術前病人接受不同戒菸衛教方式之成效及戒菸成功相關因子之研究

Yun-Hwa Huang; Chih-Fang Huang; Kun-Siang Huang; Chia-Hsin Lu; Chia-Pei Chou

doi:10.53106/168232812023063302004

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P99 - 107

医药卫生 > 社会医学

DOI： 10.7023/TJFM

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术前病人接受不同戒菸卫教方式之成效及戒菸成功相关因子之研究

Effectiveness of Different Types of Smoking Cessation Health Education for Preoperative Patients and the Factors Correlated with Cessation Success Rate

黄筠华(Yun-Hwa Huang) ；黄志芳(Chih-Fang Huang) ；黄琨祥(Kun-Siang Huang) ；卢佳歆(Chia-Hsin Lu) ；周佳佩(Chia-Pei Chou)

台湾家庭医学杂志； 33 卷 2 期 (2023 / 06 / 01) ， P99 - 107

繁体中文;英文 DOI： 10.53106/168232812023063302004

术前；戒菸；卫教；戒菸成功率； health education ； preoperative ； smoking cessation success rate

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摘要 │ 参考文献 (22) │ 被引用文献 (1) │ 国际计量

摘要〈TOP〉

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Purpose: To explore the success rates and influencing factors of different smoking cessation education methods among patients scheduled for surgery. Methods: This study is a clinical intervention prospective randomized controlled trial. The study population consisted of smokers scheduled for elective surgery at a medical center between October 2016 and January 2020. Participants were randomly assigned to either a video education group or a pamphlet education group for smoking cessation intervention. Follow-ups were conducted via phone at three months, six months, and twelve months after the intervention to monitor smoking status and assess point cessation success rates. Statistical analyses were performed to compare categorical variables between the two groups of participants and assess correlations with point cessation success rates. Results: A total of 79 participants were enrolled (44 in the pamphlet education group, 95.5% male, mean age 49.47±13.52 years; 35 in the video education group, 100% male, mean age 49.25±12.96 years). Results indicated that, at the 3-month follow-up, the video education group exhibited a significantly higher smoking cessation success rate than the pamphlet education group. However, no significant differences were observed at the 6-month and 12-month follow-ups. Further analysis using logistic regression revealed that individuals using smoking cessation medication reported a higher smoking cessation success rate at the 3-month follow-up after preoperative smoking cessation education; the success rate, however, was lower for diabetes patients. Moreover, the success rate at the 3-month follow-up remained lower in those receiving pamphlet education as compared to those receiving video education. At the 12-month follow-up, the success rate after operative smoking cessation education was higher among participants with cardiovascular disease and cancer but lower in those with a longer smoking history. Conclusion: Preoperative smoking cessation education enhances the motivation and success rates of smoking cessation for patients scheduled for surgery, and traditional health education pamphlets appear to be less effective than health education videos. Therefore, it may be worth trying health education videos as a medium to enhance short-term smoking cessation success rates.

参考文献 ( 22 ) 〈TOP〉

刘瑞瑶,陈曾基,黄信彰(2017)。门诊戒菸成功之影响因子探讨。台湾家医志，27，146-153。
连结：
Clair, C,Mueller, Y,Livingstone-Banks, J(2019).Biomedical risk assessment as an aid for smoking cessation.Cochrane Database Syst Rev,3(3),CD004705.
Fiore, MC,Jaén, CR,Baker, TB(2008).Fiore MC, Jaén CR, Baker TB, et al: Treating Tobacco Use and Dependence: 2008 Update. U.S. Public Health Service Clinical Practice Guideline. Rockville (MD): U.S. Department of Health and Human Services, 2008..
Grandes, G,Cortada, JM,Arrazola, A,Laka, JP(2003).Predictors of long-term outcome of a smoking cessation programme in primary care.Br J Gen Pract,53,101-107.
Hellman, R,Cummings, KM,Haughey, BP,Zielezny, MA,O'Shea, RM(1991).Predictors of attempting and succeeding at smoking cessation.Health Educ Res,6,77-86.

被引用文献 ( 1 ) 〈TOP〉

叶美玲,陈杏雯(2024)。护理师主导戒菸对警消戒人员改变菸量与拒菸自我效能之成效。荣总护理，41(4)，337-345。

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