基于螺旋计的戒烟动机干预的有效性:RESET随机试验
Francisco Martín-Luján1,2,3,4, Antoni Santigosa-Ayala1,2,4, Meritxell Pallejà-Millán3,4
1Department of Primary Care Camp de Tarragona, Institut Català de la Salut, Tarragona, Spain.
The European journal of general practice
|November 7, 2023
概括
动机性螺旋计反显著增加了长期吸烟戒断率在初级保健. 这种干预,加上简短的咨询,有助于吸烟者戒烟,特别是那些准备改变的人.
科学领域:
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
- 行为科学 行为科学
背景情况:
- 关于吸烟戒断的螺旋计反的证据是不确定的.
- 初级保健机构对于提供戒烟干预措施至关重要.
研究的目的:
- 评价动机干预使用螺旋计结果持续吸烟戒断.
- 为了确定干预后12个月干预的有效性.
主要方法:
- 一个多中心的,随机的,受控的,观察者盲目的试验,涉及614名没有呼吸系统疾病的成年吸烟者 (35-70岁).
- 参与者接受了简短的咨询;干预组还接受了螺旋计反 (包括肺年龄).
- 主要结局:长达12个月的禁欲,通过尿液中可提宁来验证.
主要成果:
- 与对照组相比 (2.6%,p=0.004),干预组的长期戒断率显著更高 (7.8%).
- 螺旋测量反是戒烟的一个独立因素 (OR 2.8;95% CI 1.2至7.7).
- 个体的变化阶段 (准备/行动) 也对戒烟产生了积极的影响 (HR 2.55).
结论:
- 一个初级保健干预措施,结合简短的咨询和螺旋计反,有效地增加了戒烟率.
- 这种干预措施对没有被诊断出呼吸道疾病的活跃吸烟者有益.
- 改变的个别阶段是成功戒烟的重要因素.
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