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戒烟项目中吸烟者的预后决定因素。

Determinants of outcome among smokers in a smoking cessation program.

作者信息

Salih M A, Farghaly A A

机构信息

Medical Education and Research Center, Burydah, Saudi Arabia.

出版信息

J Family Community Med. 1996 Jul;3(2):22-31.

Abstract

BACKGROUND

Tobacco consumption is now one of the most serious problems in the world and is receiving renewed attention in the current health promotion.

OBJECTIVES

This study was carried out to elucidate the psychosocial and behavioural aspects of smokers associated with participation, attrition and outcome in smoking cessation programs.

METHODOLOGY

This prospective cohort design included three hundred and twenty six smokers from the antismoking center - King Fahd Specialist Hospital, Buraydah, Kingdom of Saudi Arabia. The selected patients were subjected to a history taking, the assessment of causes of smoking, motives for quitting and belief problems arising from quitting; then they were made to join the clinic's antismoking program and were followed up after six months to assess the success of the program, which was measured by the rate of recidivism.

RESULTS AND CONCLUSION

THE RESULTS SHOWED THAT THE IMPORTANT PSYCHOSOCIAL AND BEHAVIOURAL FACTORS AFFECTING THE SUCCESS IN QUITTING SMOKING WERE: previous history of an attempt to stop tension, anxiety, anger, health beliefs and attitudes, importance of quitting, duration of smoking, period of last attempt to stop and the method used. These factors can be modified in order to increase the likelihood of success in quitting smoking.

摘要

背景

烟草消费如今是世界上最严重的问题之一,并且在当前的健康促进中再次受到关注。

目的

开展本研究以阐明与戒烟项目中的参与、退出及结果相关的吸烟者的心理社会和行为方面。

方法

这项前瞻性队列研究纳入了来自沙特阿拉伯王国布赖代法赫德国王专科医院戒烟中心的326名吸烟者。对选定的患者进行病史采集、吸烟原因评估、戒烟动机及戒烟引发的信念问题评估;然后让他们参加该诊所的戒烟项目,并在六个月后进行随访以评估项目的成功率,成功率通过复吸率来衡量。

结果与结论

结果表明,影响戒烟成功的重要心理社会和行为因素包括:既往戒烟尝试史、紧张、焦虑、愤怒、健康信念和态度、戒烟的重要性、吸烟时长、上次戒烟尝试的时间及所用方法。可以对这些因素进行调整以提高戒烟成功的可能性。

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Addict Behav. 1993 May-Jun;18(3):321-9. doi: 10.1016/0306-4603(93)90033-6.
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Self-efficacy and relapse in smoking cessation programs.戒烟项目中的自我效能与复吸
J Consult Clin Psychol. 1981 Oct;49(5):648-58. doi: 10.1037//0022-006x.49.5.648.
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Psychosocial predictors of smoking behavior change.吸烟行为改变的社会心理预测因素。
Soc Sci Med (1967). 1972 Feb;6(1):137-44. doi: 10.1016/0037-7856(72)90013-3.

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