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[住院康复期女性戒烟项目后电话随访护理的效果]

[Effectiveness of telephone aftercare following a smoking cessation program for women on inpatient rehabilitation].

作者信息

Flöter S, Kröger C

机构信息

IFT Institut für Therapieforschung, München.

出版信息

Dtsch Med Wochenschr. 2009 Nov;134(47):2382-7. doi: 10.1055/s-0029-1242698. Epub 2009 Nov 12.

Abstract

BACKGROUND AND AIMS

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.

PATIENTS AND METHOD

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.

RESULTS

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.

CONCLUSIONS

A structured telephone aftercare proves to be an effective intervention for women, which stabilizes the abstinence rate following a clinic based smoking cessation program.

摘要

背景与目的

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。

患者与方法

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。

结果

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。

结论

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。

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