Ferreira-Borges Carina
Health Sciences and Psychopedagogy, Moderna University, Rua Gomes Freire, Lisboa, Portugal.
Prev Med. 2005 Jul;41(1):295-302. doi: 10.1016/j.ypmed.2004.11.013.
Educational methods, type of intervention and intervenor, number of modalities used, duration, and number of reinforcing sessions are related to the success of an intervention for smoking cessation. The use of new intervention models for smoking cessation that can help pregnant smokers and the study of its impact in Public Maternities constitute a public health priority.
A pre-test-post-test control group design was conducted to evaluate the effectiveness of a brief counseling and behavioral intervention among pregnant smokers in a public maternity hospital. At first visit, 33 patients were assigned consecutively to an experimental (E) group where they received the brief intervention and 24 were assigned to a control (C) group where they received usual care. Smoking status was reported by self-report and confirmed by expired air carbon monoxide at first visit and at 2 months follow-up.
Using an intention to treat analysis, tobacco abstinence was reported by 33.3% in the intervention group compared to 8.3% in the usual care group (P = 0.02) (OR = 5.5).
Counseling and behavioral brief interventions seem to be promising approaches that can help women stop smoking during pregnancy.
教育方法、干预类型及干预者、使用的方式数量、持续时间和强化疗程数量与戒烟干预的成功与否相关。采用有助于怀孕吸烟者的新型戒烟干预模式并研究其在公立妇产医院的影响是公共卫生的一项优先事项。
采用前测-后测对照组设计，以评估在一家公立妇产医院对怀孕吸烟者进行简短咨询和行为干预的效果。在首次就诊时，33名患者被连续分配至接受简短干预的实验组（E组），24名患者被分配至接受常规护理的对照组（C组）。首次就诊及随访2个月时，通过自我报告并经呼出气体一氧化碳检测确认吸烟状况。
采用意向性分析，干预组报告的戒烟率为33.3%，而常规护理组为8.3%（P = 0.02）（比值比 = 5.5）。
咨询和简短行为干预似乎是有助于女性在孕期戒烟的有前景的方法。
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