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对手工工厂工人进行戒烟教育并通过动机访谈评估其效果:一项干预研究。

Educating the handicraft factory workers about tobacco cessation and to assess its effectiveness by motivational interviewing: An Intervention study.

作者信息

Mahajan Rajeev, Solanki Jitender, Kurdekar Raghvendra S, Gupta Sarika, Modh Ashish, Yadav OmPrakash

机构信息

Department of Public Health Dentistry, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India.

Department of Public Health Dentistry, Rajasthan Dental College and Hospital, Jaipur, Rajasthan, India.

出版信息

J Exp Ther Oncol. 2017 May;12(1):43-49.

PMID:28472563
Abstract

INTRODUCTION

Tobacco use is considered to be global pandemic. The study was done to assess the effectiveness of smoking cessation intervention among workers by motivational interviewing among handicraft factories, Jodhpur, Rajasthan.

METHODOLOGY

An interventional study was carried out among 400 handicraft factory workers on the basis of inclusion and exclusion criterion. Twenty one handicraft factories were taken into consideration. Training, Standardization and Calibration of Examiners was carried out in the public health department. The structured pre-tested proforma and Fagerstrom questionnaire was used to record the data. Four sessions of intervention were given to workers. Follow ups were carried out after 1 month, 3month and 6month. Paired t-test was used to compare Fagerstrom/smoking analysis mean scores among study and control groups before and after intervention.

RESULTS

showed that in study group, a percentage change of +1.2%, seen in high dependence category and -1.5 in very high dependence and after 6 months the change was+14.2%, 18.7%, -19.2% in Very low dependence, Low dependence, Medium dependence, -11.8% was seen in high dependence category and -1.8 in very high dependence. When comparison was done among Fagerstrom/smoking analysis mean scores among study subjects before and after intervention. It was found that there was a significant difference between the mean scores of Fagerstrom/smoking analysis between baseline - 3 months, 3 months to 6 months and 6 months to 9 months among study group as compared to control group.

CONCLUSION

Tobacco addiction produces neurological and behavioural change, optima; approach involving behavioural change and pharmacotherapy are needed.

摘要

引言

烟草使用被视为全球性流行病。本研究旨在评估拉贾斯坦邦焦特布尔市手工业工厂中通过动机访谈对工人进行戒烟干预的效果。

方法

根据纳入和排除标准,对400名手工业工厂工人进行了一项干预性研究。共考虑了21家手工业工厂。在公共卫生部门对检查人员进行了培训、标准化和校准。使用结构化的预测试表格和法格斯特龙问卷记录数据。对工人进行了四节干预课程。在1个月、3个月和6个月后进行随访。使用配对t检验比较研究组和对照组在干预前后的法格斯特龙/吸烟分析平均得分。

结果

显示在研究组中,高依赖类别中出现了+1.2%的百分比变化,极高依赖类别中为 -1.5%,6个月后,极低依赖、低依赖、中度依赖类别中的变化分别为+14.2%、18.7%、-19.2%,高依赖类别中为 -11.8%,极高依赖类别中为 -1.8%。当比较研究对象干预前后的法格斯特龙/吸烟分析平均得分时。发现与对照组相比,研究组在基线至3个月、3个月至6个月和6个月至9个月期间的法格斯特龙/吸烟分析平均得分存在显著差异。

结论

烟草成瘾会导致神经和行为变化,需要采用涉及行为改变和药物治疗的最佳方法。

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