實證研究之臨床應用－肺齡檢測可否提升成人吸菸者之戒菸成功率？

Does the Feedback Lung-Age Increase the Quit Smoking Rate of Adult Smokers?

10.6692/KJN-2017-34-2-1

鄭淑芬(Su-Fen Cheng)；林明貴(Ming-Guei Lin)；洪瑞蘭(Ruei-Lan Hong)；王勁慧(Jin-Huei Wang)；林麗英(Li-Ying Lin)

肺功能檢查 ； 戒菸 ； respiratory function tests ； spirometry ； smoking cessation

高雄護理雜誌

34卷2期（2017 / 08 / 01）

1 - 13

繁體中文

本實證臨床應用以系統性文獻回顧探討肺齡檢測對於成人吸菸者戒菸成功與否之影響，並檢視臨床應用之成效，透過實證醫學五大步驟來執行與評值實證措施，包括形成一個臨床可回答的問題、尋找最佳文獻證據、嚴格文獻評讀、將證據應用在病人身上、檢討實施成效。文獻回顧發現，於戒菸衛教過程中回饋肺齡，可提高戒菸之成效(RR=2.12, 95%CI(1.24, 3.62), p=0.006)。以專案方式應用實證文獻於臨床，由戒菸衛教師提供介入措施，包括介入「戒菸諮商組」34人、「戒菸諮商+告知肺齡檢測結果組」23人及「戒菸諮商+告知肺功能檢測結果組」25人，結果發現三組介入7天後之戒菸成功率分別為61.8%、43.5%及68.0%，三組的戒菸效果無顯著差異(p＞0.05)，但吸菸支數皆有明顯減少。實證應用結果，顯示無論是單純提供戒菸諮商、加上告知肺齡或肺功能檢測結果都有助於成功戒菸，三組戒菸成功率則未達統計學上顯著差異。此次臨床應用期間較短，個案數較少，故值得增加收案量及追蹤較長時間，如追蹤3個月、6個月或12個月等之戒菸成功率，或應用不同組合式的戒菸方式，進一步以研究深入的分析，並在臨床上運用，以嘉惠更多需要的人。

The article was to review the effect of feedback lung-age on the smoking cessation in adult smokers as well as to inspect the results of the clinical application. The five steps of Evidence-Based Medicine were applied: ask an answerable question, acquire the database, appraise the evidence, apply to the patient, and audit the result. The results of the evidence articles found that feedback lung-age can improve the effectiveness of smoking cessation (RR=2.12, 95%CI(1.24, 3.62), p=0.006). We apply the empirical literature to clinical practice. The 34 people were included to smoking cessation consultation group, 23 people were included to smoking cessation consultation + feedback lung-age group, and 25 people were included to smoking cessation consultation + feedback lung function. The interventions were provided by the smoking cessation counselors. The results of quit smoking rate in three groups were 61.8%, 43.5% and 68.0%. There were no significant difference in quit smoking rate among the three groups(p＞0.05). The count of cigarettes in three groups had decreased significantly. Future program should evaluate its efficacy using a clinical trial design, a large sample of people with smoking, different combined interventions involved in the program, and long-term evaluation of quit smoking rate of 3 months, 6 months, or 12 months.