心血管疾病患者戒烟效果的影响因素
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摘要
目的分析心血管疾病患者戒烟效果的影响因素。方法心血管内科住院的吸烟患者在接受戒烟健康教育后随访观察12个月,按戒烟效果分为戒烟有效组(n=156)和戒烟无效组(n=188),采用病例对照研究方法分析戒烟效果的影响因素。结果单因素分析显示年龄>70岁、冠心病、高血压病和心功能不全患病率高及既往每日吸烟数量少(≤10支/d)的人群戒烟有效率显著增高(均P<0.01);独居及接触吸烟的患者戒烟有效率显著降低(均P<0.01)。多因素Logistic回归分析显示患有冠心病、心功能不全、独居、接触吸烟者及每日吸烟数量少均是戒烟效果的独立影响因素,患有冠心病,心功能不全和每日吸烟数量少能提高戒烟有效率,而独居和接触吸烟者降低戒烟有效率。结论患者患有严重疾病有利于提高戒烟有效率,但独居和接触吸烟者不利于提高戒烟有效率。
AIM To evaluate the impact of related factors on smoking cessation in patients with cardiovascular disease. METHODS Patients receiving health education for smoking cessation were followed up for 12 months and divided into an effective group(n=156) and an ineffective group(n=188) according to smoking cessation results. Each group was assessed on the effects of related factors on smoking cessation. RESULTS The rate of successful smoking cessation was higher in older patients(e.g., older than 70 years) patients with coronary artery disease, hypertension, heart failure, or less smoking(≤10 cigarettes/day)(all P<0.01) and was lower in patients living in solitude or in close contact with smokers(both P<0.01) during the follow-up period. Logistic multi-factor regression analysis showed that coronary artery disease, heart failure, less smoking, smoking exposure and living state were independent factors influencing rate of successful smoking cessation. Coronary heart disease, heart failure, and less smoking improved and living alone and smoking exposure reduced efficiency of smoking cessation. CONCLUSION Severe illness can improve the efficiency of smoking cessation; however, living alone and contacting smokers did not improve efficiency of smoking cessation.
AIM To evaluate the impact of related factors on smoking cessation in patients with cardiovascular disease. METHODS Patients receiving health education for smoking cessation were followed up for 12 months and divided into an effective group(n=156) and an ineffective group(n=188) according to smoking cessation results. Each group was assessed on the effects of related factors on smoking cessation. RESULTS The rate of successful smoking cessation was higher in older patients(e.g., older than 70 years) patients with coronary artery disease, hypertension, heart failure, or less smoking(≤10 cigarettes/day)(all P<0.01) and was lower in patients living in solitude or in close contact with smokers(both P<0.01) during the follow-up period. Logistic multi-factor regression analysis showed that coronary artery disease, heart failure, less smoking, smoking exposure and living state were independent factors influencing rate of successful smoking cessation. Coronary heart disease, heart failure, and less smoking improved and living alone and smoking exposure reduced efficiency of smoking cessation. CONCLUSION Severe illness can improve the efficiency of smoking cessation; however, living alone and contacting smokers did not improve efficiency of smoking cessation.
引文
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[2] Ezzati M,Henley SJ,Thun MJ,et al.Role of smoking in global and regional cardiovascular mortality[J].Circulation,2005,112(4):489-497.
[3] Al Rifai M,DeFilippis AP,McEvoy JW,et al.The relationship between smoking intensity and subclinical cardiovascular injury:The Multi-Ethnic Study of Atherosclerosis (MESA)[J].Atherosclerosis,2017,258:119-130.
[4] King CC,Piper ME,Gepner AD,et al.Longitudinal Impact of Smoking and Smoking Cessation on Inflammatory Markers of Cardiovascular Disease Risk[J].Arterioscler Thromb Vasc Biol,2017,37(2):374-379.
[5] Huang B,Svensson P,?rnl?v J,et al.Effects of cigarette smoking on cardiovascular-related protein profiles in two community-based cohort studies[J].Atherosclerosis,2016,254(1):52-58.
[6] Steele L,Lloyd A,Fotheringham J,et al.A retrospective cross-sectional study on the association between tobacco smoking and incidence of ST-segment elevation myocardial infarction and cardiovascular risk factors[J].Postgrad Med J,2015,91(1079):492-496.
[7] Feng D,Liu T,Su DF,et al.The association between smoking quantity and hypertension mediated by inflammation in Chinese current smokers[J].J Hypertens,2013,31(9):1798-1805.
[8] Inao K,Hirai T,Nakagawa K,et al.Transesophageal echocardiographic thromboembolic risk is associated with smoking status in patients with atrial fibrillation[J].J Arrhythm,2017,33(6):613-618.
[9] Asay GRB,Homa DM,Abramsohn EM,et al.Reducing Smoking in the US Federal Workforce:5-Year Health and Economic Impacts From Improved Cardiovascular Disease Outcomes[J].Public Health Rep,2017,132(6):646-653.
[10]Vogiatzis I,Pantzartzidou A,Pittas S,et al.Smoking Cessation Advisory Intervention in Patients with Cardiovascular Disease[J].Med Arch,2017,71(2):128-131.
[11]Melzer AC,Feemster LC,Crothers K,et al.Respiratory and Bronchitic Symptoms Predict Intention to Quit Smoking among Current Smokers with,and at Risk for,Chronic Obstructive Pulmonary Disease[J].Ann Am Thorac Soc,2016,13(9):1490-1496.