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台湾家庭医学部门诊戒烟计划:纵向评估。

Smoking cessation program in outpatient clinics of Family Medicine Department in Taiwan: a longitudinal evaluation.

机构信息

Department of Family Medicine, Kaohsiung Veterans General Hospital, and Shu-Zen College of Medicine and Management, Taiwan.

出版信息

Eval Health Prof. 2010 Mar;33(1):12-25. doi: 10.1177/0163278709356185.

DOI:10.1177/0163278709356185
PMID:20164104
Abstract

The Government of Taiwan has imposed a tobacco health tax of NT$5 (US$0.14) per pack of cigarettes since January 2002. The Department of Health has now begun to fund a smoking cessation program that provides nicotine-replacement therapy (NRT) and brief counseling by physicians in outpatient clinics. The purpose of the current study was to evaluate the smoking cessation program with a 3-year follow-up review implemented at outpatient clinics, which were run by the Family Medicine Department in a medical center, with a total of 772 adult participants. The abstinence rates were 99.7%, 49.2%, 37.7%, 30.2%, and 22.7%, at the 1-, 3-, 6-, 12-, and 36-month points, respectively. The frequency of clinic visits is a major factor predicting long-term cessation. The results indicate the need to pursue implementation and evaluation of multidisciplinary interventions in smoking cessation clinics with a longer follow-up, including the promotion of compliance to increase clinic visits and prevent relapse.

摘要

自 2002 年 1 月起,台湾政府对每包香烟征收新台币 5 元(0.14 美元)的烟草健康税。卫生署现已开始资助一项戒烟计划,该计划为门诊患者提供尼古丁替代疗法(NRT)和医生的简短咨询。本研究的目的是评估由医学中心家庭医学科运营的门诊戒烟计划,该计划共招募了 772 名成年参与者,进行为期 3 年的随访。分别在第 1、3、6、12 和 36 个月时的戒烟率为 99.7%、49.2%、37.7%、30.2%和 22.7%。就诊频率是预测长期戒烟的主要因素。结果表明,需要在戒烟诊所实施和评估更长时间随访的多学科干预措施,包括促进遵守以增加就诊次数和防止复发。

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