Department of Family Medicine, Mackay Memorial Hospital, Taipei 106, Taiwan.
Department of Health Promotion and Health Education, National Taiwan Normal University, Taipei 106, Taiwan.
Int J Environ Res Public Health. 2018 Jun 10;15(6):1218. doi: 10.3390/ijerph15061218.
Smoking is the leading cause of preventable death. The purpose of this study was to explore the patient’s and physician’s factors that are correlated with smoking cessation success rate. A total of 877 smokers who visited the outpatient smoking cessation services at a medical center in Northern Taiwan were recruited for the study. Phone interviews were carried out six months after the initial visit to evaluate the success rate of smoking cessation. The result showed that the abstinence rate at six-month was 37.7%. By the multivariate logistic regression model, the predictive factors of abstinence were smokers who had a lower Fagerström test for cigarette dependence (FTCD), lower exhaled carbon monoxide (CO) concentration, or who smoked less than 20 cigarettes per day at the first visit. Smokers who had more than one smoking cessation outpatient visit or seen by physicians who, on average, delivered more than one smoking cessation consultations per week also led to a higher success rate. Therefore, we suggest that physicians should put more efforts and encourage follow-up visits for some smokers by knowing their characteristics at the first visit. Furthermore, physicians with more experience in smoking cessation consultation seemed to be more likely to help patients to quit smoking successfully.
吸烟是可预防死亡的主要原因。本研究旨在探讨与戒烟成功率相关的患者和医生因素。总共招募了 877 名在台湾北部一家医疗中心的门诊戒烟服务就诊的吸烟者进行这项研究。在初次就诊后六个月进行电话访谈，以评估戒烟的成功率。结果显示，六个月的戒烟率为 37.7%。通过多变量逻辑回归模型，预测戒烟成功的因素包括 Fagerström 尼古丁依赖测试（FTCD）得分较低、呼出的一氧化碳（CO）浓度较低、或初次就诊时每天吸烟少于 20 支的吸烟者。就诊次数多于一次或平均每周提供一次以上戒烟咨询的医生，也会提高戒烟成功率。因此，我们建议医生应根据患者的特点，在初次就诊时投入更多努力并鼓励他们进行随访。此外，在戒烟咨询方面经验更丰富的医生似乎更有可能帮助患者成功戒烟。
