手工业工厂工人戒烟教育及动机性访谈效果评估:干预研究。

Q3 Pharmacology, Toxicology and Pharmaceutics Journal of Experimental Therapeutics and Oncology Pub Date : 2017-05-01
Rajeev Mahajan, Jitender Solanki, Raghvendra S Kurdekar, Sarika Gupta, Ashish Modh, OmPrakash Yadav
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引用次数: 0

摘要

烟草使用被认为是全球性的流行病。本研究以拉贾斯坦邦焦特布尔手工艺工厂为研究对象,透过动机性访谈,评估工人戒烟干预的效果。方法:采用纳入和排除标准对400名手工工厂工人进行干预研究。21家手工业工厂被纳入考虑范围。在公共卫生部门对检验员进行培训、标准化和校准。采用结构化预测形式问卷和Fagerstrom问卷记录数据。对工人进行了四次干预。随访时间分别为1个月、3个月、6个月。采用配对t检验比较干预前后研究组与对照组的Fagerstrom/吸烟分析均分。结果:研究组高依赖组变化为+1.2%,极高依赖组变化为- 1.5%,6个月后极低依赖组变化为+14.2%,18.7%,-19.2%,低依赖组变化为-11.8%,极高依赖组变化为- 1.8%。当进行Fagerstrom/吸烟分析比较时,研究对象在干预前后的平均得分。研究发现,与对照组相比,研究组在基线- 3个月、3个月- 6个月、6个月- 9个月的Fagerstrom/吸烟分析平均得分有显著差异。结论:烟草成瘾可引起神经系统和行为的改变;需要采取包括行为改变和药物治疗在内的方法。
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Educating the handicraft factory workers about tobacco cessation and to assess its effectiveness by motivational interviewing: An Intervention study.

Introduction: Tobacco use is considered to be global pandemic. The study was done to assess the effectiveness of smoking cessation intervention among workers by motivational interviewing among handicraft factories, Jodhpur, Rajasthan.

Methodology: An interventional study was carried out among 400 handicraft factory workers on the basis of inclusion and exclusion criterion. Twenty one handicraft factories were taken into consideration. Training, Standardization and Calibration of Examiners was carried out in the public health department. The structured pre-tested proforma and Fagerstrom questionnaire was used to record the data. Four sessions of intervention were given to workers. Follow ups were carried out after 1 month, 3month and 6month. Paired t-test was used to compare Fagerstrom/smoking analysis mean scores among study and control groups before and after intervention.

Results: showed that in study group, a percentage change of +1.2%, seen in high dependence category and -1.5 in very high dependence and after 6 months the change was+14.2%, 18.7%, -19.2% in Very low dependence, Low dependence, Medium dependence, -11.8% was seen in high dependence category and -1.8 in very high dependence. When comparison was done among Fagerstrom/smoking analysis mean scores among study subjects before and after intervention. It was found that there was a significant difference between the mean scores of Fagerstrom/smoking analysis between baseline - 3 months, 3 months to 6 months and 6 months to 9 months among study group as compared to control group.

Conclusion: Tobacco addiction produces neurological and behavioural change, optima; approach involving behavioural change and pharmacotherapy are needed.

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