Scemama O, Hamo-Tchatchouang E, Le Faou A L, Altman J J
Centre de Tabacologie, Hôpital European Georges Pompidou, Paris, France.
Diabetes Metab. 2006 Nov;32(5 Pt 1):435-41. doi: 10.1016/s1262-3636(07)70301-4.
To assess the value of systematic smoking cessation consultations for diabetic smokers admitted to hospital.
All diabetic smokers admitted to the Diabetes Department of Georges Pompidou European Hospital between February 2003 and February 2004 were systematically offered a consultation with a physician specialised in tobacco cessation. Follow-up visits at three, six and nine months were planned.
Of the 306 diabetic patients admitted, 38 (12.4%) were smokers. There were more men than women in the group of smokers and the diabetic smokers were younger than the non-smokers. The smokers had fewer micro-angiopathic complications than the non-smokers, but there was no difference in the frequency of macro-angiopathic complications. The level of nicotine physical dependence was moderate or high for 60% of the smokers. Although all the smokers agreed to the consultation, less than half agreed to drug-based treatments to help them to give up smoking and only 15% returned for the six-month visit. Only one patient had stopped smoking at the six-month visit.
This study demonstrates the difficulties in systematic interventions to help diabetic patients to stop smoking. Diabetic smokers probably constitute a specific population for which the barriers to giving up smoking should be explored.
评估对住院的糖尿病吸烟者进行系统性戒烟咨询的价值。
2003年2月至2004年2月期间，所有入住乔治·蓬皮杜欧洲医院糖尿病科的糖尿病吸烟者都被系统性地安排了与一位戒烟专科医生的咨询。计划在三个月、六个月和九个月时进行随访。
在306名住院的糖尿病患者中，38名（12.4%）为吸烟者。吸烟者中男性多于女性，且糖尿病吸烟者比非吸烟者年轻。吸烟者的微血管病变并发症比非吸烟者少，但大血管病变并发症的发生率没有差异。60%的吸烟者尼古丁身体依赖程度为中度或高度。尽管所有吸烟者都同意接受咨询，但不到一半的人同意采用药物治疗来帮助他们戒烟，只有15%的人返回进行六个月的随访。在六个月的随访时只有一名患者戒烟。
本研究表明对糖尿病患者进行系统性戒烟干预存在困难。糖尿病吸烟者可能构成一个特殊人群，需要探索其戒烟的障碍。
