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冠心病住院患者出院后的尼古丁依赖和戒烟情况。

Nicotine dependence and smoking cessation after hospital discharge among inpatients with coronary heart attacks.

机构信息

Department of Hygiene and Preventiye Medicine, Okayama University Graduate School of Medicine and Dentistry, 2-5-1 Shikata-cho, 700-8558, Okayama, Japan,

出版信息

Environ Health Prev Med. 2002 May;7(2):74-8. doi: 10.1007/BF02897333.

DOI:10.1007/BF02897333
PMID:21432267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2723402/
Abstract

This study focuses on the predictability of two alternative questionnaires for nicotine dependence, i.e., the Fagerstrom Tolerance Questionnaire (FTQ) and the Tobacco Dependence Screener (TDS), each of which represents a different aspect of dependence, among patients with coronary heart disease (CHD). Twenty-nine male inpatients that had been newly diagnosed as CHD were followed up for 30 weeks after hospital discharge. The baseline information included age, number of cigarettes per day, years of smoking, disease type (angina pectoris [AP] or acute myocardial infarction [AMI), whether they had received a briefing on smoking cessation, the FTQ, and the TDS. At 30 weeks after hospital discharge, 19 (66%) were abstainers. The group with a high TDS score (of 6 or greater) was significantly less likely to quit smoking than the group with a low TDS score (p=0.046). The FTQ score was not significantly different between the abstainers and non-abstainers. The subjects with AP were significantly less likely to quit smoking than those with AMI (p=0.021). Multiple logistic regression analysis showed that belonging to the high-TDS group and being diagnosed as AP were significantly associated with failure in smoking cessation (p<0.05). The present study suggests that the TDS may have higher predictability than the FTQ concerning smoking cessation among CHD inpatients.

摘要

本研究关注两种替代尼古丁依赖问卷(即 Fagerstrom 耐受性问卷[FTQ]和烟草依赖筛查器[TDS])在冠心病(CHD)患者中的预测性,它们分别代表了依赖的不同方面。29 名男性住院患者在出院后 30 周内进行了随访。基线信息包括年龄、每天吸烟的支数、吸烟年数、疾病类型(心绞痛[AP]或急性心肌梗死[AMI])、是否接受过戒烟简报、FTQ 和 TDS。出院后 30 周,19 名(66%)患者已经戒烟。TDS 评分较高(6 分及以上)的组戒烟的可能性显著低于 TDS 评分较低的组(p=0.046)。FTQ 评分在戒烟者和非戒烟者之间无显著差异。AP 患者戒烟的可能性显著低于 AMI 患者(p=0.021)。多变量逻辑回归分析显示,属于 TDS 评分较高组和被诊断为 AP 与戒烟失败显著相关(p<0.05)。本研究表明,在 CHD 住院患者中,TDS 可能比 FTQ 对戒烟的预测性更高。

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本文引用的文献

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Predicting smoking cessation and major depression in nicotine-dependent smokers.预测尼古丁依赖吸烟者的戒烟情况和重度抑郁症
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Predictors of smoking cessation after percutaneous coronary revascularization.经皮冠状动脉血运重建术后戒烟的预测因素。
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