产后女性戒烟及预防复吸：一项在6个月、12个月、18个月和24个月时进行的随机对照试验结果
Smoking cessation and relapse prevention for postpartum women: results from a randomized controlled trial at 6, 12, 18 and 24 months.
作者信息
Hannöver Wolfgang, Thyrian Jochen René, Röske Kathrin, Grempler Julia, Rumpf Hans-Jürgen, John Ulrich, Hapke Ulfert
机构信息
Ernst-Moritz-Arndt-University Greifswald, Institute for Medical Psychology, Walther-Rathenau-Str. 48, D-17487 Greifswald, Germany.
出版信息
Addict Behav. 2009 Jan;34(1):1-8. doi: 10.1016/j.addbeh.2008.07.021. Epub 2008 Aug 3.
AIM
To test the efficacy of an aid to cessation/relapse prevention intervention for women postpartum.
METHOD
Two-armed randomized controlled trial. Follow-ups at 6, 12, 18, and 24 months, screenings on maternity wards. Intervention group received face-to-face counseling 40 days postpartum plus telephone counseling calls 4 and 12 weeks later. Control group received usual care plus self-help material for each parent.
RESULTS
With regard to smoking cessation, 4 week point prevalence abstinent rates were higher in the treatment group at 6, 12, and 18 months (7% vs. 1%, 7% vs. 2%, and 9% vs. 1%, respectively). Sustained abstinence was higher in the treatment group at 6 months follow-up (3% vs. 0%). No difference was observed with regard to relapse prevention.
DISCUSSION
Regarding aid to cessation we observed small effects, regarding relapse prevention no effect. In order to capitalize on the opportunity childbirth poses with regard to smoking, theories on relapse prevention in smoking cessation that guide in designing interventions are needed.
目的
测试一种针对产后女性的戒烟/预防复吸干预措施的效果。
方法
双臂随机对照试验。在产后6、12、18和24个月进行随访，在产科病房进行筛查。干预组在产后40天接受面对面咨询，并在4周和12周后接受电话咨询。对照组接受常规护理以及为每位家长提供的自助材料。
结果
在戒烟方面，治疗组在6个月、12个月和18个月时的4周点患病率戒烟率更高（分别为7%对1%、7%对2%、9%对1%）。在6个月随访时，治疗组的持续戒烟率更高（3%对0%）。在预防复吸方面未观察到差异。
讨论
在戒烟辅助方面我们观察到了微小效果，在预防复吸方面没有效果。为了利用分娩带来的戒烟契机，需要有指导干预措施设计的戒烟预防复吸理论。
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