Konak戒烟门诊吸烟率的社会人口学因素分析

A. Babaoglu, M. Tozun, M. Ertem, İbrahim Padır
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摘要

本研究的目的是描述社会人口学特征,并评估在Konak戒烟门诊(SCOC)就诊的患者对吸烟的态度和知识对戒烟效果的影响。在这项回顾性研究中,对2009年至2010年间入院的Izmir Konak SCOC患者的档案进行了调查。患者档案包括;i)“病人评估表”ii)费格斯特罗姆测验iii)医院焦虑抑郁量表(HADS)。一年内不吸烟的患者被认定为戒烟,其他病例被认定为复发。采用卡方检验、Mann-Whitney检验和Student 's t检验进行统计分析。共检查患者档案1.508份。50.0%的患者为女性,平均年龄(42.37±12.17)岁,52.9%的患者依赖评分高/非常高。整个组的“戒烟”率为38.7%。15 ~ 19岁年龄组的戒烟率低于其他年龄组(p<0.05)。单身人群的戒烟率低于已婚或离婚/丧偶人群(p<0.05)。学生组戒烟率低于工作组和非工作组(p<0.05)。平均开始吸烟年龄为16.87±4.86岁。在家中或工作场所有其他人吸烟时,复发的风险更高(RR: 1.4, p<0.001)。复发患者的Fagerstrom依赖性焦虑和抑郁评分增加(p<0.001)。患者开始吸烟年龄越小,戒烟成功率越低(p<0.05)。在一年的随访后,参加Konak SCOC的患者的戒烟率很高。提高青年人使用率的干预措施和促进青少年综合保健活动,将加强防治烟草流行的努力。
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Some sociodemographic factors on smoking cessation rate in Konak smoking cessation outpatient clinic
The aim of this study was to describe the sociodemographic characteristics and evaluate effects of attitudes and knowledge about smoking on the effectiveness of smoking cessation in patients attending to Konak Smoking Cessation Outpatient Clinic (SCOC). In this retrospective study, files of patients that admitted to Izmir Konak SCOC between 2009 and 2010 were investigated. Patient files consisted of; i) the “Patient Evaluation Form” ii) the Fagerstrom Test, iii) the Hospital Anxiety and Depression Scale (HADS). A patient who didn’t smoke for a year was accepted as cessation and other cases were accepted as recurrences. Chi-square, Mann-Whitney, and Student’s t-test were used for statistical analyses. 1.508 patient files were examined. 50.0% of the patients were female, mean age was 42.37±12.17, dependency score was high/very high in 52.9% of the cases. The “cessation” rate was 38.7% for the whole group. Cessation rate of the 15-19 age group was lower compared to other age groups (p<0.05). Cessation rate was lower among singles compared to married or divorced/widows (p<0.05). The cessation rate of students was lower compared to working and non-working patients (p<0.05). The average age of starting smoking was 16.87±4.86. The risk of recurrence was higher in the presence of other people smoking at home or at work (RR: 1.4, p<0.001). Increase in the Fagerstrom dependency anxiety and depression scores were observed in the case of recurrence (p<0.001). The cessation rates to quit smoking were lower, the younger the age the patient started smoking (p<0.05). Cessation rates of patients attending to Konak SCOC after one year follow ups are high. Interventions to increase the application rates of young people and the promotion of integrated health activities for adolescents will increase the efforts toward the tobacco epidemic.
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