肺功能反馈和简短动机咨询对长期吸烟结局的影响：肺功能损伤与非损伤吸烟者的比较。
Impact of spirometry feedback and brief motivational counseling on long-term smoking outcomes: a comparison of smokers with and without lung impairment.
机构信息
Group Health Research Institute in Seattle, WA 98101, USA.
出版信息
Patient Educ Couns. 2010 Aug;80(2):280-3. doi: 10.1016/j.pec.2009.11.002.
OBJECTIVE
We compared long-term outcomes among smokers with and without impaired lung functioning who received brief counseling highlighting their spirometric test results.
METHODS
Participants in this analysis all received a brief motivational intervention for smoking cessation including spirometric testing and feedback ( approximately 20 min), were advised to quit smoking, offered free access to a phone-based smoking cessation program, and followed for one year. Outcomes were analyzed for smokers with (n=99) and without (n=168) impaired lung function.
RESULTS
Participants with lung impairment reported greater use of self-help cessation materials at 6 months, greater use of non-study-provided counseling services at 6 and 12 months, higher 7-day PPA rates at 6 months, and were more likely to talk with their doctor about their spirometry results.
CONCLUSION
Further research is warranted to determine if spirometry feedback has a differential treatment effect among smokers with and without lung impairment.
PRACTICE IMPLICATIONS
It is premature to make practice recommendations based on these data.
目的
我们比较了接受强调其肺功能测试结果的简短咨询但肺功能受损和未受损的吸烟者的长期结局。
方法
本分析中的所有参与者都接受了简短的戒烟动机干预，包括肺量计测试和反馈（约 20 分钟），建议他们戒烟，免费提供基于电话的戒烟计划，并随访一年。对肺功能受损的吸烟者（n=99）和未受损的吸烟者（n=168）进行了结果分析。
结果
肺功能受损的参与者在 6 个月时报告更多地使用自助戒烟材料，在 6 个月和 12 个月时更多地使用非研究提供的咨询服务，在 6 个月时更高的 7 天 PPA 率，并且更有可能与他们的医生讨论他们的肺量计结果。
结论
需要进一步研究以确定肺功能测试反馈是否对肺功能受损和未受损的吸烟者有不同的治疗效果。
实践意义
基于这些数据，现在做出实践建议还为时过早。
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