Division of Cardiovascular Medicine (Dr Pack), Center for Quality of Care Research (Drs Goff, Lindenauer, and Pack), and Department of Internal Medicine (Dr Lindenauer), Baystate Medical Center, Springfield, Massachusetts; Departments of Exercise Science and Sports Studies (Ms Riley and Drs Headley and Mazur) and Psychology (Dr Winter), Springfield College, Springfield, Massachusetts; The Center for Cardiac Fitness, The Miriam Hospital, Providence, Rhode Island (Ms Riley); Department of Psychiatry, University of Vermont, Burlington (Dr Gaalema); and Tufts University School of Medicine, Boston, Massachusetts (Dr Pack).
J Cardiopulm Rehabil Prev. 2018 Sep;38(5):286-290. doi: 10.1097/HCR.0000000000000288.
Cardiac rehabilitation (CR) attendance has been associated with higher smoking cessation (SC) rates. However, for unclear reasons, smokers are consistently less likely to enroll in CR than nonsmokers, and it is uncertain what might encourage them to attend.
We surveyed patients eligible for CR who were cigarette smokers at the time of hospital admission. We assessed patient intention to quit smoking, start exercising, and enroll in CR. We also measured anxiety and depression levels.
Of the 105 patients approached, 81 (77%) completed the survey (69% males, aged 57 ± 10 y, 72% white). Most patients reported interest in SC (80%) and attending CR (78%). Many felt that SC medications (41%), stress management programs (35%), and an exercise program with SC counseling (30%) would increase their likelihood to attend CR; however, 30% stated that they would be less likely to enroll in CR if they continued smoking following discharge. Many patients indicated high levels of anxiety (51%) and depression (27%); many desired to reduce stress following discharge (73%), with 35% stating that stress management programs would increase their likelihood to attend CR.
Hospitalized smokers eligible for CR report significant interest in SC, attending CR, and beginning an exercise program. These patients show high levels of anxiety and depression and indicate a strong interest in stress management programs. These results suggest that messages emphasizing the role of CR in the treatment of depression, anxiety, and stress are likely to resonate with smokers, increase their enrollment in CR, and support long-term SC.
心脏康复（CR）的参与与更高的戒烟（SC）率相关。然而，由于不清楚的原因，吸烟者始终比不吸烟者更不可能参加 CR，并且不确定什么可以鼓励他们参加。
我们调查了在入院时吸烟的符合 CR 条件的患者。我们评估了患者戒烟、开始锻炼和参加 CR 的意愿。我们还测量了焦虑和抑郁水平。
在接受调查的 105 名患者中，有 81 名（77%）完成了调查（69%为男性，年龄 57±10 岁，72%为白人）。大多数患者表示对 SC（80%）和参加 CR（78%）感兴趣。许多人认为 SC 药物（41%）、压力管理计划（35%）和带有 SC 咨询的锻炼计划（30%）会增加他们参加 CR 的可能性；但是，30%的人表示如果他们在出院后继续吸烟，他们将不太可能参加 CR。许多患者表示焦虑水平高（51%）和抑郁水平高（27%）；许多人希望在出院后减轻压力（73%），有 35%的人表示压力管理计划会增加他们参加 CR 的可能性。
有资格参加 CR 的住院吸烟者报告对 SC、参加 CR 和开始锻炼计划有很大兴趣。这些患者表现出高水平的焦虑和抑郁，并表示对压力管理计划有浓厚的兴趣。这些结果表明，强调 CR 在治疗抑郁、焦虑和压力方面的作用的信息可能会引起吸烟者的共鸣，增加他们对 CR 的参与，并支持长期的 SC。
