Kerkvliet Jennifer L, Fahrenwald Nancy L
South Dakota State University, USA.
College of Nursing South Dakota State University, USA.
S D Med. 2014 Jan;67(1):25-9.
Tobacco use is a burden in terms of mortality, chronic disease, and economic impact. Effective treatments exist to aid tobacco users who are motivated to quit. The South Dakota QuitLine provides coaching to all participants and the option of a cessation product (nicotine replacement therapy [NRT], or the prescription medications, varenicline or bupropion) at no cost. This study describes the types of services requested by South Dakota QuitLine participants and the associated cessation outcomes across service types.
Data from South Dakota QuitLine enrollees during a four year period (2008 to 2011) were included. Enrollment data (demographics and tobacco use) and outcome evaluation data (30 day point prevalence - abstinence) collected seven months later were accessed (N = 11,603/26,876 enrollees, 43.2 percent response). The frequency of requests for each type of cessation service and associated cessation outcomes are reported. Abstinence at seven months was compared for the different services.
Frequencies of cessation services requested were coaching/varenicline (64.6 percent), coaching/bupropion (5 percent), coaching/NRT (22.6 percent), and coaching only (5.4 percent). Overall abstinence at seven months was 47.2 percent. Abstinence rates for service types were the following: coaching/varenicline (49.8 percent), coaching/bupropion (47.3 percent), coaching/NRT (42.9 percent), and coaching only (40.3 percent). Chi-square analysis and confidence interval comparisons identified significantly higher abstinence (p < .05) for varenicline/coaching in comparison to coaching only or coaching/NRT.
All service options available from the South Dakota QuitLine result in cessation rates of 40 percent or greater. Providers should assess tobacco use, advise users to quit, and refer to the South Dakota QuitLine.
就死亡率、慢性病和经济影响而言，吸烟是一项负担。现有有效的治疗方法来帮助有戒烟意愿的吸烟者。南达科他州戒烟热线为所有参与者提供指导，并免费提供戒烟产品（尼古丁替代疗法 [NRT]，或处方药伐尼克兰或安非他酮）。本研究描述了南达科他州戒烟热线参与者所要求的服务类型以及不同服务类型对应的戒烟结果。
纳入了南达科他州戒烟热线在四年期间（2008年至2011年）的登记数据。获取了登记数据（人口统计学和吸烟情况）以及七个月后收集的结果评估数据（30天时间点流行率 - 戒烟情况）（N = 11,603/26,876名登记者，回复率43.2%）。报告了每种戒烟服务请求的频率以及相关的戒烟结果。比较了不同服务在七个月时的戒烟情况。
所请求的戒烟服务频率分别为指导/伐尼克兰（64.6%）、指导/安非他酮（5%）、指导/NRT（22.6%）和仅指导（5.4%）。七个月时的总体戒烟率为47.2%。各服务类型的戒烟率如下：指导/伐尼克兰（49.8%）、指导/安非他酮（47.3%）、指导/NRT（42.9%）和仅指导（40.3%）。卡方分析和置信区间比较发现，与仅指导或指导/NRT相比，伐尼克兰/指导的戒烟率显著更高（p < .05）。
南达科他州戒烟热线提供的所有服务选项的戒烟率均达到40%或更高。医疗服务提供者应评估吸烟情况，建议吸烟者戒烟，并转介至南达科他州戒烟热线。
