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探究中国吸烟脑卒中患者尼古丁依赖程度和戒烟意愿:一项横断面调查。

Exploring the degree of nicotine dependence and willingness to quit smoking in Chinese smoking patients with stroke: A cross-sectional survey.

机构信息

Linyi City Center Blood Station, Shandong Province 146 Yimeng North Road, Lanshan District, Linyi City, Shangdong, China.

Linshu County People's Hospital, Xiangyang Road, Linshu County, Linyi City, Shangdong, China.

出版信息

Medicine (Baltimore). 2021 Dec 10;100(49):e27715. doi: 10.1097/MD.0000000000027715.

Abstract

Smoking is closely related to the occurrence of stroke. The degree of nicotine dependence and willingness to quit smoking are key factors that determine whether a smoker can successfully quit smoking. Few studies have been conducted on factors affecting the willingness to quit smoking among smokers who suffered from stroke.Although the smoking rate has declined, it is still the main changeable risk factor for cerebrovascular diseases. We aimed to investigate the current status of nicotine dependence and willingness to quit smoking among patients who suffered from stroke. We also clarified factors that affect the willingness to quit smoking among stroke patients and provide evidence for quitting smoking.Convenience sampling methods were used to conduct cross-sectional studies. A questionnaire survey was administered to 215 stroke patients who smoked. A general information questionnaire as well as patient smoking and cessation status questionnaire were used. Nicotine dependence test scale, smoking attitude factor score, and tobacco harm perception scale were applied for investigation. Logistic regression was used to analyze factors related to patients' willingness to quit smoking.Statistically significant differences in willingness to quit smoking were found among stroke patients with different ages, household registration status, education levels, marital status, occupation, smoking attitude, and nicotine dependence (P < .05). About 34.4%, 39.1%, and 26.5% of smoking patients had low, moderate, and severe nicotine dependence, respectively. Logistic analysis showed that compared with other occupations, workers, retirees, farmers, and freelancers compared with other people (0.050, 0.081, 0.053, 0.048) had a negative impact on the willingness to quit smoking among stroke patients. Compared with positive attitudes, negative and neutral smoking attitudes (0.190, 0.048) had a negative impact on the willingness to quit smoking among stroke patients. Compared with high nicotine dependence, low and moderate nicotine dependence (4.628, 2.596) had a positive impact on willingness to quit smoking.Smoking patients in neurology department are more willing to quit smoking (67.9%). Factors such as occupation, smoking attitude, and nicotine dependence should be considered when establishing smoking cessation interventions for stroke smokers.

摘要

吸烟与中风的发生密切相关。尼古丁依赖程度和戒烟意愿是决定吸烟者能否成功戒烟的关键因素。尽管吸烟率有所下降,但它仍然是脑血管疾病的主要可改变危险因素。我们旨在调查中风患者的尼古丁依赖程度和戒烟意愿现状。我们还阐明了影响中风患者戒烟意愿的因素,并为戒烟提供了依据。采用方便抽样法进行横断面研究。对 215 名吸烟的中风患者进行问卷调查。采用一般情况问卷和患者吸烟和戒烟状况问卷。应用尼古丁依赖测试量表、吸烟态度因子评分和烟草危害感知量表进行调查。采用 Logistic 回归分析患者戒烟意愿的相关因素。不同年龄、户籍状况、文化程度、婚姻状况、职业、吸烟态度和尼古丁依赖程度的中风患者戒烟意愿差异有统计学意义(P<0.05)。约 34.4%、39.1%和 26.5%的吸烟患者尼古丁依赖程度分别为低、中、重度。Logistic 分析显示,与其他职业相比,工人、退休人员、农民和自由职业者与其他人相比(0.050、0.081、0.053、0.048)对中风患者戒烟意愿有负面影响。与积极的吸烟态度相比,消极和中立的吸烟态度(0.190、0.048)对中风患者戒烟意愿有负面影响。与高尼古丁依赖相比,低尼古丁依赖和中度尼古丁依赖(4.628、2.596)对戒烟意愿有积极影响。神经内科吸烟患者更愿意戒烟(67.9%)。在为中风吸烟者制定戒烟干预措施时,应考虑职业、吸烟态度和尼古丁依赖等因素。

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