Emergency Department, Wellington Hospital, Wellington South, New Zealand.
Emerg Med Australas. 2010 Aug;22(4):287-95. doi: 10.1111/j.1742-6723.2010.01299.x.
To determine the prevalence of smoking among ED patients compared with the general New Zealand (NZ) smoking prevalence. Secondary outcomes were to determine smokers' level of nicotine dependence, readiness to quit and engagement with primary health care.
This was a prospective, cross-sectional prevalence study of ED patients seen consecutively over 6 days in Wellington Hospital, Wellington South, NZ. Medically stable patients > or = 18 years were asked about their smoking habits by a closed-question survey.
Five hundred and twenty-eight patients comprised the study group. The ED smoking prevalence was 33.1% and higher than the general NZ smoking prevalence of 20.7%. Of those who smoked, 26.3% were 'moderately' to 'very highly' dependent on nicotine (Fagerstrom Test for Nicotine Dependence, FTND score > or = 5). Of those who smoked, 74.9% stated they wanted to quit, 42.9% wanted to quit within the next month and 60.6% wanted an ED quit smoking pack. There were 13.6% of ED patients not registered with a general practitioner; of this, 61.1% were current smokers and 70.5% wanted to quit smoking.
The prevalence rates of smoking are higher among patients attending Wellington Hospital ED than the general NZ population and the majority would like to quit smoking. One in four ED smokers have a high FTND score and are considered nicotine-dependent. Many patients who were not registered with a general practitioner smoked, and the majority wanted to quit. Finally, there is significant interest from ED patients in receiving quit smoking packs from the ED.
确定急诊科（ED）患者的吸烟患病率与新西兰（NZ）一般人群吸烟率的比较。次要结果是确定吸烟者的尼古丁依赖程度、戒烟意愿和与初级保健的接触程度。
这是一项在新西兰惠灵顿南部惠灵顿医院连续 6 天观察的 ED 患者的前瞻性、横断面患病率研究。通过封闭式问卷调查，询问稳定期≥18 岁的患者吸烟习惯。
该研究共纳入 528 例患者。ED 的吸烟患病率为 33.1%，高于新西兰一般人群 20.7%的吸烟率。在吸烟者中，26.3%的人尼古丁依赖程度为“中度”到“高度”（尼古丁依赖测试量表（FTND）评分≥5）。在吸烟者中，74.9%表示希望戒烟，42.9%希望在未来一个月内戒烟，60.6%希望获得 ED 戒烟包。有 13.6%的 ED 患者未登记在家庭医生处；其中，61.1%为当前吸烟者，70.5%希望戒烟。
在惠灵顿医院 ED 就诊的患者的吸烟率高于新西兰一般人群，且大多数患者希望戒烟。四分之一的 ED 吸烟者的 FTND 评分较高，被认为存在尼古丁依赖。许多未登记在家庭医生处的患者吸烟，且大多数希望戒烟。最后，ED 患者对从 ED 获得戒烟包有很大的兴趣。
