Ann Arbor VA Center for Clinical Management Research (11H), and Departments of Otolaryngology and Psychiatry, University of Michigan School of Nursing, 2215 Fuller Road, Ann Arbor, MI 48105, USA.
Prev Med. 2010 May-Jun;50(5-6):285-7. doi: 10.1016/j.ypmed.2010.01.012. Epub 2010 Feb 1.
The objective of this study was to determine if tobacco use while in the hospital was associated with post-discharge cessation rates.
During 2006-2008, smokers from three Veterans Affairs hospitals (n=354) were surveyed during their hospitalization and again 6 months later. Data analysis was conducted in 2009.
While veterans smoked an average of 19 cigarettes per day, prior to admission, the average was 6-7 cigarettes per day during hospitalization. About 40% (n=140) were able to quit smoking for more than 24 h and the median days quit was 29. The 6-month self-reported quit rate was 15% (n=53). Multivariate analyses showed that veterans who quit tobacco use during their hospitalization had nearly 4 times increased odds of quitting smoking for more than 24 h and 2.7 times increased odds of quitting at 6 months post-hospitalization as compared to veterans that did not quit using tobacco during hospitalization.
Many veterans quit tobacco use during hospital admissions and those who do not quit, tended to decrease their use. Veterans who quit tobacco use were more likely to be abstinent at 6-month follow-up. State-of-the-art cessation interventions need to be provided to smokers hospitalized in Veterans Affairs hospitals.
本研究旨在确定住院期间吸烟是否与出院后戒烟率有关。
在 2006 年至 2008 年期间，对来自三家退伍军人事务医院的吸烟者（n=354）在住院期间和 6 个月后进行了调查。数据分析于 2009 年进行。
尽管退伍军人平均每天吸烟 19 支，但在入院前，住院期间平均每天吸烟 6-7 支。大约 40%（n=140）能够戒烟超过 24 小时，中位数戒烟天数为 29 天。6 个月的自我报告戒烟率为 15%（n=53）。多变量分析显示，与住院期间未戒烟的退伍军人相比，戒烟的退伍军人戒烟超过 24 小时的可能性增加近 4 倍，6 个月后戒烟的可能性增加 2.7 倍。
许多退伍军人在住院期间戒烟，而那些没有戒烟的退伍军人往往会减少吸烟量。戒烟的退伍军人在 6 个月随访时更有可能保持不吸烟。需要向在退伍军人事务医院住院的吸烟者提供最先进的戒烟干预措施。
