某醫學中心門診戒菸成效

The Effectiveness of the Smoking Cessation in a Medical Center Clinic

本研究目的在探討南部某醫學中心施行門診戒菸治療之成效。本研究乃根據南部某醫學中心門診戒菸個案進行分析，收集自民國91年9月起至93年2月之門診戒菸病患。凡為十八歲（含）以上之全民健康保險對象，其尼古丁成癮度測試分數5分及以上或一天吸菸十支及以上者為必要收案條件。共收個案391人，排除基本資料填寫不全者19人，總計符合條件者共372人。個案皆接受戒菸衛教、簡短諮詢以及尼古丁貼片治療。以個案之第一次門診戒菸為基準日，在第三個月及第六個月以電話訪問評估其戒菸情況，以七日點戒菸率為主要結果指標。最近七天內有任何吸菸行為或無法聯絡之個案則歸於失敗。結果顯示三個月之七日點戒菸率為41.9%。六個月為35.2%。影響三個月戒菸率之因素為吸菸支數、就診次數、是否有糖尿病；影響六個月戒菸率之因素為性別、吸菸支數、就診次數。菸齡、年齡、教育程度則無統計意義。門診戒菸服務將來努力的方向在於提高吸菸個案之回診次數。

The purpose of this study was to evaluate the effectiveness of the smoking cessation in a medical center clinic. A total of 391 subjects were recruited for the study between September 2002 and February 2003. They should be adult and legally covered in the Public Health Insurance Program, with a Fagerström Tolerance Questionnaire (FTQ) score equal to or greater 5, or being smoking 10 or more 10 cigarettes per day. There were 372 (95.14%) subjects available for analysis, 19 were excluded for incomplete demographic data. All of the subjects received the facilitated tobacco cessation education, brief individual counseling and nicotine patch therapy. For the evaluating rate, we contacted the individual subject by phone call at the ends of 3rd and 6th month after the first personal consultation. A seven-day point abstinence rate as the primary outcome was evaluated. Any smoking behavior in last seven days or loss of follow-up was defined as failure. Our results showed that the seven-day point abstinence rate was 41.9% at the 3rd month and 35.2% at the 6th month, respectively. Factors which correlated with the abstinence rate of the 3rd month included number of cigarettes smoked per day, total number of visits, and diabetic history; of the 6th month were: gender, number of cigarettes smoked per day, and total number of visits. There were no significant differences of abstinence rate among various groups of age, duration of smoking, and the educational level. It was shown that there were multiple factors correlated with the abstinence rate of smoking. Abstinence rate could be improved in the smokers by their smoking cessation clinic frequent visits.