Al Risi Khalid, Al Maqbali Mandhar, Asiri Waddah Alalmaei, Al Sinawi Hamed
Psychiatry Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.
Department of Psychiatry, Sohar Hospital, Sohar, Oman.
Oman Med J. 2018 May;33(3):224-228. doi: 10.5001/omj.2018.41.
Tobacco smoking is the single most avoidable cause of morbidity and mortality around the world. Patients with psychiatric disorders tend to smoke tobacco at a higher rate than the general population, with significant adverse health consequences. This study aimed to determine the rate of tobacco smoking among psychiatric outpatients attending Sultan Qaboos University Hospital, a tertiary care hospital in Muscat, Oman.
We conducted a cross-sectional study among psychiatric outpatients attending a psychiatric clinic from 1 January to 1 August 2017. The patients' demographic information, history of smoking, previous hospitalizations, and the number of and specific psychotropics used during treatment was documented. The degree of dependence on tobacco smoking was measured using the Fagerstrom test for nicotine dependence.
A total of 272 patients were included in this study. The overall rate of smoking among psychiatric patients was 13.6%. Patients with schizophrenia had the highest rate of smoking (22.2%), followed by those with bipolar (13.1%), and anxiety disorders (11.1%). Patients who smoked tobacco were more likely to be admitted to the psychiatric ward than non-smokers ( < 0.050).
Tobacco smoking is common among psychiatric patients, a finding consistent with similar studies conducted in different parts of the world. Assessment of smoking status and its associated adverse health associations among patients with mental disorders is of paramount importance.
吸烟是全球最可避免的发病和死亡原因。患有精神疾病的患者吸烟率往往高于普通人群，会产生严重的不良健康后果。本研究旨在确定阿曼马斯喀特一家三级护理医院——苏丹·卡布斯大学医院精神科门诊患者的吸烟率。
我们于2017年1月1日至8月1日对一家精神科诊所的精神科门诊患者进行了一项横断面研究。记录了患者的人口统计学信息、吸烟史、既往住院情况以及治疗期间使用的精神药物的种类和数量。使用尼古丁依赖的法格斯特龙测试来衡量对吸烟的依赖程度。
本研究共纳入272例患者。精神科患者的总体吸烟率为13.6%。精神分裂症患者的吸烟率最高（22.2%），其次是双相情感障碍患者（13.1%）和焦虑症患者（11.1%）。吸烟患者比不吸烟患者更有可能被收治到精神科病房（<0.050）。
吸烟在精神科患者中很常见，这一发现与世界不同地区进行的类似研究一致。评估精神障碍患者的吸烟状况及其相关的不良健康关联至关重要。
