Harris Helen E, Tweedie Fiona, White Marie, Samson Kay
From the Fife Rheumatic Diseases Unit, Whyteman's Brae Hospital, UK National Health Service (NHS) Fife; and Smoking Cessation Department, Haig House, Cameron Hospital, NHS Fife.H.E. Harris, MD, Consultant Rheumatologist, Rheumatic Diseases Unit, Whyteman's Brae Hospital; F. Tweedie, Occupational Therapist, Rheumatic Diseases Unit, Whyteman's Brae Hospital; M.J. White, RGN, Specialist Rheumatology Nurse, Rheumatic Diseases Unit, Whyteman's Brae Hospital; K. Samson, Tobacco Issues Co-ordinator, Smoking Cessation Department, Haig House, Cameron Hospital.
J Rheumatol. 2016 Apr;43(4):691-8. doi: 10.3899/jrheum.141368. Epub 2016 Feb 15.
Seropositive rheumatoid arthritis (RA) is strongly linked to cigarette smoking, and smoking cessation is an essential step in RA management. Our objectives were to develop RA and smoking awareness materials and to evaluate the influence of the materials on awareness about the links between RA and smoking and on motivation to quit smoking.
A group of patients with seropositive RA in Fife, Scotland, were telephoned before the campaign, and the results of the precampaign questionnaire were used to develop the image for the campaign. After the campaign a second group of patients were questioned to ascertain the effect of the campaign.
The 320 patient responses to the precampaign questionnaire revealed that many ex-smokers with RA had quit when they developed a known smoking-related disease such as emphysema. This concept was used to develop an image illustrating that RA is a smoking-related disease. The campaign was launched in Fife in 2011. The postcampaign questionnaire involving 380 patients revealed that there was 21% higher awareness of a link between RA and smoking and 45% higher awareness that smoking could interfere with treatment of RA. In total, 13/75 smokers who had cut down since the campaign had been influenced by the new information.
The new materials have successfully increased patients' knowledge of the link between RA and smoking and the effect of smoking on RA therapy. RA smokers' attitudes to smoking may have been affected by the campaign.
血清反应阳性类风湿性关节炎（RA）与吸烟密切相关，戒烟是类风湿性关节炎治疗的关键步骤。我们的目标是制作关于类风湿性关节炎和吸烟的宣传材料，并评估这些材料对人们对类风湿性关节炎与吸烟之间联系的认知以及戒烟动机的影响。
在活动开展前，对苏格兰法夫郡的一组血清反应阳性类风湿性关节炎患者进行电话访问，并根据活动前调查问卷的结果来设计活动形象。活动结束后，对另一组患者进行询问，以确定活动的效果。
320名患者对活动前调查问卷的回复显示，许多患类风湿性关节炎的戒烟者是在患上诸如肺气肿等已知的与吸烟相关疾病后才戒烟的。这一概念被用于设计一幅表明类风湿性关节炎是一种与吸烟相关疾病的图片。该活动于2011年在法夫郡开展。涉及380名患者的活动后调查问卷显示，对类风湿性关节炎与吸烟之间联系的认知提高了21%，对吸烟会干扰类风湿性关节炎治疗的认知提高了45%。自活动开展以来，共有13/75名减少吸烟量的吸烟者受到了新信息的影响。
这些新材料成功地增加了患者对类风湿性关节炎与吸烟之间联系以及吸烟对类风湿性关节炎治疗影响的了解。该活动可能影响了患类风湿性关节炎吸烟者对吸烟的态度。
