病历夹手机应用软件在戒烟门诊中的应用

MEDCHART application software in management of the smoking cessation

目的探讨伐尼克兰联合病历夹手机应用软件进行宣教和随访的临床戒烟效果。方法将2014年2月至2015年1月戒烟门诊进行戒烟咨询和干预者随机分为手机医疗软件组（51例）和常规组（53例），观察9～12周持续戒断率和26周持续戒断率。结果9～12周戒断率组两组差异无统计学意义（56．9％vs.45．3％），手机医疗软件组的第26周戒断率（41．2％）高于常规治疗组（20．8％）（χ2=5．088，P〈O．05）。手机医疗软件组有15例（29．4％）的戒烟者完成足疗程，而常规组仅有5例（9．4％）完成足疗程，差异有统计学意义（χ2=4．405，P〈O．05）。结论强化宣教和随访可以提高使用伐尼克兰戒烟者第26周戒断率，病历夹手机医疗应用软件能较好地进行戒烟宣教和随访管理。

Objective To investigate the effectiveness of Varenicline combined with MEDCHART application software for health education and follow-up in patients at smoking cessation clinic. Methods A total of 104 cases who had smoking cessation counseling and intervention at smoking cessation clinic from February 2014 to January 2015 were divided randomly into MEDCHART APP group （n=51） and conventional group （n=53）. Both groups were intervened by brief admonishment and given Varenicline. The 9 - 12 weeks and 26th week protracted continuous abstinence rates were observed. Results There were no significant difference in 9 - 12 week protracted withdrawal rate between 26th week APP and conventional groups （56.9% vs. 45.3% ）, the 26th week abstinence rates in group MEDCHART APP （41.2%） were significantly higher than the conventional group （20.8%）（χ2=5.088, P〈0.05）. There was significant difference in full course completion rates between the two groups;15 cases （29.4%） completed the course in group MEDCHART APP, whereas 5 cases （9.4%） did so in conventional group （χ2=4.405, P〈0.05）. Conclusions MEDCHART APP can strengthen health education and follow-up, which helps extend the time for Varenicline, increase 26th week smoking cessation withdrawal rate. It is a useful tool for smoking cessation education and follow-up.