控烟干预对手外科吸烟患者控烟遵医行为的效果观察

Smoking-control intervention on the hand-surgical patients' tobacco control compliance

目的观察控烟干预对手外科吸烟患者控烟遵医行为的效果。方法将86例手外伤吸烟患者分为实验组45例,对照组41例。实验组采取人性化指导护理、全方位参与等干预措施实施控烟。对照组用传统方法进行禁烟指导,即在入院时予以指导,其余时间患者随机进行。比较两组患者禁烟相关知识掌握情况、控烟的遵医行为、术后血管危象发生率。结果实验组禁烟相关知识掌握情况、遵医行为均高于对照组;术后血管危象发生率低于对照组。结论预测患者控烟遵医行为,给予人性化指导、全方位参与等护理干预可显著提高患者控烟遵医行为,对预防手外科术后血管危象的发生有积极作用。

Objective To observe the effect of smoking - control intervention on the hand - surgical patients＇tobacco control compliance. Methods Eighty - six cases of hand injured patients who often smoke were divided into two groups ：the experimental group and the control group. Forty - five cases of experimental group were given smoking - control intervention, involving nursing guidance, cognition and behavior intervention, and so on. Forty - one cases of control group used traditional methods to control smoking ,that is ,patients were told not to smoke at the time of admission, but not guided in the rest time. Then the situation of smoking - related knowledge, the compliance of tobacco control and the incidence of postoperative vascular crisis were compared. Results Experimental group showed better effect than the control group about the situation of smoking - related knowledge and the compliance of tobacco control; incidence of postoperative vascular crisis was lower than the control group. Conclusion Smoking - control intervention can significantly increase the compliance of patients in hand surgery with tobacco control, and pre- vent the occurrence of vascular crisis.