Department of Emergency Medicine, Ege University Hospital, Bornova, Izmir, Turkey.
Eur J Emerg Med. 2010 Apr;17(2):73-9. doi: 10.1097/MEJ.0b013e32832e67d6.
To compare the effectiveness of smoking cessation counseling in the emergency department (ED) versus in outpatient clinics (OCs) setting.
Over a 3-month period, smokers and recent quitters presenting to ED or OCs were questioned about their smoking habits and desire to quit. They also completed the Fagerstrom Test for Nicotine Dependence (FTND) questionnaire and Prochaska's stages of change (PSC) survey. Standardized 5 min counseling session was carried out, and stop smoking pamphlet and phone number of the hospital's smoking cessation unit were given. One month after initial counseling, patients were telephoned, FTND, PSC, desire to quit, and daily cigarette consumption were asked. Data from those unable to be contacted within 6 weeks were excluded from analysis.
Of the 392 patients (197 ED, 195 OC) counseled initially, 340 (87%) were reached for telephone follow-up. Counseling was effective in both groups: FTND and PSC scores had improved, and daily cigarette consumption decreased significantly (17.17-12.49 cigs/day; P=0.000). Smokers counseled in the ED were found more inclined to stop smoking compared with smokers who counseled in OCs, after 1 month of the intervention (95% confidence interval=14.7-7.5%; P=0.051). Only one patient (0.6%) from the ED and 10 (6.6%) from the OC attended the smoking cessation program.
ED-based counseling for smoking cessation was as effective as that performed in the OC setting. Referral of smokers from the ED to a smoking cessation program was unsuccessful in our patient population.
比较在急诊科（ED）和门诊（OC）环境下戒烟咨询的效果。
在 3 个月的时间内，询问吸烟的 ED 和 OC 患者有关其吸烟习惯和戒烟意愿。他们还完成了尼古丁依赖程度 Fagerstrom 测试（FTND）问卷和 Prochaska 的改变阶段（PSC）调查。进行了标准化的 5 分钟咨询，发放了戒烟小册子和医院戒烟单位的电话号码。在初始咨询后 1 个月，通过电话询问患者 FTND、PSC、戒烟意愿和每日吸烟量。对于在 6 周内无法联系到的患者，将其数据排除在分析之外。
在最初接受咨询的 392 名患者（197 名 ED，195 名 OC）中，有 340 名（87%）接受了电话随访。两组的咨询都有效：FTND 和 PSC 评分均有所改善，每日吸烟量显著减少（17.17-12.49 支/天；P=0.000）。干预 1 个月后，与 OC 中接受咨询的吸烟者相比，ED 中接受咨询的吸烟者更倾向于戒烟（95%置信区间=14.7-7.5%；P=0.051）。ED 中只有 1 名患者（0.6%）和 OC 中有 10 名患者（6.6%）参加了戒烟计划。
ED 为基础的戒烟咨询与 OC 环境下的咨询效果相同。在我们的患者群体中，将吸烟者从 ED 转介到戒烟计划的效果并不成功。
