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戒烟能否改善冠心病患者的生活质量?

Does smoking cessation improve quality of life in patients with coronary heart disease?

作者信息

Quist-Paulsen Petter, Bakke Per S, Gallefoss Frode

机构信息

Department of Internal Medicine, Sørlandet Hospital Kristiansand, Norway.

出版信息

Scand Cardiovasc J. 2006 Feb;40(1):11-6. doi: 10.1080/14017430500384855.

DOI:10.1080/14017430500384855
PMID:16448992
Abstract

OBJECTIVE

To evaluate whether smoking cessation after a coronary event improves quality of life, and to assess whether quality of life is a predictor of smoking cessation.

DESIGN

Health-related quality of life at baseline and at 12 months follow up were measured in a randomised smoking cessation trial of 240 smokers aged under 76 years admitted for myocardial infarction, unstable angina or coronary bypass surgery. At 12 months follow up 101 had managed to give up smoking (quitters), and 117 were smokers (sustained smokers).

RESULTS

The quitters and sustained smokers had similar improvements in all quality of life domains from baseline to 12 months follow up. Further, after adjustment for differences in baseline characteristics, the quality of life was not significantly different in the quitters compared to the sustained smokers neither at baseline nor at 12 months follow up.

CONCLUSIONS

Smoking cessation did not improve quality of life compared to sustained smoking after a coronary event in a 12 month follow up. Quality of life was not a significant predictor of smoking cessation.

摘要

目的

评估冠心病事件后戒烟是否能改善生活质量,并评估生活质量是否是戒烟的预测指标。

设计

在一项针对240名年龄在76岁以下因心肌梗死、不稳定型心绞痛或冠状动脉搭桥手术入院的吸烟者的随机戒烟试验中,测量了基线时和随访12个月时与健康相关的生活质量。在随访12个月时,101人成功戒烟(戒烟者),117人仍在吸烟(持续吸烟者)。

结果

从基线到随访12个月,戒烟者和持续吸烟者在所有生活质量领域都有相似的改善。此外,在对基线特征差异进行调整后,戒烟者与持续吸烟者相比,无论是在基线时还是在随访12个月时,生活质量均无显著差异。

结论

在12个月的随访中,与冠心病事件后持续吸烟相比,戒烟并未改善生活质量。生活质量不是戒烟的显著预测指标。

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