住院戒烟治疗项目后心理状况及变化对戒烟成功的影响：一项回顾性观察研究

Effects of psychological conditions and changes on smoking cessation success after a residential smoking cessation therapy program: a retrospective observational study.

作者信息

Kim Gyu Lee, Yi Yu Hyeon, Lee Jeong Gyu, Tak Young Jin, Lee Seung Hun, Ra Young Jin, Lee Sang Yeoup, Cho Young Hye, Park Eun Ju, Lee Youngin, Choi Jung In

机构信息

Department of Family Medicine and Medical Research Institute, Pusan National University Hospital, Busan, Korea.

Department of Family Medicine, Pusan National University School of Medicine, Yangsan, Korea.

出版信息

J Yeungnam Med Sci. 2025;42:20. doi: 10.12701/jyms.2025.42.20. Epub 2025 Jan 2.

DOI:10.12701/jyms.2025.42.20

PMID:39757595

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12005683/

Abstract

BACKGROUND

Residential smoking cessation therapy programs offer intensive treatment for heavy smokers who struggle to quit independently, particularly those with high nicotine dependence and health conditions that necessitate urgent cessation. While previous studies have established the effectiveness of such programs and identified various factors influencing smoking cessation success, it remains unclear how changes in smokers' thoughts and attitudes following residential therapy correlate with their ability to quit smoking. We investigated the relationship between smoking cessation-related characteristics, smoking-related psychological status, and participants' smoking cessation success after a residential smoking cessation therapy program.

METHODS

From January 2017 to December 2018, 291 participants completed the program. All participants completed questionnaires on smoking cessation-related characteristics and smoking-related psychological status before the program and on the 5th day. Six months later, smoking cessation success was assessed using a urine cotinine test.

RESULTS

After 6 months, 222 participants successfully quit smoking, while 69 failed. The success and failure groups exhibited statistically significant differences in age, marital status, total smoking duration, stress, and emotion regulation strategies. Participants who used ineffective emotion regulation strategies more frequently had a lower rate of smoking cessation success (odds ratio [OR], 0.969; 95% confidence interval [CI], 0.948-0.991). Moreover, an increase in the perception of the negative effects of smoking cessation (OR, 0.982; 95% CI, 0.967-0.997) and smoking temptation (OR, 0.960; 95% CI, 0.929-0.993) was associated with higher cessation success.

CONCLUSION

Emotion regulation strategies, perceptions of the effects of smoking cessation, and smoking temptation were associated with successful smoking cessation.

摘要

背景

住院戒烟治疗项目为那些难以独立戒烟的重度吸烟者提供强化治疗，尤其是对尼古丁高度依赖以及有迫切戒烟需求的健康状况不佳者。尽管先前的研究已证实此类项目的有效性，并确定了影响戒烟成功的各种因素，但住院治疗后吸烟者的思想和态度变化与他们戒烟能力之间的关系仍不明确。我们调查了住院戒烟治疗项目后，戒烟相关特征、吸烟相关心理状态与参与者戒烟成功之间的关系。

方法

2017年1月至2018年12月，291名参与者完成了该项目。所有参与者在项目开始前和第5天完成了关于戒烟相关特征和吸烟相关心理状态的问卷调查。6个月后，通过尿液可替宁检测评估戒烟成功情况。

结果

6个月后，222名参与者成功戒烟，69名失败。成功组和失败组在年龄、婚姻状况、总吸烟时长、压力和情绪调节策略方面存在统计学显著差异。更频繁使用无效情绪调节策略的参与者戒烟成功率较低（优势比[OR]，0.969；95%置信区间[CI]，0.948 - 0.991）。此外，对戒烟负面影响的认知增加（OR，0.982；95% CI，0.967 - 0.997）和吸烟诱惑增加（OR，0.960；95% CI，0.929 - 0.993）与更高的戒烟成功率相关。