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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >A randomized controlled trial of smoking cessation counseling after myocardial infarction.
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A randomized controlled trial of smoking cessation counseling after myocardial infarction.

机译：心肌梗死后戒烟咨询的随机对照试验。

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摘要

BACKGROUND: Smoking cessation after myocardial infarction (MI) has been associated with a 50% reduction in mortality but in-hospital smoking cessation interventions are rarely part of routine clinical practice. METHODS: One hundred cigarette smokers consecutively admitted during 1996 with MI were assigned to minimal care or to a hospital-based smoking cessation program. Intervention consisted of bedside cessation counseling followed by seven telephone calls over the 6 months following discharge. Primary outcomes were abstinence rates measured at 6 months and 1 year post-discharge. RESULTS: At follow-up, 43 and 34% of participants in minimal care and 67 and 55% of participants in intervention were abstinent at 6 and 12 months. respectively (P<0.05). Abstinence rates were calculated assuming that participants lost to attrition were smokers at follow-up. Intervention and self-efficacy were independent predictors of smoking status at follow-up. Low self-efficacy combined with no intervention resulted in a 93% relapse rate by 1 year (P<0.01). CONCLUSIONS: A hospital-based smoking cessation program consisting of inpatient counseling and telephone follow-up substantially increases smoking abstinence 1 year after discharge in patients post-MI. Patients with low self-efficacy are almost certain to relapse without intervention. Such smoking cessation programs should be part of the management of patients with MI. Copyright 2000 American Health Foundation and Academic Press.
机译：背景：心肌梗死（MI）后戒烟已使死亡率降低50％，但医院内戒烟干预措施很少成为常规临床实践的一部分。方法：将1996年期间连续入院的MI的100名吸烟者分配到最低限度护理或医院戒烟计划。干预包括在出院后的6个月内在床边进行戒烟咨询，然后进行7个电话呼叫。主要结局是出院后6个月和1年的戒断率。结果：在随访中，分别在6个月和12个月时，分别有43％和34％的基本护理参与者以及67％和55％的干预对象戒断。分别为（P <0.05）。假设失访的参与者是吸烟者，则计算出戒酒率。干预和自我效能感是随访时吸烟状况的独立预测因子。低自我效能加上无干预导致1年内93％的复发率（P <0.01）。结论：由住院咨询和电话随访组成的基于医院的戒烟计划可在心梗后出院后1年大幅增加戒烟。自我效能低下的患者几乎可以肯定会在没有干预的情况下复发。此类戒烟计划应成为MI患者管理的一部分。版权所有2000美国健康基金会和学术出版社。

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