Bösch D
Zentrum für Pneumologie, Diakoniekrankenhaus Rotenburg, Rotenburg (Wümme).
Pneumologie. 2009 Oct;63(10):578-81. doi: 10.1055/s-0029-1214904. Epub 2009 Oct 9.
In perspective of a high prevalence of smokers in our population, we find a high proportion of smoking-related morbidity and mortality. Hospitalisation is basically a favourable situation to start smoking cessation. Aim of the study was to show the effectivity of smoking-cessation-counselling as a smoking cessation interventional tool for hospitalized patients.
We evaluated 25 consecutive patients, who had accepted an offer for smoking cessation counselling, while being hospitalized in a center of pulmonology. Data concerning smoking habits and morbidity had been collected in the course of a qualified smoking-cessation-counselling. Patients with a FNDT > or = 3 had been offered pharmacological support. The smoking behaviour had been re-collected 6 month after discharge via telephoninterview. Partly there was the opportunity to validate the information via measurement of carboxyhemoglobin.
Following the smoking-cessation-counselling 20 out of 25 patients (80 %) had quit smoking. After 6 month 11 patients still had been abstinent, in accordance with a long-term-success-rate of 44 %. Patients who accepted a pharmacological support had a 55 % higher long-term-abstinence-rate.
Qualified smoking-cessation-counselling concomitantly to hospital treatment is feasible and effective. The results encourage distributing and administering this interventional tool in our health system.
鉴于我国人群中吸烟者的高患病率，我们发现与吸烟相关的发病率和死亡率比例很高。住院基本上是开始戒烟的有利时机。本研究的目的是展示戒烟咨询作为住院患者戒烟干预工具的有效性。
我们评估了25例连续接受戒烟咨询的患者，这些患者在一家肺病中心住院期间接受了戒烟咨询。在合格的戒烟咨询过程中收集了有关吸烟习惯和发病率的数据。对尼古丁依赖时间（FNDT）≥3的患者提供了药物支持。出院6个月后通过电话访谈重新收集吸烟行为。部分患者有机会通过测量碳氧血红蛋白来验证信息。
经过戒烟咨询，25例患者中有20例（80%）戒烟。6个月后，11例患者仍保持戒烟状态，长期成功率为44%。接受药物支持的患者长期戒烟率高出55%。
在住院治疗的同时进行合格的戒烟咨询是可行且有效的。这些结果鼓励在我们的卫生系统中推广和应用这种干预工具。
