Galera O, Bajon D, Maoz Z, Lussagnet C, Tadiotto A, Babin T
Clinique de rééducation cardiovasculaire et pulmonaire de Saint-Orens, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France; Réseau régional de santé respiratoire Partn'Air, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France.
Clinique de rééducation cardiovasculaire et pulmonaire de Saint-Orens, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France; Réseau régional de santé respiratoire Partn'Air, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France.
Rev Pneumol Clin. 2018 Sep;74(4):221-225. doi: 10.1016/j.pneumo.2017.11.001. Epub 2018 Mar 2.
Nicotine replacement therapies remain the main validated treatment to stop smoking. Nevertheless, treatment acceptance deals with patients negative representations. This "nicotinophobia" could be the main barrier to treatment acceptance and as a consequence would be at the origin of numerous failures of smoking cessation.
We estimated the efficiency of an educational collective workshop to fight against nicotinophobia in patients smokers hospitalized for cardiovascular and pulmonary rehabilitation.
Smoking cessation was significantly improved in patients who participated at the workshop (81 vs. 48 %), associated with a significant decrease of anxiety-depression scores, and without significant weight gain (average loss of 2.8kg).
Educational approaches seem to help a majority of patient smokers to stop smoking, without anxiety and without weight gain. These results encourage the creation of a real therapeutic educational program dedicated to smoking cessation.
尼古丁替代疗法仍然是经证实的主要戒烟治疗方法。然而，治疗的接受度涉及患者的负面观念。这种“尼古丁恐惧症”可能是治疗接受度的主要障碍，因此可能是众多戒烟失败的根源。
我们评估了一个教育性集体工作坊在对抗因心血管和肺部康复而住院的吸烟患者的尼古丁恐惧症方面的效果。
参加工作坊的患者戒烟情况有显著改善（81% 对 48%），同时焦虑抑郁评分显著降低，且体重没有显著增加（平均减轻2.8千克）。
教育方法似乎有助于大多数吸烟患者戒烟，且不会产生焦虑，也不会导致体重增加。这些结果促使创建一个专门用于戒烟的真正的治疗性教育项目。
