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与吸烟者多次前往戒烟诊所就诊相关的因素。

Factors Associated with Smokers Attending More Than One Smoking Cessation Clinic Visit.

作者信息

Kwon Oh Beom, Jung Chihoon, Kim Auk, Byeon Gihwan, Lee Seung-Joon, Kim Woo Jin

机构信息

Department of Internal Medicine, Kangwon National University Hospital, Chuncheon 24289, Republic of Korea.

Schema Labs Inc. 1, Kangwondaehak-gil, Chuncheon 24341, Republic of Korea.

出版信息

J Clin Med. 2023 Nov 21;12(23):7222. doi: 10.3390/jcm12237222.

Abstract

Smoking remains a primary cause of cancers, cardiovascular and respiratory diseases and death. Globally, efforts have been made to reduce smoking rates, but the addictive nature of nicotine, a key component of tobacco, makes cessation challenging for smokers. Medical interventions including medical advice and pharmacotherapies are effective methods for smoking cessation. The frequency of medical interventions correlates with success in smoking cessation. This study aims to compare the characteristics of the patients who visited the smoking cessation clinic once with those who visited more than once, in order to identify factors that are associated with repeat clinic visits. A total of 81 patients who have visited the smoking cessation clinic in Kangwon National University Hospital were included. Patients answered the questionnaire at their first visit. If the patient visited only once, the outcome was defined as negative and if the patient visited more than once, the outcome was defined as positive. The proportion of patients who answered "within 5 min" to the Fagerstrom Test for Nicotine Dependence's (FTND) 1st question and answered "yes" to the FTND's 6th question was higher in the negative outcome group. In the logistic regression, patients who had withdrawal symptoms previously were associated with positive outcomes (adjusted OR 3.466, 95% CI 1.088-11.034 and value = 0.0354). Withdrawal symptoms during previous attempts were positively related to visiting the clinic more than once.

摘要

吸烟仍然是癌症、心血管疾病和呼吸系统疾病及死亡的主要原因。在全球范围内,人们已努力降低吸烟率,但烟草的关键成分尼古丁具有成瘾性,这使得吸烟者戒烟具有挑战性。包括医学建议和药物治疗在内的医学干预措施是有效的戒烟方法。医学干预的频率与戒烟成功与否相关。本研究旨在比较只去过一次戒烟门诊的患者与去过不止一次的患者的特征,以确定与再次就诊相关的因素。纳入了81名在江原国立大学医院戒烟门诊就诊的患者。患者在首次就诊时回答问卷。如果患者只就诊过一次,结果定义为阴性;如果患者就诊过不止一次,结果定义为阳性。在尼古丁依赖的Fagerstrom测试(FTND)的第1个问题回答“在5分钟内”且对FTND的第6个问题回答“是”的患者比例在阴性结果组中更高。在逻辑回归中,之前有戒断症状的患者与阳性结果相关(调整后的比值比为3.466,95%置信区间为1.088 - 11.034,P值 = 0.0354)。之前尝试戒烟时的戒断症状与不止一次就诊呈正相关。

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