护理干预对腰椎手术患者戒烟效果的影响

Effectiveness of nursing intervention on smoking cessation for patients with lumbar spine surgery

目的:探讨护理干预对腰椎手术患者吸烟强度和戒烟成功率的影响。方法:选择2007年11月～2011年6月行腰椎手术的住院患者、有吸烟史且住院前正在吸烟者共238例,随机分为两组。对照组116例行健康教育,从而劝其戒烟。干预组122例在健康教育基础上,采用"5A"方法和"5 R"方法进行个体化戒烟护理干预。随访并比较两组患者术后3,6,9个月时的吸烟强度和戒烟成功率。结果:术后3,6,9个月随访时,干预组患者吸烟强度下降,按每日吸烟量计分别为(14.25±4.62)支/d,(17.36±4.81)支/d,(20.34±5.86)支/d,较对照组均下降(P<0.05);戒烟率分别为51.64%,47.54%及42.62%,与对照组比较戒烟率增高,差异有统计学意义(P<0.05)。结论:护理干预能显著改善腰椎手术患者戒烟效果,降低吸烟强度,提高戒烟率。

Objective：To evaluate the effectiveness of nursing intervention on smoking intensity and abstinence rate for patients with lumbar spine surgery. Methods：Two hundred and thirty -eight smokers undergoing lumbar spine surgery were collected and divided into control group （ n = 116 ） and nursing intervention group（ n = 122）, received health education or additional nursing smoking cessation intervention, respectively. The patients were followed up for nine months. Smoking intensity and abstinence rate at 3rd, 6th and 9th month postoperativdy were investigated and compared between two groups. Results：Smoking intensity decreased with significance in nursing intervention group than control group with an average of （14.25 ± 4.62） cigarettes per day, （17.36 ± 4. 81 ） cigarettes per day and （ 20. 34 ± 5.86 ） cigarettes per day at 3rd,6th and 9th month postoperatively, respectively. The abstinence rates of smoker were 51.64%, 47.54% and 42.62% at 3nl,6th end 9th month postoperatively,respectively,in nursing intervention group,which were higher compared with control group there were statistical significance （P 〈0. 05）. Condusion：Nursing intervention can improve effectiveness of smoking cessation in patients undergoing lumbar spine spine surgery.