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戒烟的金标准方案(GSP)对孕妇和非孕妇的有效性。

Effectiveness of the gold standard programmes (GSP) for smoking cessation in pregnant and non-pregnant women.

机构信息

WHO-CC Clinical Health Promotion Centre, Bispebjerg and Frederiksberg Hospitals--a part of Copenhagen University Hospital, The Capital Region, Nordre Fasanvej 57, DK-2000 Frederiksberg, Copenhagen, Denmark.

出版信息

Int J Environ Res Public Health. 2013 Aug 16;10(8):3653-66. doi: 10.3390/ijerph10083653.

DOI:10.3390/ijerph10083653
PMID:23959083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3774462/
Abstract

BACKGROUND

Smoking is considered the most important preventable risk factor in relation to the development of complications during pregnancy and delivery. The aim of this study was to evaluate the effectiveness of an intensive 6-week gold standard programme (GSP) on pregnant women in real life.

METHODS

This was a prospective cohort study based on data from a national Danish registry on smoking cessation interventions. The study population included 10,682 women of a fertile age. The pregnancy status of the study population was identified using the National Patient Registry.

RESULTS

The response rate to follow up was 76%. The continuous abstinence rate for both pregnant and non-pregnant smokers was 24-32%. The following prognostic factors for continuous abstinence were identified: programme format (individual/group), older age, heavy smoking, compliance with the programme, health professional recommendation, and being a disadvantaged smoker.

CONCLUSIONS

The GSP seems to be as effective among pregnant smokers as among non-pregnant smoking women. Due to the relatively high effect and clinical significance, the GSP would be an attractive element in smoking cessation intervention among pregnant women.

摘要

背景

吸烟被认为是与妊娠和分娩期间并发症发展有关的最重要的可预防风险因素。本研究的目的是评估密集型 6 周黄金标准方案(GSP)对现实生活中孕妇的有效性。

方法

这是一项基于丹麦全国戒烟干预登记处数据的前瞻性队列研究。研究人群包括 10682 名育龄妇女。通过国家患者登记处确定研究人群的妊娠状态。

结果

随访的应答率为 76%。无论是孕妇还是非孕妇吸烟者,持续戒烟率为 24-32%。确定的持续戒烟的预后因素包括:方案形式(个体/小组)、年龄较大、吸烟量大、遵守方案、卫生专业人员的建议以及处于劣势的吸烟者。

结论

GSP 似乎对孕妇吸烟者和非孕妇吸烟者同样有效。由于效果较高且具有临床意义,GSP 将成为孕妇戒烟干预的一个有吸引力的元素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6290/3774462/7b0119c73bc4/ijerph-10-03653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6290/3774462/7b0119c73bc4/ijerph-10-03653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6290/3774462/7b0119c73bc4/ijerph-10-03653-g001.jpg

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