Vernon J D, Crane L A, Prochazka A V, Fairclough D, MacKenzie T D
University of Colorado Health Sciences Center, Denver, Colorado 80262, USA.
Prev Med. 1999 May;28(5):488-95. doi: 10.1006/pmed.1998.0450.
This study characterizes adult smokers on the medicine service of an urban, public hospital, including stage of change, self-efficacy to quit, and nicotine dependence, and explores relationships between perceived and actual smoking-related illness and these three predictive variables.
Adult patients (n = 154) admitted to the Medicine service of Denver Health Medical Center in October and November 1996 were surveyed using a written questionnaire.
The proportion of smokers in this population was 45.7% (95% CI = 42.0%, 49.4%). Adjusted for age and sex, the proportion of smokers in this population was significantly greater than in Colorado (28.8% vs 21.8%, P < 0.001). About half (54.2%) were willing to try free nicotine patches during hospitalization. Among smokers with diseases recognized as smoking-related, 30.4% believed their reason for admission was related to smoking, compared to 20.4% among those with no smoking-related diseases (P = 0.18). Patients who believed their hospitalization was due to smoking had greater intentions (P = 0.001) and self-efficacy (P < 0.001) to quit.
Targeting smokers who perceive that their illness is smoking-related may optimize inpatient smoking interventions.
本研究对一家城市公立医院内科病房的成年吸烟者进行了特征描述，包括行为改变阶段、戒烟自我效能感和尼古丁依赖情况，并探讨了感知到的与实际的吸烟相关疾病与这三个预测变量之间的关系。
1996年10月和11月入住丹佛健康医疗中心内科病房的成年患者（n = 154）通过书面问卷进行了调查。
该人群中吸烟者的比例为45.7%（95%可信区间 = 42.0%，49.4%）。经年龄和性别调整后，该人群中吸烟者的比例显著高于科罗拉多州（28.8%对21.8%，P < 0.001）。约一半（54.2%）的吸烟者愿意在住院期间尝试免费的尼古丁贴片。在被认为患有与吸烟相关疾病的吸烟者中，30.4%认为他们入院的原因与吸烟有关，而在没有吸烟相关疾病的吸烟者中这一比例为20.4%（P = 0.18）。认为自己住院是由吸烟引起的患者有更大的戒烟意愿（P = 0.001）和自我效能感（P < 0.001）。
针对那些认为自己的疾病与吸烟有关的吸烟者可能会优化住院期间的吸烟干预措施。
