Nebot M, Cabezas C, Oller M, Moreno F, Rodrigo J, Sardà T, Mestres J, Pitarch M
Institut Municipal de la Salut, Barcelona.
Med Clin (Barc). 1990 Jun 9;95(2):57-61.
The 2-month results of a study designed to compare the effectiveness of three methods to encourage giving up smoking in primary health care are reported: individualized medical counseling (minimal intervention), counseling plus follow-up option by the nurse, and medical counseling plus nicotine chewing gum. Overall 425 smokers between 15 and 65 years of age were included in the study. In 349 of them (82%), short term follow-up was carried out by phone interview. The proportion who declared to have given up smoking, after adjustment for the estimated validity of the phone report of smoking status, was 10, 9%, 10.8% and 11.1%, respectively, without significant differences between the three groups. In the logistic regression analysis, only the existence of concomitant disease and the anticipated difficulty in giving up smoking appeared as predictive variables of abstention. The implications of the results for the strategies to control smoking are discussed.
本文报告了一项研究的2个月结果，该研究旨在比较三种在初级卫生保健中鼓励戒烟方法的有效性：个体化医学咨询（最小干预）、护士咨询加随访选项以及医学咨询加尼古丁咀嚼胶。该研究共纳入了425名年龄在15至65岁之间的吸烟者。其中349人（82%）通过电话访谈进行了短期随访。在对吸烟状况电话报告的估计有效性进行调整后，宣称已戒烟的比例分别为10.9%、10.8%和11.1%，三组之间无显著差异。在逻辑回归分析中，只有合并疾病的存在以及预期的戒烟困难表现为戒烟的预测变量。文中讨论了研究结果对控烟策略的影响。
