结合肺功能监测开展戒烟教育的效果观察

Observation on the effect of smoking cessation education combined with lung function test

目的探讨结合肺功能检查进行的健康教育方式对吸烟的环卫工人戒烟行为的效果。方法选取广州市番禺区吸烟环卫工人69人，采用随机数字表法将研究对象分为常规戒烟组35例，肺功能组34例。对常规戒烟组进行健康教育，肺功能组根据肺功能检查情况分为肺功能正常组（19例）和肺功能异常组（15例），结合肺功能图表进行健康教育。常规戒烟组及肺功能正常组和异常组分别于干预后2、6个月随访，比较成功戒烟率、复吸率等指标。结果干预2个月和6个月时的戒烟率，常规戒烟组[10（29％），4（11％）]均低于肺功能正常组[7（37％），3（16％）]，但差异无统计学意义，常规戒烟组均低于肺功能异常组[11（73％），10（67％）]，差异有统计学意义（P均〈O．05）；肺功能正常组均低于肺功能异常组，差异有统计学意义（P均〈0．05）。6个月复吸率，常规戒烟组[6（17％）]和肺功能正常组[4（21％）]比较差异无统计学意义；肺功能正常组与肺功能异常组比较，差异无统计学意义。结论结合肺功能检查进行个性化健康教育，能促使肺功能异常的吸烟者成功戒烟。

Objective To evaluate the effect of health education combined with lung function test on smoking cessation in smoking sanitation workers. Methods Sixty-nine sanitation workers who smoke were divided into two groups by using the table of random number, routine group （n=35） and lung function test group （n=34）. The routine group was given health education. According to the lung function, those in the lung function test group were divided into normal lung function group （19 cases） and abnomal lung function group （15 cases） who received both health education and lung function test. Success rate of smoking cessation and the relapse rate were compared at 2 and 6 months follow-up. Results At 2 and 6 months follow-up, the smoking cessation rates of routine group were [10（29%）, 4（11%）], which were lower than those of the normal lung function group [7（37%）, 3（16%）[, the differences were not statistically significant （P〉 0.05）. The smoking cessation rates of routine group were lower than those in abnormal lung function group[ 11 （73%）, 10（67%）]（P〈0.05）. The smoking cessation rates of the normal lung function group were significantly lower than those of abnormal lung function group （P〈0.05）. The relapse rate of routine group [ 6（17%） and the normal lung function group [ 4（21%） ] at 6 months follow-up were not significantly different. The relapse rate of the normal lung function group and that of abnormal lung function group were not significantly different. Conclusion Health education combined with lung function test could help smokers with abnormal lung function to give tip smoking successfully.