School of Nursing, The University of Hong Kong, HKSAR.
School of Public Health, The University of Hong Kong, HKSAR.
Sci Rep. 2017 Apr 5;7:45902. doi: 10.1038/srep45902.
The aim of the study was to examine the effects of a brief stage-matched smoking cessation intervention group compared with a control group (with usual care) in type 2 diabetes mellitus patients who smoked by randomized controlled trial. There were 557 patients, randomized either into the intervention group (n = 283) who received brief (20- minute) individualized face-to-face counseling by trained nurses and a diabetes mellitus-specific leaflet, or a control group (n = 274) who received standard care. Patient follow-ups were at 1 week, 1 month, 3 months, 6 months, and 12 months via telephone, and assessment of smoking status from 2012 to 2014. Patients smoked an average of 14 cigarettes per day for more than 37 years, and more than 70% were in the precontemplation stage of quitting. The primary outcome showed that both the intervention and control groups had similar 7-day point-prevalence smoking abstinence (9.2% vs. 13.9%; p = 0.08). The secondary outcome showed that HbA1c levels with 7.95% [63 mmol/mol] vs. 8.05% [64 mmol/mol], p = 0.49 at 12 months, respectively. There was no evidence for effectiveness in promoting the brief stage-matched smoking cessation or improving glycemic control in smokers with type 2 diabetes mellitus, particularly those in the pre-contemplation stage.
本研究旨在通过随机对照试验，检验针对 2 型糖尿病患者（吸烟）的简短阶段匹配戒烟干预组与对照组（常规护理）的效果。共有 557 名患者随机分为干预组（n=283）和对照组（n=274）。干预组接受由经过培训的护士提供的简短（20 分钟）个体化面对面咨询以及糖尿病特刊，对照组接受常规护理。患者在 1 周、1 个月、3 个月、6 个月和 12 个月时通过电话进行随访，并在 2012 年至 2014 年期间评估吸烟状况。患者平均每天吸烟 14 支，吸烟史超过 37 年，超过 70%的人处于戒烟前考虑阶段。主要结局显示，干预组和对照组的 7 天点吸烟戒断率相似（9.2%比 13.9%；p=0.08）。次要结局显示，干预组和对照组的 HbA1c 水平分别为 7.95%[63mmol/mol]和 8.05%[64mmol/mol]，差异无统计学意义（p=0.49），12 个月时差异无统计学意义。本研究没有证据表明，对于处于前考虑阶段的 2 型糖尿病吸烟者，简短阶段匹配戒烟或改善血糖控制是有效的。
