Boehm Gabriela, Schroeder Yvonne, Schoberberger Rudolf
Institute of Social Medicine, Center of Public Health, Medical University of Vienna, Kinderspitalgasse 15, 1090, Vienna, Austria.
Department of Finance, Faculty of Business, Economics and Statistics, University of Vienna, Vienna, Austria.
Wien Klin Wochenschr. 2015 Oct;127(19-20):786-91. doi: 10.1007/s00508-015-0820-9. Epub 2015 Jul 4.
This study aims to answer the question to which extent even very heavy nicotine-dependent smokers can benefit from a 3-week inpatient smoking cessation program. A particular focus lies on analyzing the positive effects, which go above and beyond normally anticipated health benefits.
This is a descriptive study observing 270 patients over a 1-year period consisting of recruitment, therapy, and two post-therapy follow-up visits at 6-month interval. Gender differences, changes in body weight, and factors relating to addiction and the nicotine withdrawal process are analyzed. In comparing successful participants-post-therapy nonsmokers-with less successful ones, our analysis identifies benefits and advantages an inpatient smoking cessation therapy can bring to even the heaviest smokers.
At the 12-month post-therapy follow-up visit, 42.6% of participants were identified as nonsmokers. A total of 34.0% of participants took up smoking again. No data is available on the remaining participants. Nonsmokers experienced significant reduction in nicotine craving and withdrawal symptoms. In terms of body weight, increases were found in both, men and women, nonsmokers and smokers.
Successful quitters fail to report of an unbearable strong desire to smoke. Such unfounded fear should be communicated. Weight gain remains an undesired side effect. Hence, it is crucial to diagnose individuals more prone to weight gain and offer coping strategies thus reducing the risk of developing obesity. Nevertheless, the outcome of the study should be an encouragement to also heavy smokers and empower them to undertake smoking cessation.
本研究旨在回答即使是尼古丁重度依赖的吸烟者在多大程度上能从为期3周的住院戒烟项目中获益这一问题。特别关注的是分析那些超出正常预期健康益处的积极效果。
这是一项描述性研究，在1年时间内观察了270名患者，包括招募、治疗以及两次间隔6个月的治疗后随访。分析了性别差异、体重变化以及与成瘾和尼古丁戒断过程相关的因素。通过比较成功参与者（治疗后戒烟者）和不太成功的参与者，我们的分析确定了住院戒烟治疗即使对最重度吸烟者也能带来的益处和优势。
在治疗后12个月的随访中，42.6%的参与者被确定为戒烟者。共有34.0%的参与者再次开始吸烟。其余参与者无数据。戒烟者的尼古丁渴望和戒断症状显著减轻。在体重方面，男性和女性、戒烟者和吸烟者的体重均有所增加。
成功戒烟者并未报告有无法忍受的强烈吸烟欲望。应传达这种毫无根据的恐惧。体重增加仍然是一个不良副作用。因此，关键是要诊断出更易体重增加的个体并提供应对策略，从而降低患肥胖症的风险。尽管如此，该研究结果应能鼓励重度吸烟者并使他们有信心进行戒烟。
