Lim Gajin, Park Inki, Park Sungjae, Song Sookhee, Kim Hyeok, Kim Suhyun
Department of Internal Medicine, Seoul Medical Center, Seoul, Korea.
Tuberc Respir Dis (Seoul). 2014 Jun;76(6):276-83. doi: 10.4046/trd.2014.76.6.276. Epub 2014 Jun 28.
We aimed to investigate the role of the physician in practice and the factors that influence the success rate of smoking cessation.
This study retrospectively analyzed 126 adult smokers who had visited the outpatient department of pulmonology, and received motivational interviewing with or without supplement drugs. The findings include continuous smoking abstinence rate, which was evaluated at 6, 12 and 24 weeks, and the factors associated with continuous abstinence for 6 months or longer.
The patients with only motivational interviewing accounted for 57.9%, while the nicotine patch therapy was applied to 30.2%; and varenicline was prescribed to 11.9%. The smoking cessation success rates of at 6, 12, and 24 weeks were 55.6%, 47.6%, and 33.3%, respectively. However, even in the failure group at six months, tobacco consumption was decreased under 10 cigarettes per day in 42.1% (53/126). In multivariate logistic regression analysis, degree of Fagerstöm Test for Nicotine Dependence (p=0.034; odds ratio, 3.607; 95% confidence interval [CI], 1.102-1.807), the absence of smoking-related lung disease (p=0.008; odds ratio, 4.693; 95% CI, 1.497-14.707), and education level (p=0.001; odds ratio, 181.420; 95% CI, 8.414-3,911.502) were the predictors of successful smoking cessation.
An improved continuous smoking abstinence rate can be obtained by motivational interviewing, regardless of the association with pharmacotherapy.
我们旨在研究医生在实际工作中的作用以及影响戒烟成功率的因素。
本研究回顾性分析了126名到呼吸内科门诊就诊的成年吸烟者，他们接受了有无辅助药物的动机性访谈。研究结果包括在6周、12周和24周时评估的持续戒烟率，以及与持续戒烟6个月或更长时间相关的因素。
仅接受动机性访谈的患者占57.9%，应用尼古丁贴片疗法的占30.2%，开具伐尼克兰的占11.9%。6周、12周和24周时的戒烟成功率分别为55.6%、47.6%和33.3%。然而，即使在6个月时的失败组中，42.1%（53/126）的人每日烟草消费量减少至10支以下。在多因素逻辑回归分析中，尼古丁依赖的Fagerstöm测试程度（p = 0.034；优势比，3.607；95%置信区间[CI]，1.102 - 1.807）、无吸烟相关肺部疾病（p = 0.008；优势比，4.693；95%CI，1.497 - 14.707）以及教育水平（p = 0.001；优势比，181.420；95%CI，8.414 - 3,911.502）是戒烟成功的预测因素。
无论是否联合药物治疗，通过动机性访谈都可以提高持续戒烟率。
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