Tobacco Control and Research Unit, Institut Català d'Oncologia-IDIBELL, L'Hospitalet, Barcelona, Spain.
Cancer Nurs. 2012 Sep-Oct;35(5):327-36. doi: 10.1097/NCC.0b013e3182321389.
The Catalan Network of Smoke-free Hospitals coordinates a smoking cessation program addressed to hospital workers. The program included training in tobacco cessation, a common software, and free access to pharmacological treatments.
This study aimed to evaluate the effectiveness of the Catalan Network of Smoke-free Hospitals smoking cessation program for abstinence among workers of the 33 participating hospitals.
A total of 930 hospital workers (in 33 hospitals) attended the cessation units between July 2005 and December 2007. The program included active follow-up during 6 months after quitting. We calculated 6-month abstinence probabilities by means of Kaplan-Meier curves according to gender, age, years of tobacco consumption, profession, Fagerström Test for Nicotine Dependence (FTND) score, and use of pharmacotherapy.
Overall abstinence probability was 0.504 (95% confidence interval [CI]: 0.431-0.570) at 6 months of follow-up. Abstinence was higher in men (0.526, 95% CI = 0.398-0.651) than in women (0.495, 95% CI = 0.410-0.581). Physicians had higher abstinence (0.659, 95% CI = 0.506-0.811) than nurses (0.463, 95% CI = 0.349-0.576). Workers with high nicotine dependence (FTND > 7) had lower abstinence probability (0.376, 95% CI = 0.256-0.495) than workers, with FTND score equal or below 6 (0.529, 95% CI = 0.458-0.599). We observed the highest abstinence probabilities in workers treated with combined pharmacotherapy (0.761, 95% CI = 0.588-0.933).
Significant predictors of abstinence were smoking 10 to 19 cigarettes/day, having present low or medium FTND score, and using combined treatment (nicotine replacement therapy and bupropion).
The results show the feasibility and success of a smoking cessation program for hospital workers coordinated at the regional level.
加泰罗尼亚无烟医院网络协调了一项针对医院工作人员的戒烟计划。该计划包括烟草戒断培训、通用软件和免费获得药物治疗。
本研究旨在评估加泰罗尼亚无烟医院网络戒烟计划对 33 家参与医院工作人员戒烟的效果。
共有 930 名医院工作人员（33 家医院）于 2005 年 7 月至 2007 年 12 月参加了戒烟单位。该计划包括戒烟后 6 个月的积极随访。我们根据性别、年龄、吸烟年限、职业、尼古丁依赖量表（FTND）评分和药物治疗的使用情况，通过 Kaplan-Meier 曲线计算了 6 个月的戒烟概率。
随访 6 个月时，总体戒烟率为 0.504（95%置信区间[CI]：0.431-0.570）。男性（0.526，95%CI=0.398-0.651）的戒烟率高于女性（0.495，95%CI=0.410-0.581）。医生的戒烟率（0.659，95%CI=0.506-0.811）高于护士（0.463，95%CI=0.349-0.576）。尼古丁依赖程度高（FTND＞7）的工人戒烟率较低（0.376，95%CI=0.256-0.495），而 FTND 评分等于或低于 6 的工人戒烟率较高（0.529，95%CI=0.458-0.599）。我们观察到联合药物治疗（尼古丁替代疗法和安非他酮）的工人戒烟率最高（0.761，95%CI=0.588-0.933）。
戒烟的显著预测因素为每天吸烟 10-19 支、FTND 评分较低或中等以及使用联合治疗（尼古丁替代疗法和安非他酮）。
结果表明，在区域层面协调的医院工作人员戒烟计划是可行且成功的。
