Program in Hospital Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
J Hosp Med. 2010 Jan;5(1):26-32. doi: 10.1002/jhm.536.
Although smoking cessation counseling for cardiac inpatients is a quality measure, little data exist regarding postdischarge quit attempts in a primarily urban, African American, underserved population. This study aimed to assess preparedness to quit smoking and quit behaviors.
Smokers on the cardiology service were asked to rate preparedness using the 10-step Contemplation Ladder. During phone surveys given 30-days postdischarge, patients reported whether they made quit attempts, method and success of attempts, and recall of receiving advice to quit.
From February 2006 through July 2007, 2906 of 3364 of inpatients were interviewed. Fifteen percent (436/2906) were current smokers and 415/436 completed the inpatient assessment. Of these, 75% (310/415) indicated they were prepared to quit. At the 1-month follow-up, 67% (276/415) were interviewed and 71% of those patients (195/276) reported making a quit attempt, with most (76%) reporting quitting "cold turkey" (without aid). Compared with less prepared patients, prepared patients were more likely to report making a quit attempt after discharge (77% [163/212] vs. 50% [32/64], P < 0.001) and were successful in that attempt (43% [90/212] vs. 25% [16/64], P = 0.010).
The majority of smokers hospitalized with cardiac disease reported being prepared to quit smoking. Those prepared, and who received advice to quit, were more likely to make a quit attempt and report abstinence than those less prepared. However, most quit attempts were made using the least effective methods. Future studies in a population of primarily African American patients should assess preparedness to quit and target prepared patients with more effective interventions.
尽管对住院心脏病患者进行戒烟咨询是一项质量措施，但在以城市为主、以非裔美国人为主、服务不足的人群中，关于出院后戒烟尝试的相关数据很少。本研究旨在评估戒烟准备情况和戒烟行为。
询问心脏病科住院患者使用 10 步思考阶梯评估戒烟准备情况。在出院后 30 天进行电话调查时，患者报告他们是否尝试戒烟、尝试的方法和成功率，以及是否记得收到过戒烟建议。
从 2006 年 2 月到 2007 年 7 月，对 3364 名住院患者中的 2906 名进行了访谈。15%（436/2906）为当前吸烟者，其中 415/436 完成了住院评估。在这些人中，75%（310/415）表示他们准备戒烟。在 1 个月的随访中，对 415 名患者中的 276 名进行了访谈，其中 71%（195/276）报告尝试戒烟，大多数（76%）报告“突然戒烟”（不借助任何帮助）。与准备不足的患者相比，准备戒烟的患者出院后更有可能尝试戒烟（77%[163/212]比 50%[32/64]，P<0.001），并且戒烟成功率更高（43%[90/212]比 25%[16/64]，P=0.010）。
患有心脏病住院的吸烟者中，大多数报告准备戒烟。与准备不足的患者相比，那些准备戒烟并收到戒烟建议的患者更有可能尝试戒烟并报告戒断，而大多数戒烟尝试都是采用最不有效的方法。在以非裔美国人为主要人群的人群中进行的未来研究应评估戒烟准备情况，并针对准备戒烟的患者采用更有效的干预措施。
