与者完成了一项简短的调查，关于患者对尼古丁依赖和吸烟对健康的影响的态度。使用卡方检验和学生t检验分析对问题的回答。所有试验参与者（n=156）完成了初始调查，75（45%）名参与者完成了随访调查。干预组和对照组患者均报告了超过30包年的病史（80% vs 90%，p=0.07）和既往失败的戒烟尝试（77% vs 78%，p=0.8）。与常规护理相比，干预组的患者更有可能描述从他们的外科医生那里听到的戒烟建议（98% vs. 77%，p<0.001），并表示“很多”或“一些”戒烟兴趣（95.4% vs. 85.7%，p=0.05）。干预组的患者也更有可能承认自己的成瘾行为，在有关尼古丁成瘾（52.9 vs 48.0，p=0.006）和吸烟对健康的负面影响（比例评分56.6 vs 50.6，p=0.001）的问题库项目中得分始终较高。当干预后三个月重新调查时，干预组的患者在尼古丁依赖和健康影响领域的下降幅度更大，这表明干预对患者对尼古丁成瘾和吸烟危害的态度产生了持久的影响。血管外科医生的简短戒烟咨询增加了患者对戒烟的兴趣和对吸烟危害的认识，这种效果在干预后三个月持续存在。这一证据表明，即使在外科诊所内进行简短的咨询，也有可能影响患者戒烟的意愿。
Despite the recognized benefits of smoking cessation, many clinicians question if a brief smoking cessation intervention can help dedicated smokers with peripheral arterial disease understand nicotine dependence and harms related to smoking. We investigated the impact and durability of a multi-modal smoking cessation intervention on patient attitudes regarding nicotine dependence and the health effects of smoking. We conducted a pilot cluster randomized trial of a brief smoking cessation intervention at eight vascular surgery practices between September 1, 2014 and August 31, 2015. Compared with control sites, patients at intervention sites received protocolized brief cessation counseling, medications and referrals to a quitline. After their clinic visit and again at 3 months, participants completed a brief survey about patient attitudes regarding nicotine dependence and the health effects of smoking. Responses to questions were analyzed using Chi2 and student’s t-tests. All trial participants (n=156) complete the initial survey, and 75 (45%) participants completed the follow-up survey. Intervention and control patients both reported a greater than 30-pack-year history (80% vs 90%, p=0.07) and previous failed quit attempts (77% vs 78%, p=0.8). Compared to usual care, patients in the intervention group were more likely to describe hearing advice to quit from their surgeon (98% vs. 77%, p<0.001), and expressed “a lot” or “some” interest in quitting (95.4% vs 85.7%, p=0.05). Patients in the intervention group were also more likely to acknowledge their addictive behaviors, consistently scoring higher on question bank items regarding nicotine addiction (52.9 vs 48.0, p=0.006) and the negative health effects of smoking (scaled score 56.6 vs 50.6, p=0.001). When re-surveyed three months after intervention, patients in the intervention group had larger declines in nicotine dependence and health effects domains, suggesting durable impact of the intervention on patient attitudes regarding nicotine addiction and smoking harms. Brief smoking cessation counseling by a vascular surgeon increases patient interest in smoking cessation and awareness of smoking harms, and this effect was durable three months after intervention. This evidence suggests that even brief counseling within a surgical clinic has the potential to impact patient desire to quit.
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影响因子：
1.5
作者：
Bianchi, Christian;Montalvo, Valerie;Abou-Zamzam, Ahmed M., Jr.
通讯作者：
Abou-Zamzam, Ahmed M., Jr.
影响因子：
4.3
作者：
Spangler, Emily L.;Brooke, Benjamin S.;Goodney, Philip P.
通讯作者：
Goodney, Philip P.
影响因子：
4.3
作者：
Conte, Michael S.;Pomposelli, Frank B.;Sidawy, Anton N.
通讯作者：
Sidawy, Anton N.
DOI：
10.1093/ntr/ntu086
发表时间：
2014-09-01
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
--
作者：
Edelen, Maria Orlando
通讯作者：
Edelen, Maria Orlando
DOI：
10.1177/1741826710389370
发表时间：
2011-04-01
影响因子：
--
作者：
Raupach, Tobias;Merker, Jacqueline;Pipe, Andrew
通讯作者：
Pipe, Andrew