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戒烟诊所的五年成效

Five-year outcomes for a smoking cessation clinic.

作者信息

Oztuna Funda, Can Gamze, Ozlü Tevfik

机构信息

Department of Chest Diseases, School of Medicine, Karadeniz Technical University, Trabzon, Turkey.

出版信息

Respirology. 2007 Nov;12(6):911-5. doi: 10.1111/j.1440-1843.2007.01127.x.

Abstract

BACKGROUND AND OBJECTIVES

In Turkey, smoking cessation clinics have increased rapidly in recent years. We evaluated the demographic characteristics and the factors influencing the success of quitting among participants in a smoking cessation programme who completed a 5-year follow up.

METHODS

An observational study was conducted on all smokers who attended a smoking cessation clinic between April 2000 and June 2005.

RESULTS

Of the 350 participants recruited, 58% (n = 203) were male and 42% (n = 147) were female; 43.7% were university graduates. The average age of participants was 37.4 +/- 11.8 years; the average nicotine addiction level, according to the Fagerstrom nicotine dependence questionnaire, was 5.4 (+/-2.0). Seventy-eight (40.2%) of the 194 individuals who stopped smoking were women. At the end of 5 years, 34.6% of participants who attempted to quit were still successful. There was no difference between men and women in terms of their success in quitting after 5 years. Participants who received nicotine replacement therapy remained free of cigarettes 1.9 times (95% CI: 1.2-2.9) longer than those who did not.

CONCLUSION

Smoking cessation programmes should use a combination of behavioural and pharmacological therapies.

摘要

背景与目的

近年来,土耳其的戒烟诊所数量迅速增加。我们对参加了一项戒烟计划并完成了5年随访的参与者的人口统计学特征以及影响戒烟成功的因素进行了评估。

方法

对2000年4月至2005年6月期间前往一家戒烟诊所就诊的所有吸烟者进行了一项观察性研究。

结果

在招募的350名参与者中,58%(n = 203)为男性,42%(n = 147)为女性;43.7%为大学毕业生。参与者的平均年龄为37.4 +/- 11.8岁;根据法格斯特龙尼古丁依赖问卷,平均尼古丁成瘾水平为5.4(+/-2.0)。在194名戒烟者中,78名(40.2%)为女性。5年后,34.6%的尝试戒烟的参与者仍然成功戒烟。5年后,男性和女性在戒烟成功率方面没有差异。接受尼古丁替代疗法的参与者保持不吸烟的时间比未接受该疗法的参与者长1.9倍(95%置信区间:1.2 - 2.9)。

结论

戒烟计划应结合行为疗法和药物疗法。

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