Antón-García F, Pruteanu D F, Correcher-Salvador E
Centro de Salud Fuensanta, Valencia, España.
Centro de Salud Quart de Poblet, Valencia, España.
Semergen. 2016 Mar;42(2):75-80. doi: 10.1016/j.semerg.2015.02.002. Epub 2015 Mar 26.
To assess the evolution of smoking cessation process after using a COPD-6 Vitalograph in smokers that came to a primary care practice (PCP) during a three year period (March 2011- February 2013).
To assess if there are any new COPD diagnoses and to compare the smoking cessation outcomes to those of a specific smoking cessation practice (SSCP) from another healthcare centre.
Two devices were used: Vitalograph (electronic device measuring the lung function) and the CO-oximeter, in 176 patients (active search of smokers).
tobacco pack-years, tobacco dependence (shortened Fagerström test), CO in exhaled breath (in parts per million-ppm), personal history of COPD or cardiovascular disease (CVD). The patients performed three forced exhalations and the Vitalograph registered the lung function (FEV1, FEV6, FEV1/FEV6) and the estimated lung age (ELA). Patient attitude was assessed (phases: pre-contemplation, contemplation, preparation) before and after the test, informing them of the outcomes. Patient progress in the smoking cessation process was also recorded.
A total of 176 smokers were studied in PCP and 33 in SSCP. PCP/SSCP: age: 45.9/51.6 years old (p=042); pack-years 25.5/39.3 (p=0001); patients who quit smoking and used medicines for it 2/9. In PCP: age-ELA 45.9/57.4 (p=0.000). In SSCP: age-ELA 51.6/74.3 (p=000). Smoking habit evolution PCP/SSCP: cessation 24.5%/48.5% (p=004). Difference 24%. CI difference (6.4-42.8%). In PCP new COPD diagnosis in 6 smokers.
COPD-6 Vitalograph is a fast and easy to use tool in day-to-day practice. The percentage of smoking cessation is better in SSCP, although a high smoking cessation rate was obtained in PCP (active search).
评估在三年期间（2011年3月至2013年2月）到基层医疗诊所（PCP）就诊的吸烟者使用COPD - 6肺活量计后戒烟过程的进展情况。
评估是否有新的慢性阻塞性肺疾病（COPD）诊断，并将戒烟结果与另一个医疗中心的特定戒烟实践（SSCP）的结果进行比较。
使用了两种设备：肺活量计（测量肺功能的电子设备）和一氧化碳血氧计，对176名患者（主动寻找吸烟者）进行检测。
吸烟包年数、烟草依赖（简化的法格斯特罗姆测试）、呼出气体中的一氧化碳（以百万分比 - ppm计）、慢性阻塞性肺疾病或心血管疾病（CVD）的个人病史。患者进行三次用力呼气，肺活量计记录肺功能（第1秒用力呼气量（FEV1）、第6秒用力呼气量（FEV6）、FEV1/FEV6）和估计肺龄（ELA）。在测试前后评估患者态度（阶段：未考虑、考虑、准备），并告知他们测试结果。还记录了患者戒烟过程中的进展情况。
在基层医疗诊所共研究了176名吸烟者，在特定戒烟实践中研究了33名。基层医疗诊所/特定戒烟实践：年龄：45.9/51.6岁（p = 0.42）；吸烟包年数25.5/39.3（p = 0.0001）；戒烟并使用药物的患者2/9。在基层医疗诊所：年龄 - 估计肺龄45.9/57.4（p = 0.000）。在特定戒烟实践中：年龄 - 估计肺龄51.6/74.3（p = 0.00）。基层医疗诊所/特定戒烟实践的吸烟习惯演变：戒烟率24.5%/48.5%（p = 0.04）。差异24%。差异的置信区间（6.4 - 42.8%）。在基层医疗诊所，6名吸烟者有新的慢性阻塞性肺疾病诊断。
COPD - 6肺活量计在日常实践中是一种快速且易于使用的工具。特定戒烟实践中的戒烟率更高，尽管在基层医疗诊所（主动寻找）也获得了较高的戒烟率。
