基层医疗患者一年随访期间复发后再次戒烟的比率及预测因素。
Rates and predictors of renewed quitting after relapse during a one-year follow-up among primary care patients.
作者信息
Bold Krysten W, Rasheed Abdullah S, McCarthy Danielle E, Jackson Thomas C, Fiore Michael C, Baker Timothy B
机构信息
Department of Psychology, Rutgers, The State University of New Jersey, Piscataway, NJ, USA.
出版信息
Ann Behav Med. 2015 Feb;49(1):128-40. doi: 10.1007/s12160-014-9627-6.
BACKGROUND
Most people who quit smoking relapse within a year of quitting. Little is known about what prompts renewed quitting after relapse or how often this results in abstinence.
PURPOSE
This study seeks to identify rates, efficacy, and predictors of renewed quit attempts after relapse during a 1-year follow-up.
METHODS
Primary care patients in a comparative effectiveness trial of smoking cessation pharmacotherapies reported daily smoking every 6-12 weeks for 12 months to determine relapse, renewed quitting, and 12-month abstinence rates.
RESULTS
Of 894 known relapsers, 291 (33%) renewed quitting for at least 24 h, and 99 (34%) of these were abstinent at follow-up. The average latency to renewed quitting was 106 days and longer latencies predicted greater success. Renewed quitting was more likely for older, male, less dependent smokers, and later abstinence was predicted by fewer depressive symptoms and longer past abstinence.
CONCLUSIONS
Renewed quitting is common and produces meaningful levels of cessation.
背景
大多数戒烟者在戒烟后的一年内会复吸。对于复吸后促使再次戒烟的因素以及这种情况导致戒烟成功的频率，人们知之甚少。
目的
本研究旨在确定在为期1年的随访中复吸后再次尝试戒烟的比率、效果及预测因素。
方法
在一项戒烟药物疗法的比较疗效试验中，初级保健患者每6 - 12周报告一次每日吸烟情况，持续12个月，以确定复吸、再次戒烟及12个月的戒烟率。
结果
在894名已知复吸者中，291人（33%）再次戒烟至少24小时，其中99人（34%）在随访时成功戒烟。再次戒烟的平均延迟时间为106天，延迟时间越长，成功的可能性越大。年龄较大、男性、烟瘾较小的吸烟者更有可能再次戒烟，抑郁症状较少和过去戒烟时间较长则预示着后期戒烟成功。
结论
再次戒烟很常见，且能产生显著的戒烟效果。
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