Hilberink Sander R, Jacobs Johanna E, Bottema Ben J A M, de Vries Hein, Grol Richard P T M
Centre for Quality of Care Research (WOK), University Medical Centre Nijmegen St. Radboud, KWAZO 229, P.O. Box 9101, 6500 HB Nijmegen, The Netherlands.
Prev Med. 2005 Nov-Dec;41(5-6):822-7. doi: 10.1016/j.ypmed.2005.08.003. Epub 2005 Oct 3.
Chronic Obstructive Pulmonary Disease (COPD) forms an increasing health problem. Despite smoking cessation improving the prognosis of the disease, many patients persist smoking. The present study presents the results of a smoking cessation counseling protocol in general practice (Smoking Cessation in patients with COPD in general practice (SMOCC)).
A randomized controlled trial of patients with COPD compared smoking cessation counseling according to an intensified minimal intervention strategy with usual care. In total 43 general practices with 392 patients participated in Nijmegen, The Netherlands, in 2001-2002.
Significantly more smokers in the experimental group made a quit attempt (44.9% versus 36.5%) and actually quit smoking than in the control group (16.0% versus 8.8%). The motivation to stop smoking at baseline was not associated with smoking cessation.
The SMOCC strategy doubled the self-reported quit rates and was complied well by the general practitioners. Implementation in general practice is recommended.
慢性阻塞性肺疾病（COPD）正成为一个日益严重的健康问题。尽管戒烟可改善该疾病的预后，但许多患者仍继续吸烟。本研究展示了一项在全科医疗中进行戒烟咨询方案（全科医疗中COPD患者的戒烟（SMOCC））的结果。
一项针对COPD患者的随机对照试验，将根据强化最小干预策略进行的戒烟咨询与常规护理进行比较。2001年至2002年，荷兰奈梅亨共有43家全科医疗机构的392名患者参与。
与对照组相比，实验组中尝试戒烟的吸烟者显著更多（44.9%对36.5%），实际戒烟的比例也更高（16.0%对8.8%）。基线时的戒烟动机与戒烟情况无关。
SMOCC策略使自我报告的戒烟率提高了一倍，并且全科医生的依从性良好。建议在全科医疗中实施。
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