Grad Gustavo Freitas, Pincelli Mariangela Pimentel, Moura Karolinny, Rocha Cristiane, Alves Ana Karoline, Lobo Lucas Menezes Mercado, Silva Bruno, Steidle Leila
University Hospital Polydoro Ernani de São Thiago, Federal University of Santa Catarina, Trindade, Florianópolis, Santa Catarina, Brasil.
Rev Assoc Med Bras (1992). 2019 Jun 3;65(5):603-610. doi: 10.1590/1806-9282.65.5.603.
To investigate the profile of motivations for smoking among inpatients at a hospital in southern Brazil.
A survey study involving hospitalized smokers. The Modified Reasons for Smoking Scale (MRFSS) and its domains were analyzed according to gender and dependence degree.
The sample consisted of 85 adults (mean age 53 years), low schooling/family income, and well-adjusted in terms of gender (male= 52.9%) and clinical (48%) or surgical (47%) specialty. Most were in Action as the motivational stage (68%), with elevated smoking exposure (median = 39 years/packs) and dependence degree of nicotine (56.4%). The highest domains of the MRFSS were: Smoking Pleasure (4.34 ± 1.2), Relaxation/Tension Reduction (4.24 ± 1.2) and Dependence (3.8±1.4). Significantly, women presented higher scores, in domain Relaxation/Tension Reduction (4.7±0.9). In those with elevated nicotine dependence, higher scores were observed in the Automatism/Habit and Stimulation domains.
Smoking Pleasure and Relaxation/Tension Reduction, especially in women and Automatism, in those more dependents, are factors that should be more highlighted in future strategies for smoking cessation in inpatients.
调查巴西南部一家医院住院患者的吸烟动机情况。
一项针对住院吸烟者的调查研究。根据性别和依赖程度对改良吸烟原因量表（MRFSS）及其各个维度进行分析。
样本包括85名成年人（平均年龄53岁），受教育程度低/家庭收入低，在性别（男性=52.9%）以及临床（48%）或外科（47%）专业方面分布均衡。大多数人处于行动动机阶段（68%），吸烟暴露时间长（中位数=39年/包），尼古丁依赖程度高（56.4%）。MRFSS得分最高的维度为：吸烟愉悦感（4.34±1.2）、放松/减轻紧张感（4.24±1.2）和依赖（3.8±1.4）。值得注意的是，女性在放松/减轻紧张感维度的得分更高（4.7±0.9）。在尼古丁依赖程度高的人群中，自动行为/习惯和刺激维度的得分更高。
吸烟愉悦感和放松/减轻紧张感，尤其是女性中的这两个因素，以及自动行为（在尼古丁依赖程度更高的人群中），是未来住院患者戒烟策略中应更突出强调的因素。
