冠状动脉支架置入术后戒烟现状及健康教育对戒烟率的影响

目的了解有吸烟嗜好冠心病患者冠状动脉支架置入后戒烟现状及健康教育对戒烟的影响,针对性地为健康教育提供依据。方法选取2009年1月至2014年6月第三军医大学大坪医院心血管内科行冠状动脉支架置入且有吸烟嗜好的患者217例,按随访情况随机分为规律随访组（n=119）和未规律随访组（n=98）,按年龄分为小于45岁组（n=22）、45~〈60岁组（n=87）、≥60岁组（n=108）。对调查对象进行现场调查或电话调查,主要内容包括出院后戒烟情况、戒烟失败原因等。结果 217例患者中成功戒烟115例（53.00%）,其中规律随访组戒烟率明显高于未规律随访组,而复吸率低于未规律随访组,差异均有统计学意义...

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Bibliographic Details
Published in现代医药卫生 Vol. 31; no. 14; pp. 2121 - 2123
Main Author 方钦 邓美红 文倩
Format Journal Article
LanguageChinese
Published 第三军医大学大坪医院野战外科研究所心血管内科,重庆,400042%重庆市第九人民医院400700 2015
Subjects
健康教育
冠心病
吸烟
戒烟
手术后期间
支架
血管成形术,经腔,经皮冠状动脉
随访研究
Follow-up study
戒烟
Postoperative period
支架
Health education
吸烟
Coronary disease
手术后期间
健康教育
血管成形术,经腔,经皮冠状动脉
Smoking cessation
冠心病
Anguoplasty,transluminal,percutaneous coronary
Stents
随访研究
Smoking
Online AccessGet full text
ISSN1009-5519
DOI10.3969/j.issn.1009-5519.2015.14.011

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Summary:目的了解有吸烟嗜好冠心病患者冠状动脉支架置入后戒烟现状及健康教育对戒烟的影响,针对性地为健康教育提供依据。方法选取2009年1月至2014年6月第三军医大学大坪医院心血管内科行冠状动脉支架置入且有吸烟嗜好的患者217例,按随访情况随机分为规律随访组（n=119）和未规律随访组（n=98）,按年龄分为小于45岁组（n=22）、45~〈60岁组（n=87）、≥60岁组（n=108）。对调查对象进行现场调查或电话调查,主要内容包括出院后戒烟情况、戒烟失败原因等。结果 217例患者中成功戒烟115例（53.00%）,其中规律随访组戒烟率明显高于未规律随访组,而复吸率低于未规律随访组,差异均有统计学意义（P〈0.01）;45~〈60岁组患者成功戒烟率最低,而复吸率最高,分别与小于45岁组和≥60岁组比较,差异均有统计学意义（P〈0.05）;〈45岁组患者戒烟失败的主要原因为身边人吸烟,45~〈60岁组为工作压力,≥60岁组为个人习惯。结论健康宣教有利于冠状动脉支架置入术后患者戒烟率的提高。戒烟失败的主要原因在不同的年龄段有所不同,应根据年龄段、对象制订不同的辅助戒烟方案。
Bibliography:Objective To understand the status quo of quitting smoking in the patients with coronary atherosclerotic heart disease and smoking habit after the coronary stent implantation and the influence of health education on their smoking quit- ting behavior so as to pertinently provide references for the health education. Methods Totally 217 patients with smoking habit performed the coronary stent implantation in the cardiology department of Daping Hospital of Third Military Medical University from January 2009 to June 2014 were selected and randomly divided into the regular follow up group （n=119） and the non-regular follow up group （n=98） according to the follow-up situation, and the 〈45 years old group （n=22）, 45-〈60 years old group （n=87） and I〉60 years old group（n=108） according to the age. Then the respondents were performed the field survey or telephone survey, the main contents included the smoking situation after discharge from hospital, reasons of smoke quitting failure, etc. Results Among 217 cases, 115 ca
ISSN:1009-5519
DOI:10.3969/j.issn.1009-5519.2015.14.011