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Smoking habits and teachable moment among hospitalized patients admitted to the internal medicine department

机译:内科住院患者的吸烟习惯和可教的时刻

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Hospitalization seems a favorable setting to quit smoking. The purpose of this study was to determine the smoking habits and teachable moments among hospitalized patients admitted to the internal medicine department. A prospective study involving 253 patients admitted to an academic teaching hospital was conducted. The rate of current smokers ranged from 75% in the group of 30 to 39-year-old male patients to 0% in female patients 80 years and older; mean prevalence 34%. Although males had a higher prevalence of smoking in the younger population, the number of current smokers between the genders nearly converged in patients greater or equal to 50 years of age. Among the internal subspecialties, it was highest in patients admitted for pulmonary disease. The number of patients that quit smoking before discharge was similar between both genders, but significantly different among the age-groups and subspecialties. The fraction of quitters was greater in patients 50 years and older, compared to patients less than 50 years (35% vs. 11%, respectively), and in patients admitted for pulmonary disease, compared to all other patients (33% vs. 12%, respectively). In summary, smoking habits among inpatients are very heterogenous, depending on age, gender, and medical reason for admission. Highest prevalences are found in young, male patients, as well as patients admitted for pulmonary disease. On the other hand, the rate of quitters is significantly greater in patients 50 years and older, and patients admitted for pulmonary disease. Besides targeting our efforts at those who are susceptible to the effects, within the scope of secondary and tertiary prevention of many chronic pulmonary and cardiac diseases, it might be favorable and most efficient to focus on the young, middle-aged patients in tailoring specific support, especially in respiratory medicine.
机译:住院治疗似乎是戒烟的有利环境。这项研究的目的是确定入院内科的住院患者的吸烟习惯和可教的时间。进行了一项前瞻性研究,涉及253名入院教学医院的患者。当前吸烟者的比例在30至39岁男性患者中为75%,在80岁及以上女性患者中为0%。平均患病率34%。尽管男性在年轻人口中吸烟率较高,但在年龄大于或等于50岁的患者中,目前性别之间的吸烟者人数几乎趋于一致。在内部亚科中,它是肺病住院患者中最高的。男女之间出院前戒烟的人数相似,但在年龄组和亚专业之间却存在显着差异。与50岁及以下的患者相比,50岁及50岁以上的患者戒烟的比例更高(分别为35%和11%),而肺部疾病患者的戒烟者比例高于所有其他患者(33%与12%) %, 分别)。总而言之,住院患者的吸烟习惯非常不同,具体取决于年龄,性别和入院的医疗原因。在年轻的男性患者以及因肺病入院的患者中发现患病率最高。另一方面,在50岁及以上的患者以及因肺病入院的患者中,戒烟率明显更高。在许多慢性肺和心脏疾病的二级和三级预防范围内,除了将我们的工作重点放在那些易受此影响的人群之外,将重点放在年轻,中年患者上以提供具体支持可能是有利且最有效的,尤其是呼吸道医学。

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