预测戒烟的时间. 谁会在没有尼古丁贴片的情况下戒烟?
S L Kenford1, M C Fiore, D E Jorenby
1Center for Tobacco Research and Intervention, University of Wisconsin Medical School, Madison 53706-1532.
JAMA
|February 23, 1994
概括
在尼古丁贴片治疗的关键前两周,戒烟预示着戒烟的成功. 早期吸烟,即使有贴片,也强烈预测复发,强调需要密切监测和干预.
科学领域:
- 成 药物 药物 药物 药物
- 临床心理学 临床心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 戒烟仍然是一个重大的公共卫生挑战.
- 尼古丁替代疗法 (NRT) 和咨询是已知的干预措施.
- 治疗成功的预测因素需要进一步阐明个性化干预措施.
研究的目的:
- 为了确定戒烟成功或失败的预测因素.
- 为了评估具有或没有通过皮肤尼古丁贴片治疗的预测因素.
- 评估早期吸烟行为的有用性,作为长期戒烟的预测因素.
主要方法:
- 进行了两个独立的随机,双盲,安慰剂受控试验.
- 参与者是每天吸烟者,有动力戒烟,使用皮肤过渡的尼古丁贴片与不同的咨询模式.
- 吸烟状态在治疗结束和6个月的随访后进行评估.
主要成果:
- 传统的治疗前预测指标 (例如,法格斯特罗姆分数,每天一支香烟) 并不能始终预测戒烟的成功.
- 在尼古丁贴片治疗的第二周内吸烟是6个月后失败的有力预测因素.
- 相反,第二周的戒烟预测了活跃组和安慰剂组的成功戒烟.
结论:
- 在NRT的前两周,特别是第二周,吸烟状态是戒烟结果的强有力的预测指标.
- 早期吸烟行为是一个关键指标,即使在安慰剂使用者中也是如此.
- 临床医生应尽早强调完全戒断,并在戒烟后的前两周内密切监测患者.
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