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巴西南部一所大学附属医院住院患者的吸烟状况:流行率、尼古丁依赖程度和改变动机阶段。

Smoking among patients hospitalized at a university hospital in the south of Brazil: prevalence, degree of nicotine dependence, and motivational stage of change.

机构信息

Faculdade de Medicina, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.

出版信息

J Bras Pneumol. 2012 Jan-Feb;38(1):72-80. doi: 10.1590/s1806-37132012000100011.

DOI:10.1590/s1806-37132012000100011
PMID:22407043
Abstract

OBJECTIVE

To determine the prevalence and profile of smoking among hospitalized patients at a university hospital in the south of Brazil.

METHODS

This was a descriptive cross-sectional study involving patients over 18 years of age hospitalized for over 24 h at the Federal University of Santa Catarina University Hospital, located in the city of Florianópolis, Brazil. The patients were interviewed on two distinct occasions. We collected demographic data, socioeconomic data, and data regarding smoking.

RESULTS

We interviewed 235 patients: 44 (18.7%) were smokers; 77 (32.8%) were former smokers; 114 (48.5%) were nonsmokers; and 109 (46.7%) were passive smokers. The mean age of the smokers was 45.7 ± 15.2 years, and 29 (65.9%) were male. Among the smokers, the median age at smoking initiation was 15 years; the mean smoking history was 32 ± 30.2 pack-years; 36 (81.9%) smoked up to 20 cigarettes/day; 20 (45.4%) had a high or very high degree of nicotine dependence; 32 (72.7%) had already tried to quit smoking; 39 (88.7%) would like to quit smoking; 32 (72.7%) would accept smoking cessation treatment; 13 (29.5%) smoked during hospitalization; and 13 (29.5%) suffered withdrawal syndrome. Regarding the motivation to quit smoking, the number of patients in the "preparation" and "action" stages of change increased from admission to discharge (from 31.8% to 54.8%).

CONCLUSIONS

The prevalence of smoking in this study was similar to that reported in other studies conducted in Brazil. The results suggest that our sample was significant regarding the population of hospitalized smokers, who are motivated to quit smoking during hospitalization and require a systematized approach for doing so.

摘要

目的

确定巴西南部一所大学附属医院住院患者的吸烟流行率和特征。

方法

这是一项描述性的横断面研究,涉及在巴西弗洛里亚诺波利斯市的联邦大学圣卡塔琳娜州立医院住院超过 24 小时的 18 岁以上患者。患者在两个不同的时间点接受了采访。我们收集了人口统计学数据、社会经济数据以及吸烟相关数据。

结果

我们共采访了 235 名患者:44 名(18.7%)为吸烟者;77 名(32.8%)为曾经吸烟者;114 名(48.5%)为非吸烟者;109 名(46.7%)为被动吸烟者。吸烟者的平均年龄为 45.7 ± 15.2 岁,其中 29 名(65.9%)为男性。在吸烟者中,开始吸烟的中位年龄为 15 岁;平均吸烟史为 32 ± 30.2 包年;36 名(81.9%)每天吸烟量高达 20 支;20 名(45.4%)尼古丁依赖程度高或极高;32 名(72.7%)曾试图戒烟;39 名(88.7%)希望戒烟;32 名(72.7%)愿意接受戒烟治疗;13 名(29.5%)在住院期间吸烟;13 名(29.5%)出现戒断症状。关于戒烟动机,从入院到出院,处于“准备”和“行动”改变阶段的患者数量增加(从 31.8%增加到 54.8%)。

结论

本研究中的吸烟流行率与巴西其他研究报告的相似。结果表明,我们的样本对住院吸烟者有重要意义,他们在住院期间有戒烟的动机,需要系统的方法来帮助他们戒烟。

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