在慢性呼吸道疾病中进行手术前戒烟:以超理论模型为指导的基于社区的方法
Ata Mohajer-Bastami1, Sarah Moin2, Lucy Tweedlie3
1Department of Surgery, Ealing Hospital, London, GBR.
Cureus
|December 24, 2025
概括
这项研究建议针对患有慢性呼吸道疾病的成年人使用跨理论模型 (TTM) 进行量身定制的戒烟干预. 该干预旨在提高高风险手术患者的参与率和退出率.
科学领域:
- 行为科学 行为科学
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 患有慢性呼吸道疾病的成年人面临着不良外科手术结果的高风险.
- 戒烟对于改善这一群体的手术结果至关重要.
- 现有的干预措施可能无法充分满足这一群体的特定需求.
研究的目的:
- 批判性地评估跨理论模型 (TTM) 的行为变化.
- 为患有慢性呼吸道疾病的成年人提供量身定制的戒烟干预措施.
- 加强对变化的准备,并改善高风险患者的外科治疗结果.
主要方法:
- 对跨理论模型 (TTM) 的叙述性审查和批判性评估.
- 开发一个量身定制的干预措施,整合行为理论和动机面试.
- 通过社区医疗保健和手术前"支持中心"进行干预.
主要成果:
- 建议的干预是特定阶段的,结合了激励性采访,自我效能强化和决策平衡策略.
- 预计COPD和喘患者参与度和戒烟率的改善.
- 提高了对高风险手术患者的护理的可访问性和减少了对手术患者的护理差异.
结论:
- 跨理论模型 (TTM) 为个性化戒烟提供了一个灵活的框架.
- 将TTM与激励面试和基于社区的交付相结合,可以显著改善结果.
- 进一步的实施研究是有必要的,以研究长期结果和完善干预.
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