Department of Cardiac Surgery, ICU, Papanikolaou General Hospital, Thessaloniki, Greece.
Department of Cardiac Surgery, Papanikolaou General Hospital, Thessaloniki, Greece.
Ann Card Anaesth. 2021 Jan-Mar;24(1):56-61. doi: 10.4103/aca.ACA_63_19.
Tobacco smoking represents a major risk factor for coronary artery disease. Our study aimed to investigate whether Coronary Artery Bypass Graft (CABG) surgery could act as a motivating factor to enforce smoking cessation. Specifically, we observed the success rate in individuals who quitted smoking, along with the number and reasons of relapse(s) at least one year after the operation.
The pre-operative characteristics, pre-operative tobacco exposure, socioeconomic factors and perioperative complications in patients who underwent isolated Coronary Artery Bypass Graft surgery in our Department from June 2012 to September 2016 were reviewed. Our survey was conducted via phone interview and using a standardized questionnaire. Only patients who were current smokers at the time of surgery were interviewed.
Our study group consisted of a total of 120 patients, 91 (75.8') reported initially quitting tobacco smoking. Because of relapse(s), one year after the procedure the number of patients who were still non-smokers dropped to 69 (57.5'). Smoking cessation attempts were not supported by professional assistance.
Our findings demonstrate that there is a desire from CABG patients to quit smoking, as indicated by the high percentage of initial attempts in early postoperative period. However, a year after the procedure, only 57.5' of CABG patients were able to achieve or maintain smoking cessation. Patients who were retired or who were unemployed at the time of the surgery, found it easier to stop smoking than patients who were active employees. Patients who lived alone at the time of surgery also found it harder to stop smoking. Finally, patients with COPD also found quitting smoking harder in the post-operative period.
吸烟是冠心病的主要危险因素。我们的研究旨在探讨冠状动脉旁路移植术（CABG）是否可以作为戒烟的动力因素。具体而言，我们观察了在手术后至少一年戒烟成功的个体比例，以及复发的数量和原因。
回顾了 2012 年 6 月至 2016 年 9 月在我院接受单纯冠状动脉旁路移植术的患者的术前特征、术前吸烟暴露、社会经济因素和围手术期并发症。我们通过电话访谈和使用标准化问卷进行了调查。仅对手术时为当前吸烟者的患者进行了访谈。
我们的研究组共包括 120 名患者，91 名（75.8%）报告最初戒烟。由于复发，手术后一年，仍不吸烟的患者数量降至 69 名（57.5%）。戒烟尝试未得到专业帮助的支持。
我们的研究结果表明，CABG 患者有戒烟的愿望，因为术后早期初始尝试的比例很高。然而，手术后一年，只有 57.5%的 CABG 患者能够实现或维持戒烟。手术时退休或失业的患者比在职患者更容易戒烟。手术时独居的患者也发现更难戒烟。最后，患有 COPD 的患者在术后戒烟也更困难。
