不同干预措施对战士吸烟行为的影响

Effects of psychological intervention, auricular acupuncture and smoking cessation medication oncigarette smoking behavior in soldiers： a pilot randomized controlled trial

目的探讨和评价不同的干预措施对集体生活年轻人群吸烟行为的影响。方法将68名吸烟战士随机分为3组，分别采取心理干预、心理干预＋耳针和心理干预＋药物对其吸烟行为进行干预。采用统一问卷进行基线调查，在1、3、6个月和1年进行随访，观察不同随访时点吸烟量的减少和戒烟率。结果三组研究对象可比性较好。在1、3、6个月随访时点，各组吸烟者的吸烟量均有不同程度的下降（33．3％一73．9％）。在上述各随访时点，7d时点戒烟率均较高，而持续1个月的戒烟率和持续3个月的戒烟率有随时间下降的趋势。但3组1年随访时，持续6个月的戒烟率仍可达到16．7％、23．8％、30．4％。结论集体管理生活环境中的戒烟心理干预是年轻战士吸烟量的减少和提高戒烟成功率的有效措施之一，药物和王F针等辅助戒烟方法的使用亦有一定的促进作用。

Objective To evaluate the cigarette consumption for young soldiers. Methods effects of different smoking cessation interventions on Sixty-eight soldiers were prospectively investigated in this randomly controlled clinical trial and assigned to the psychological intervention group, auricular acupuncture group, and smoking cessation medication group. Results All the participants showed significant reduction（33.3% to 73.9% ） in post-treatment cigarette consumption. The highest quit rate was found at 7 days, although this declining trend was faded over time. One-year follow-up indicated a 6-month quit rate of 16. 7%, 23.8% and 30.4% in three groups, respectively. Conclusion Psychological intervention, auricular acupuncture and smoking cessation medication may be effective methods of reducing cigarette consumotion and imorovin~ quit rate in vounz soldiers.