Flöter S, Kröger C
IFT Institut für Therapieforschung, München.
Dtsch Med Wochenschr. 2009 Nov;134(47):2382-7. doi: 10.1055/s-0029-1242698. Epub 2009 Nov 12.
Rehabilitation centres for mothers are a suitable setting to offer smoking cessation treatment to these women. Telephone aftercare could enhance the effectiveness of an inpatient smoking cessation program. We investigated whether non-directive, supportive aftercare or a structured, smoking specific counselling give more benefit.
527 smoking mothers participated in a smoking cessation program during their stay in a prevention/rehabilitation centre. Afterwards they were randomly assigned to one of three aftercare conditions: no aftercare (control group), structured telephone aftercare or non-directive telephone aftercare. At the end of the inpatient program and 6 months later the smoking status of the participants was assessed.
The structured telephone aftercare resulted in the highest abstinence rates after 6 months (31.5%; odds ratio 2.0; confidence interval: 1.1 - 3.8). The non-directive telephone counselling had no significant effect on abstinence rates.
A structured telephone aftercare proves to be an effective intervention for women, which stabilizes the abstinence rate following a clinic based smoking cessation program.
母亲康复中心是为这些女性提供戒烟治疗的合适场所。电话随访护理可以提高住院戒烟项目的效果。我们研究了非指导性的支持性随访护理或结构化的、针对吸烟的咨询是否能带来更多益处。
527名吸烟母亲在预防/康复中心住院期间参加了一个戒烟项目。之后，她们被随机分配到三种随访护理条件之一：无随访护理（对照组）、结构化电话随访护理或非指导性电话随访护理。在住院项目结束时和6个月后评估参与者的吸烟状况。
6个月后，结构化电话随访护理的戒烟率最高（31.5%；优势比2.0；置信区间：1.1 - 3.8）。非指导性电话咨询对戒烟率没有显著影响。
结构化电话随访护理被证明是一种对女性有效的干预措施，它能在基于诊所的戒烟项目后稳定戒烟率。
