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通过ATTOC模型评估中国人群的烟草使用情况:一项针对住院精神科患者的横断面调查。

Evaluation of tobacco use on Chinese population through ATTOC model: a cross-sectional survey on hospitalized psychiatric patients.

作者信息

Wang Xue, Peng Zugui, Ziedonis Douglas M, Wang Chaomin, Yu Bo, Li Tao

机构信息

Mental Health Center, West China Hospital of Sichuan University Chengdu 610041, Sichuan Province, China.

Department of Psychiatry, University of Massachusetts Medical School Worcester, Massachusetts, USA.

出版信息

Int J Clin Exp Med. 2015 Apr 15;8(4):6008-15. eCollection 2015.

Abstract

OBJECTIVES

To evaluate the feasibility of Addressing Tobaccos through Organizational Change (ATTOC) intervention to Chinese psychiatric patients, and to better address tobacco use through the ATTOC intervention model in the context of China.

METHODS

The study was conducted in Mental Health Center of West China Hospital in 2010. A total of 100 hospitalized psychiatric patients were recruited to carry out ATTOC intervention. Subjects suffers from mental illness were diagnosed by professional psychiatrists according to the International Statistical Classification of Diseases (ICD-10) criteria.

RESULTS

The prevalence of tobacco use in hospitalized psychiatric patients were closely correlated with the type of mental illness, family smoking history, sex, age, marital status, education status, etc. However, most psychiatric patients knew little about these, and tended to ignore the importance of smoking cessation.

CONCLUSIONS

The ATTOC intervention program of the U.S. may be suitable for hospitalized Chinese psychiatric patients, and it could be applied for the tobacco smoking treatment in China. However, the health effects of tobacco use still did not draw amount attentions from both the clinicians and general public. It is urgently needed to raise people's awareness and carry out ATTOC intervention to control tobacco use, and ultimately terminate tobacco use.

摘要

目的

评估通过组织变革解决烟草问题(ATTOC)干预措施对中国精神病患者的可行性,并在中国背景下通过ATTOC干预模式更好地解决烟草使用问题。

方法

该研究于2010年在华西医院精神卫生中心进行。共招募了100名住院精神病患者进行ATTOC干预。患有精神疾病的受试者由专业精神科医生根据国际疾病分类(ICD-10)标准进行诊断。

结果

住院精神病患者的烟草使用率与精神疾病类型、家庭吸烟史、性别、年龄、婚姻状况、教育程度等密切相关。然而,大多数精神病患者对此了解甚少,且往往忽视戒烟的重要性。

结论

美国的ATTOC干预方案可能适用于中国住院精神病患者,可应用于中国的吸烟治疗。然而,烟草使用对健康的影响仍未引起临床医生和公众的足够关注。迫切需要提高人们的认识并开展ATTOC干预以控制烟草使用,并最终杜绝烟草使用。

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