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“厌倦吸烟”:对基层医疗中针对性的最小化戒烟干预措施的评估

"Sick of Smoking": evaluation of a targeted minimal smoking cessation intervention in general practice.

作者信息

Wilson D H, Wakefield M A, Steven I D, Rohrsheim R A, Esterman A J, Graham N M

机构信息

South Australian Health Commission, Adelaide.

出版信息

Med J Aust. 1990 May 21;152(10):518-21. doi: 10.5694/j.1326-5377.1990.tb125351.x.

Abstract

Several smoking intervention studies have been conducted overseas which use a minimal amount of general practitioners' time and are conducted within the constraints of a normal consultation. However, there are no published reports of minimal interventions in Australian general practice. This study reports on 1238 South Australian smokers who were assigned to a non-intervention control group or a group which received firm general practitioner advice to quit smoking plus literature. At one-year follow-up, 7.5% of smokers in the minimal advice group who had quit for six or more months remained non-smokers compared with 3.2% in the control group. If similar analytical procedures had been used in this study as were used in the benchmark study in England in 1979, the quit rate for this study would have been 11.3% in the intervention group, and 4.8% in the control group--a net gain of 6.5%. These results are discussed with regard to widespread implementation in Australian general practice.

摘要

海外已经开展了多项吸烟干预研究,这些研究只需全科医生投入极少的时间,且是在正常诊疗的框架内进行。然而,澳大利亚全科医疗中关于最低限度干预措施的研究尚无公开报告。本研究报告了1238名南澳大利亚吸烟者的情况,他们被分为非干预对照组或接受全科医生强烈戒烟建议并获得相关资料的组。在一年的随访中,接受最低限度建议组中戒烟六个月或更长时间的吸烟者有7.5%仍保持不吸烟状态,而对照组这一比例为3.2%。如果本研究采用1979年英国基准研究中使用的类似分析方法,干预组的戒烟率本应为11.3%,对照组为4.8%,净收益为6.5%。文中就这些结果在澳大利亚全科医疗中的广泛应用进行了讨论。

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