Secker-Walker R H, Solomon L J, Flynn B S, Skelly J M, Lepage S S, Goodwin G D, Mead P B
Office of Health Promotion Research, University of Vermont, Burlington.
Am J Obstet Gynecol. 1994 Nov;171(5):1347-55. doi: 10.1016/0002-9378(94)90159-7.
We examined the efficacy of individualized smoking cessation counseling added to obstetricians' and nurse-midwives' advice.
In a mixed private and publicly supported prenatal clinic 600 pregnant women who smoked were randomly assigned to receive the usual advice from their obstetrician or nurse-midwife or the usual advice plus individualized smoking cessation counseling. Smoking status was measured by self-report and urinary cotinine/creatinine ratios at 36 weeks and by self-report during long-term postpartum follow-up.
Quitting rates during pregnancy were not increased by adding individualized smoking cessation counseling to usual care. At the long-term follow-up, reported quitting rates were significantly greater among intervention group women cared for in the publicly supported clinic than among those receiving the usual care, 14.5% versus 2.5%, p < 0.01.
Although adding individual smoking cessation counseling did not increase quitting rates during pregnancy, it should be considered for women in public maternity clinics because of its potential long-term effectiveness.
我们研究了在产科医生和助产士的建议基础上增加个性化戒烟咨询的效果。
在一家公私合营的产前诊所，600名吸烟的孕妇被随机分配，分别接受产科医生或助产士的常规建议，或常规建议加个性化戒烟咨询。通过自我报告和36周时的尿可替宁/肌酐比值测量吸烟状况，并在产后长期随访期间通过自我报告进行测量。
在常规护理基础上增加个性化戒烟咨询并没有提高孕期戒烟率。在长期随访中，在公立诊所接受护理的干预组女性报告的戒烟率显著高于接受常规护理的女性，分别为14.5%和2.5%，p<0.01。
虽然增加个性化戒烟咨询并没有提高孕期戒烟率，但由于其潜在的长期效果，对于公立产科诊所的女性应考虑采用。
