Sherman Scott E, Lanto Andy B, Nield Margaret, Yano Elizabeth M
Department of Veterans Affairs Health Services Research & Development Center of Excellence for the Study of Healthcare Provider Behavior, VA Greater Los Angeles Healthcare System, Sepulveda, CA 91343, USA.
J Rehabil Res Dev. 2003 Sep-Oct;40(5 Suppl 2):1-12. doi: 10.1682/jrrd.2003.10.0001.
Smoking is the main cause of chronic obstructive pulmonary disease (COPD), and smoking cessation is the only effective intervention to slow its progression. We examined whether smokers with COPD received more cessation services than smokers without COPD. Current smokers from 18 Veterans Health Administration primary care clinics completed baseline and 12 month follow-up surveys (baseline n = 1,941; 12 month n = 1,080), composed of validated questions on smoking habits, history, and attitudes; health/functional status; and sociodemographics. Both at baseline and 12 month follow-up, smokers with COPD were more likely to report that they had been advised to quit, prescribed nicotine patches, or referred to a smoking cessation program within the last year. However, the rate of quitting smoking was the same for smokers with COPD and smokers without COPD. The increase in cessation services received by smokers with COPD was noted primarily among smokers not interested in quitting. New approaches may be required, particularly to help smokers not interested in quitting.
吸烟是慢性阻塞性肺疾病（COPD）的主要病因，戒烟是减缓其病情发展的唯一有效干预措施。我们研究了患有COPD的吸烟者是否比未患COPD的吸烟者获得了更多的戒烟服务。来自18家退伍军人健康管理局初级保健诊所的现吸烟者完成了基线调查和12个月的随访调查（基线时n = 1941；12个月时n = 1080），调查内容包括关于吸烟习惯、吸烟史和态度的有效问题；健康/功能状况；以及社会人口统计学信息。在基线和12个月随访时，患有COPD的吸烟者都更有可能报告在过去一年中曾被建议戒烟、被开尼古丁贴片或被转介到戒烟项目。然而，患有COPD的吸烟者和未患COPD的吸烟者的戒烟率相同。患有COPD的吸烟者获得的戒烟服务增加主要出现在对戒烟不感兴趣的吸烟者中。可能需要新的方法，特别是要帮助那些对戒烟不感兴趣的吸烟者。
