1 徐州医科大学研究生学院，江苏 徐州 221000
2 淮安市淮阴医院呼吸科，江苏 淮安 223000
3 徐州医科大学附属医院急诊医学科，江苏 徐州 221000
目的：探究以时机理论为基础的戒烟方法应用于慢性阻塞性肺疾病(chronic obstructive pulmonary disease，COPD)患者的临床效果。方法：选取2020年1月至12月收治的COPD患者108例，随机分为两组，每组54例。对照组给予常规干预，观察组给予以时机理论为基础的戒烟干预，比较两组各阶段戒烟率、尼古丁依赖程度、肺功能、负性情绪以及生活质量。结果：观察组干预后出院准备期、调整期与适应期戒烟率均低于对照组的戒烟率(P<0.05)；观察组干预后尼古丁依赖程度轻于对照组(P<0.05)；观察组干预后肺功能高于对照组(P<0.05)；观察组干预后负性情绪轻于对照组(P<0.05)；观察组干预后生活质量优于对照组(P<0.05)。结论：以时机理论为基础的戒烟干预应用于COPD患者中，可有效减轻其尼古丁依赖程度，增强其肺功能，促进负性情绪的疏解，并且显著提高患者的生活质量，值得临床推广。
Clinical effect of smoking cessation intervention based on timing theory on patients with chronic obstructive pulmonary disease
CorrespondingAuthor: YAN Xianliang
This work was supported by the “Six One Projects”Top-notch Talent Research Project for High-level Health Talents in Jiangsu Province in 2019, China (LGY2019085).
Objective: To explore the effect of smoking cessation intervention based on the timing theory on patients with chronic obstructive pulmonary disease (COPD). Methods: A total of 108 COPD patients admitted from January to December 2020 were selected and randomly divided into an observation group and a control group, 54 cases in each group. The control group was given routine intervention, and the observation group was given a smoking cessation intervention based on the timing theory, and the nicotine dependence, lung function, negative emotion and quality of life were compared between the two groups. Results: After the intervention, the smoking cessation rates in the observation group were lower than that in the control group in the discharge preparation period, adjustment period and adaptation period (P<0.05); After the intervention, the degree of nicotine dependence in the observation group was lighter than that in the control group (P<0.05); the lung function of the observation group was higher than that in the control group (P<0.05); the negative emotion of the observation group was lighter than the control group (P<0.05); the quality of life of the observation group was better than that of the control group (P<0.05). Conclusion: Smoking cessation intervention based on the timing theory applied to COPD patients can effectively reduce their nicotine dependence, enhance their lung function, promote the relief of negative emotions, and significantly improve the quality of life of patients.
timing theory; ways to quit smoking; chronic obstructive pulmonary disease; nicotine dependence degree; negative emotion