基于冠心病患者的门诊戒烟服务方式分析与简化(2)

时间:2025-03-14

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importanceandmethodstoquitsmokingat

thefirstvisitandremindedforthatat

monthsintervalfor6

months,n=70)andtheconventional

treatment

group(controlgroup,凡=70).After6months,the

medicalcostsandqualityoflifewere

smokingstatus,cardiovasculareventrates,drugusage,out-patientcomparedbetweenthetwogroups.Resultsbetweenthetwogroupsat

Age,gender,concomitantdiseases,drugusageweresimilar

baseline(allP>0.05).After6months,smokingquitrate[34.2%(24/70)

VS.5.7%(4/70),P<0.01],drugrates:lipid-loweringdrugs[95.3%(67/70)VS.80.4%(56/70)],Bblockers[82.4%(57/70)VS.41.3%(28/70)],andACEI/ARB[61.4%(43/70)VS.34.4%(24/70)]weresignificantlyhigherintheinterventiongroupthaninthecontrolgroup,whiletotalcardiovasculareventrates[21.4%(15/70)VS.47.1%(33/70),P<0.01]andout—patientmedicalcosts

use

(3789.3RMBVS.4984.2RMB.P<0.01)weresignificantlylowerintheintervention

controlgroup.Thequalityoflife

scores

group

thaninthe

derivedfromMYOhealth

surveyquestionnairewassignificantly

reasons

higherintheinterventiongroupthaninthecontrolgroup(P<0.01).Thetopthree

continuous

responsiblefor

smokingforallpatientsfailedtoquitsmoking

helpedmeessential

were:①others

chatting

smokedmorethanmeandstillalive

and

healthy[90.3%(56/62)];②smoking

was

to

keeprelaxedandreducetroubleindailyworkand

and

drinking

with

life[70.9%(44/62)];③smoking

(41/62)1.The

rate

can

while

friends[66.1%

overallsatisfactoryratetothissmokingcessationprogramwas42.8%andthesatisfactory

Intensiveoutpatientsmokingcessationfollow upprogram

use

wasupto

50.0%bypatients.Conclusions

significantlyimprovethesmokingcessationrates,theguidelinedrug

rate

andthequalityoflifewhile

reducemedicalcostsforcoronaryheartdiseasepatients.

【Keywords】

Coronarydisease;Smoking;Smokingcessation;Ambulatory

care

吸烟是人类患病、失能、劳动能力丧失的重要原因之一¨J。烟草在全球范围内每年可以夺去400万

状动脉造影证实,至少有1支冠状动脉主干或其他主要分支内径狭窄I>50%;(3)愿意参与随访,拥有

人生命,而这些死亡的70%都发生在发展中国家。

中国是世界上最大的烟草生产、消费和受害国。2002年开展的全国 …… 此处隐藏:1017字,全部文档内容请下载后查看。喜欢就下载吧 ……

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