在产后妇女中预防吸烟复发:系统性审查和网络元分析
Journal of addiction medicine
|June 6, 2025
概括
认知行为疗法-激励面试 (CBT-MI) 和激励面试 (MI) 在产后戒烟方面显示出短期的前景. 长期维持戒烟需要进一步的研究和干预开发.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 生殖健康 生殖健康
背景情况:
- 产后戒烟对于母亲和婴儿的健康至关重要.
- 在分娩后保持禁烟,对许多人来说都带来了重大挑战.
- 现有的干预措施需要评估它们在支持持续戒烟方面的长期有效性.
研究的目的:
- 为了比较各种干预措施在产后个人中保持禁烟的有效性.
- 评估认知行为疗法 (CBT) 和激励面试 (MI) 在支持产后持续戒烟的有效性.
主要方法:
- 在多个数据库 (PubMed,EMBASE,CENTRAL,CINAHL,PsycINFO,ProQuest) 进行了系统的搜索,直到2024年2月.
- 通过使用随机效应模型,对随机对照试验 (RCT) 进行了一项频率网络元分析.
- 使用累积排名曲线下的表面 (SUCRA) 和GRADE方法来排名干预效应并评估证据的确定性.
主要成果:
- 包括来自10个RCT的11项研究,涉及3365名参与者.
- 认知行为疗法 (CBT),CBT-动机面试 (CBT-MI) 和MI在产后12个月没有显示出与标准护理相比,吸烟戒断的统计显著维持.
- 小组分析表明,CBT-MI和MI在产后12个月内保持禁烟的潜在短期益处.
结论:
- CBT-MI和MI显示出改善产后短期吸烟戒断维持的承诺.
- 需要进行进一步的研究,以开发和验证在产后患者中增强长期禁烟的干预措施.
- 这些发现强调了需要继续努力,以支持这一群体持续戒烟的需要.
关键词:
认知行为疗法,认知行为疗法,认知行为治疗.CBT-MI,认知行为疗法与动机干预相结合.CI,信心区间的信心区间.EPOC, 科克伦护理的有效实践和组织.评级,建议的评级评估,开发和评估.MI, 激励性面试 面试国家管理局,网络元分析.PRISMA,系统审查和元分析的首选报告项目.随机对照试验,随机对照试验,随机对照试验,随机对照试验.RR,相对风险 相对风险SUCRA,累积排名曲线下的表面.UC,通常的护理.认知行为疗法是一种认知行为疗法.激励性面试 面试 激励性面试网络元分析 网络元分析在分娩后的产后.ppm,百万分之一的部分.心理社会干预措施 心理社会干预吸烟复发的情况系统性审查 系统性审查更多相关视频
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