Raja Mitali, Saha Sabyasachi, Mohd Shafaat, Narang Ridhi, Reddy L Vamsi Krishna, Kumari Minti
Resident, Department of Public Health Dentistry, Sardar Patel Postgraduate Institute of Dental and Medical Sciences , Lucknow, India .
Professor and Head, Department of Public Health Dentistry, Sardar Patel Postgraduate Institute of Dental and Medical Sciences , Lucknow, India .
J Clin Diagn Res. 2014 Apr;8(4):ZC47-9. doi: 10.7860/JCDR/2014/8015.4279. Epub 2014 Apr 15.
Tobacco is the greatest disease-producing product which is known to man and it is a primary cause of many oral diseases and adverse oral conditions. This study was conducted to bring the behavioural changes and to educate individuals about the harmful effects of tobacco.
Subjects reporting to the tobacco cessation centre of the Department of Public Health Dentistry and giving a history of tobacco consumption (smoking/smokeless) within past 30 day period were randomized into 2 groups: cognitive behavioural therapy (CBT) group (study group) and Basic health education (BHE) group (control group). Baseline evaluation (of demographic parameters, smoking/ smokeless behaviour) was done and Fagerstrom's test for Nicotine Dependence (FTND) was used to assess subjects' nicotine addiction levels. Follow up was done at intervals of 2 weeks and 4 weeks to assess the reduction in the mean FTND score. Appropriate statistical analysis was performed (Paired and Unpaired t-test).
Of all the subjects who reported to the department, 40 subjects were recruited in the study. A majority of the subjects were males who belonged to rural areas, who had completed high school and most of them had consumed more than 10 sachets of pan masala daily, for an average of 10 years. In both CBT and BHE groups, significant reductions in mean Fagerstrom scores at 1st and 2nd follow ups from baseline and between 1st and 2nd follow ups were seen. But when both groups were compared, reductions in mean Fagerstrom scores were found to be more in CBT group than in BHE group at all time intervals, though it was not statistically significant.
Any intervention given to tobacco users from either CBT or BHE groups, helped the patients in quitting habit of tobacco.
烟草是人类已知的最具致病力的产品，是许多口腔疾病和不良口腔状况的主要原因。本研究旨在促使行为改变，并向个人宣传烟草的有害影响。
向公共卫生牙科学系戒烟中心报告且有过去30天内烟草消费（吸烟/无烟烟草）史的受试者被随机分为两组：认知行为疗法（CBT）组（研究组）和基本健康教育（BHE）组（对照组）。进行了基线评估（人口统计学参数、吸烟/无烟烟草行为），并使用尼古丁依赖的Fagerstrom测试（FTND）来评估受试者的尼古丁成瘾水平。每隔2周和4周进行随访，以评估平均FTND评分的降低情况。进行了适当的统计分析（配对和非配对t检验）。
在向该科室报告的所有受试者中，40名受试者被纳入研究。大多数受试者为男性，来自农村地区，已完成高中学业，且他们中的大多数人每天消费超过10包槟榔，平均消费了10年。在CBT组和BHE组中，从基线开始的第1次和第2次随访以及第1次和第2次随访之间，平均Fagerstrom评分均有显著降低。但在比较两组时，发现CBT组在所有时间间隔内平均Fagerstrom评分的降低幅度均大于BHE组，尽管差异无统计学意义。
给予CBT组或BHE组的烟草使用者的任何干预措施，都有助于患者戒除烟草习惯。
