Ussher Michael, Etter Jean-Francois, West Robert
Department of Community Health Sciences (Psychology), St. George's Hospital Medical School, University of London, Cranmer Terrace, London SW17 ORE, UK.
Patient Educ Couns. 2006 Jun;61(3):467-72. doi: 10.1016/j.pec.2005.06.021. Epub 2005 Aug 10.
During pregnancy, the uptake of smoking cessation courses is very low. We assessed perceived barriers to and benefits of attending a cessation course during pregnancy.
A decisional-balance questionnaire was devised, including 10 statements reflecting benefits of attending a cessation course and 10 statements of barriers to attendance. The questionnaire was delivered via the Internet and targeted pregnant smokers/recent ex-smokers. Participants completed the questionnaire on a single occasion, indicating their agreement with each statement.
Among 443 respondents, the most frequently endorsed barriers were 'Being afraid of disappointing myself if I failed' (54%) and not tending to seek help for this sort of thing (41%). The most frequently endorsed benefits were advice about cigarette cravings (74%) and praise and encouragement with quitting (71%). A greater interest in receiving help with quitting from a counselor was significantly associated with: being older, lower income, husband/partner advising cessation and less confidence in quitting.
Pregnant smokers perceive many benefits of smoking cessation courses. However, these women also perceive many barriers to attendance and studies are needed to evaluate interventions for overcoming such barriers.
Smoking cessation services need to address the perceived barriers to attending stop smoking courses during pregnancy, to publicise the benefits of these courses and to target women who feel that they cannot quit without this type of support.
在孕期，戒烟课程的参与率非常低。我们评估了孕期参加戒烟课程所感知到的障碍和益处。
设计了一份决策平衡问卷，包括10条反映参加戒烟课程益处的陈述和10条参加课程的障碍陈述。该问卷通过互联网发放，目标人群为孕期吸烟的女性/近期戒烟者。参与者一次性完成问卷，表明他们对每条陈述的认同程度。
在443名受访者中，最常被提及的障碍是“如果失败会害怕让自己失望”（54%）以及不倾向于为这类事情寻求帮助（41%）。最常被提及的益处是关于戒烟渴望的建议（74%）以及戒烟时的赞扬和鼓励（71%）。更有兴趣从咨询顾问那里获得戒烟帮助与以下因素显著相关：年龄较大、收入较低、丈夫/伴侣建议戒烟以及对戒烟缺乏信心。
孕期吸烟的女性意识到戒烟课程有诸多益处。然而，这些女性也意识到参加课程存在许多障碍，需要开展研究来评估克服这些障碍的干预措施。
戒烟服务需要解决孕期女性参加戒烟课程所感知到的障碍，宣传这些课程的益处，并针对那些觉得没有这种支持就无法戒烟的女性。
