Pelletier J G, Moisan J T
Régie de la Santé et des Services Sociaux du Bas-Saint-Laurent.
Can J Public Health. 1998 Jul-Aug;89(4):264-9. doi: 10.1007/BF03403933.
The purpose of this study was to evaluate the impact of a smoking cessation intervention for hospitalized patients, implemented by regular staff and incorporated into their routine care of patients. The intervention was conducted in one experimental hospital and in two control hospitals. One year after discharge, 15% of smokers became non-smokers in the experimental hospital versus 8% in the control hospitals. This difference is not statistically significant (p = 0.08), however a small sample in the control hospitals had an influence on the statistical power. A logistic regression highlights program participation as the only variable predictive of a non-smoker status one year after discharge, considering both types of hospitals (experimental and control). Establishing relevancy of smoking cessation intervention for hospitalized patients is probably no longer needed. But research should be carried on towards finding better ways to convince the staff to intervene, towards establishing relevancy for specialized staff and defining intensity of required interventions before and after hospitalization.
本研究的目的是评估由普通工作人员实施并纳入患者常规护理的住院患者戒烟干预措施的效果。该干预措施在一家实验医院和两家对照医院进行。出院一年后，实验医院15%的吸烟者戒烟，而对照医院为8%。这种差异无统计学意义（p = 0.08），不过对照医院样本量较小对统计效能有影响。逻辑回归显示，综合考虑两类医院（实验医院和对照医院），项目参与是出院一年后预测非吸烟者状态的唯一变量。或许不再需要确定住院患者戒烟干预措施的相关性。但应继续开展研究，以找到更好的方法来说服工作人员进行干预，确定专业工作人员的相关性，并明确住院前后所需干预措施的强度。
