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不同干预方式对戒烟效果的影响OA

Impact of different intervention methods on smoking cessation

中文摘要英文摘要

目的 比较不同干预方式对戒烟效果的影响,为戒烟的个体化和精确化提供指导.方法 收集 2021 年 10 月至2023 年10 月重庆医科大学附属第二医院戒烟门诊就诊的368 名吸烟者资料,按照意愿分为门诊组、微信组和门诊+微信组.统计分析各组社会人口学特征、吸烟和戒烟情况,比较不同干预方式对戒烟疗效的影响.结果 第 3和 6 月,微信组的减烟率、持续戒烟率和第 3 月的 7 天时点戒烟率最低和失访率最高(均P<0.05);第 6 月,门诊+微信组持续戒烟率最高和微信组最低(P<0.05).第 6 月,各组减烟数量较前增多,门诊+微信组的减烟数量最高(P<0.05);烟草依赖程度较前降低,微信组的FTND和HSI评分高于其他两组(P<0.05).年龄、烟草依赖程度和是否完成长期随访是戒烟成功的危险因素(P<0.05).结论 不同方式均可帮助戒烟,门诊+微信组干预效果更强,微信组最弱.

Objective To evaluate different intervention methods on the efficacy of smoking cessation in order to support individualized and precise smoking cessation.Methods Data of 368 patients who visited the smoking ces-sation clinic at the Second Affiliated Hospital of Chongqing Medical University from October 2021 to October 2023 were collected and divided into outpatient group,WeChat group and outpatient+WeChat group according to their preferences.Statistical analysis of social demographic characteristics,smoking and smoking cessation status in each group was performed.Results At the third and sixth months,the WeChat group had the lowest smoking reduction rate,sustained smoking cessation rate,and 7-day point-prevalence abstinence rate in the third month,as well as the highest dropout rate(all P<0.05);In the sixth month,the outpatient+WeChat group had the highest continu-ous smoking cessation rate and the WeChat group had the lowest(both P<0.05).In the sixth month,the number of cigarette reduction in each group increased compared to before,with the outpatient+WeChat group having the highest number of cigarette reductions(P<0.05).The degree of tobacco dependence decreased compared to before and the FTND and HSI scores of the WeChat group were higher than the other two groups(both P<0.05).Age,degree of tobacco dependence,and completion of long-term follow-up were risk factors for successful smoking cessation(all P<0.05).Conclusions Different methods can help quit smoking and the intervention effect of out-patient+WeChat group is the most effective one and the WeChat group is the weakest one.

张艺;龙美玲;李星辰;童瑾

重庆医科大学附属第二医院 重症医学科,重庆 400410重庆医科大学附属第二医院 重症医学科,重庆 400410重庆医科大学附属第二医院 重症医学科,重庆 400410重庆医科大学附属第二医院 重症医学科,重庆 400410

医药卫生

烟草依赖强化戒烟干预随访方式7天时点戒烟率持续戒烟率

smoking cessation clinicstrengthen smoking cessation intervention7-day smoking cessation ratecontinuous smoking cessation ratetobacco dependence

《基础医学与临床》 2026 (2)

215-219,5

重庆市自然科学基金(2024NSCQ-KJFZMSX0112)

10.16352/j.issn.1001-6325.2026.02.0215

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