基于"5A's"模型的中医药戒烟干预效果分析及评价OA

Objective To evaluate the effectiveness of a traditional Chinese medicine(TCM)smoking cessation intervention model based on the"5A's"model.Methods Sixty tobacco-dependent individuals with a desire to quit,treated at the smoking cessation clinic of Wuxi Hospital of Traditional Chinese Medicine were included.The intervention program integrated TCM therapies such as herbal tea(Lung-clearing Smoking Cessation Tea),acupuncture,and auricular acupressure,combined with the"5A's"model(ask,advise,assess,assist,arrange follow-up)to implement comprehensive inter-vention,with a follow-up period of 3 months.Changes in key indicators,including daily cigarette con-sumption,exhaled carbon monoxide(CO)value,Fagerström Test for Nicotine Dependence(FTND)score,and continuous abstinence rate(CO≤6 ppm),were compared before intervention(baseline)and at 1 week,1 month,and 3 months after intervention.Results The continuous abstinence rate at 3 months after intervention reached 75.0％(45/60),which was significantly higher than the natural absti-nence rate(＜5％).At each time point after intervention,daily cigarette consumption,exhaled CO value,and FTND score all decreased significantly compared to baseline(all P＜0.001),showing time-dependent improvement.Smoking cessation success rates varied among different constitutions,with higher success rates observed in individuals with phlegm-dampness constitution(78.6％,22/28)and damp-heat constitution(70.8％,17/24).No serious adverse events were reported.Conclusion TCM smok-ing cessation intervention model based on the"5A's"model integrates TCM constitution-based dif-ferentiation intervention methods,significantly improving smoking cessation success rates,with prov-en effectiveness and good safety.