与黎巴嫩急性冠状动脉综合征患者持续吸烟相关的因素。
Factors Associated With Continued Smoking in Lebanese Patients With Acute Coronary Syndrome.
机构信息
Samar Noureddine, PhD, RN, FAHA, FAAN Professor, Hariri School of Nursing, American University of Beirut, Lebanon. Angela Massouh, PhD, RN Assistant Professor, Hariri School of Nursing, American University of Beirut, Lebanon.
出版信息
J Cardiovasc Nurs. 2019 Jan/Feb;34(1):94-98. doi: 10.1097/JCN.0000000000000514.
BACKGROUND
Smoking in patients with acute coronary syndrome (ACS) increases their risk for recurrent events and death.
OBJECTIVES
The aim of this study was to describe the smoking trajectory among patients hospitalized with ACS and associated factors.
METHODS
Forty patients with ACS who were smokers were interviewed in the hospital about smoking history, nicotine dependence, depression, self-efficacy, and social support. Phone interviews at 1, 3, 6, and 12 months after discharge assessed smoking status and related factors.
RESULTS
Most patients (≥80%) were middle-aged married men, with high nicotine dependence (52.5%) and low self-efficacy for smoking cessation (mean [SD], 38.3 [27.19]) at baseline. Although 85% intended to quit after discharge, 62.5% continued smoking after 1 year. Persistent smoking was associated with lower self-efficacy (P < .01) and higher depression (P = .025).
CONCLUSION
Smoking cessation intervention must start in the hospital and continue for 6 months. The program must target self-efficacy, manage depression, and involve the patient's family.
背景
急性冠状动脉综合征（ACS）患者吸烟会增加其再次发病和死亡的风险。
目的
本研究旨在描述 ACS 住院患者的吸烟轨迹及其相关因素。
方法
对 40 名住院吸烟的 ACS 患者进行吸烟史、尼古丁依赖、抑郁、自我效能和社会支持的访谈。出院后 1、3、6 和 12 个月进行电话访谈，评估吸烟状况和相关因素。
结果
大多数患者（≥80%）为中年已婚男性，基线时尼古丁依赖程度较高（52.5%），戒烟自我效能较低（平均[标准差]，38.3[27.19]）。尽管 85%的患者出院后打算戒烟，但 62.5%的患者在 1 年后仍继续吸烟。持续吸烟与较低的自我效能（P<0.01）和较高的抑郁（P=0.025）相关。
结论
戒烟干预必须在医院开始，并持续 6 个月。该方案必须针对自我效能、管理抑郁和涉及患者家属。
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