Vivantes Netzwerk für Gesundheit GmbH, Rudower Straße 48, 12351, Berlin, Germany.
Humboldt Universität Berlin, Unter den Linden 6, 10099, Berlin, Germany.
Wien Med Wochenschr. 2021 Oct;171(13-14):330-334. doi: 10.1007/s10354-020-00797-4. Epub 2021 Apr 6.
Smoking cessation is one of the most powerful health promotion tools in the Western world. Behavioral group therapies are regarded as very promising interventions in this field. Quitting rates are usually evaluated after 6-12 months and lie between 30 and 45%. So far, there are no scientific data on potential protective indicators to remain successfully smoke free after this period. Therefore, the aim of this study was to detect the current smoking status of former participants of a cessation service in an urban German surrounding. We investigated reasons for relapses, quitting strategies, and psychosocial parameters.
In 2019, 130 former patients (2011-2017; mean age 54 years; 37 pack/years; Fagerstroem = 5.75; 58.5% male, 41.5% female; 66% physical comorbidities; 35% psychiatric diagnoses) were invited to participate in a mailed survey (including WHO 5, SF 12, self-efficacy scale) and were asked about their current smoking status, personal history of smoking, and individual experiences with stopping after the 1‑year abstinence date.
A total of 53 persons replied (RR 41%), 29 (54%) of whom are currently smoke free; 24 relapsed intermittently or permanently, 9 experimented with e‑cigarettes, and 2 became dual users. Daily hassles as well as physical and mental challenges were the main reasons for relapsing.
Due to the low response rate, conclusions are limited; however, the 1‑year abstinence rate might not be as reliable as thought so far; long-term "sober" nicotine addicts remain at risk of relapse.
戒烟是西方世界最有力的健康促进手段之一。行为团体疗法被认为是该领域非常有前途的干预措施。戒烟率通常在 6-12 个月后进行评估，介于 30%至 45%之间。到目前为止，还没有关于在这段时间后保持成功戒烟的潜在保护指标的科学数据。因此，本研究的目的是检测一个城市德国周边地区戒烟服务的前参与者目前的吸烟状况。我们调查了复吸的原因、戒烟策略和社会心理参数。
2019 年，邀请了 130 名前患者（2011-2017 年；平均年龄 54 岁；37 包/年；Fagerstroem=5.75；58.5%男性，41.5%女性；66%有躯体合并症；35%有精神科诊断）参加邮寄调查（包括 WHO 5、SF 12、自我效能量表），并询问他们目前的吸烟状况、个人吸烟史以及在 1 年戒烟日期后停止吸烟的个人经历。
共有 53 人回复（RR 41%），其中 29 人（54%）目前不吸烟；24 人间歇性或永久性复吸，9 人尝试使用电子烟，2 人成为双重使用者。日常烦恼以及身心挑战是复吸的主要原因。
由于回复率低，结论有限；然而，1 年的戒烟率可能不像迄今为止认为的那么可靠；长期“清醒”的尼古丁成瘾者仍有复吸的风险。
