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冠心病患者中的二手烟暴露情况

Second-Hand Smoke Exposure Among Coronary Heart Disease Patients.

作者信息

Abu-Baker Nesrin N, Al-Jarrah Elham A, Suliman Mohammad

机构信息

Faculty of Nursing, Community and Mental Health Nursing Department, Jordan University of Science & Technology, Irbid, Jordan.

Faculty of Nursing, Community and Mental Health Nursing, Al-alBayt University, Mafraq, Jordan.

出版信息

J Multidiscip Healthc. 2020 Jan 31;13:109-116. doi: 10.2147/JMDH.S238984. eCollection 2020.

DOI:10.2147/JMDH.S238984
PMID:32099378
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6999760/
Abstract

PURPOSE

The objectives of this study were to assess second-hand smoke (SHS) exposure among coronary heart disease (CHD) patients at home, in transportation, workplace, public and social places; to examine the demographic factors that predict SHS exposure; and to investigate the relationship between SHS exposure and CHD complications, age at the time of diagnosis, and number of admissions in the last year.

PATIENTS AND METHODS

A descriptive cross-sectional design was used with a convenient sample of 400 CHD patients from three hospitals in Jordan. A modified version of the Smoking Scale for Adults (SS-A) was used.

RESULTS

The percentage of SHS exposure was 64% in public places, 51.5% in social places, 48.5% in the household, 31% in transportation, while it was only 14.8% in the workplace. In addition, being male, employed, having a younger age and lower education significantly predicted higher exposure to SHS. Exposure to SHS was positively associated with CHD complications and the number of admissions, while it was negatively associated with the age at diagnosis with CHD.

CONCLUSION

Collaboration is needed among all health care sectors to adopt educational strategies about SHS exposure and to activate policies to prohibit smoking in public places.

摘要

目的

本研究的目的是评估冠心病(CHD)患者在家庭、交通场所、工作场所、公共场所和社交场所的二手烟暴露情况;研究预测二手烟暴露的人口统计学因素;并调查二手烟暴露与冠心病并发症、诊断时的年龄以及去年的住院次数之间的关系。

患者与方法

采用描述性横断面设计,对来自约旦三家医院的400例冠心病患者进行便利抽样。使用了成人吸烟量表(SS-A)的修订版。

结果

公共场所二手烟暴露率为64%,社交场所为51.5%,家庭为48.5%,交通场所为31%,而工作场所仅为14.8%。此外,男性、就业、年龄较小和教育程度较低显著预示着更高的二手烟暴露。二手烟暴露与冠心病并发症和住院次数呈正相关,而与冠心病诊断时的年龄呈负相关。

结论

所有医疗保健部门需要合作,采取关于二手烟暴露的教育策略,并激活公共场所禁烟政策。

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本文引用的文献

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2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.2019 ACC/AHA 心血管疾病一级预防指南:执行摘要:美国心脏病学会/美国心脏协会临床实践指南工作组的报告。
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Environmental Tobacco Smoke and Cardiovascular Disease.环境烟草烟雾与心血管疾病。
Int J Environ Res Public Health. 2018 Dec 31;16(1):96. doi: 10.3390/ijerph16010096.
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Secondhand Smoke Exposure and Subclinical Cardiovascular Disease: The Multi-Ethnic Study of Atherosclerosis.二手烟暴露与亚临床心血管疾病:动脉粥样硬化多民族研究
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Association of Secondhand Smoke With Stroke Outcomes.二手烟与中风结局的关联。
Stroke. 2016 Nov;47(11):2828-2835. doi: 10.1161/STROKEAHA.116.014099. Epub 2016 Oct 11.
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Burden of disease from second-hand smoke exposure in New Zealand.新西兰二手烟暴露导致的疾病负担。
N Z Med J. 2016 Apr 1;129(1432):16-25.
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Health Impact Assessment for Second-Hand Smoke Exposure in Germany--Quantifying Estimates for Ischaemic Heart Diseases, COPD, and Stroke.德国二手烟暴露的健康影响评估——缺血性心脏病、慢性阻塞性肺疾病和中风的量化估计
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Secondhand tobacco smoke exposure among hospitalized nonsmokers with coronary heart disease.
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