COX健康行为互动模式在烟草依赖患者戒烟干预中的应用

The application of COX's Interaction Model of Client Health Behavior on tobacco cessation interventions for patients with tobacco dependence

目的:观察COX健康行为互动模式干预对烟草依赖患者戒烟效果的影响。方法:便利选取武汉市某三级甲等医院戒烟门诊的烟草依赖患者77例为研究对象,2018年11月至2019年1月就诊的38例患者为对照组,采用常规戒烟干预;2019年2—4月就诊的39例患者为观察组,实施COX健康行为互动模式的戒烟干预。结果:两组患者烟草依赖得分的时间效应、分组效应及交互效应均具有统计学意义(P<0.05),干预后1个月及干预后6个月时观察组患者的烟草依赖得分均低于对照组(P<0.05);两组吸烟渴求得分的时间效应显著(P<0.001),而分组效应不显著(P>0.05),干预后1个月两组患者的吸烟渴求得分差异有统计学意义(P<0.05),干预后6个月两组患者的吸烟渴求得分差异无统计学意义(P>0.05);干预后1个月、6个月观察组患者戒烟率均高于对照组(P<0.05);观察组患者对COX健康行为互动模式戒烟干预认可度高。结论:基于COX健康行为互动模式的戒烟干预有助于降低烟草依赖患者的烟草依赖程度,进一步提高戒烟率,患者认可度高,但尚未发现对其吸烟渴求情况的改善。

Objective:To explore the effect of COX's Interaction Model of Client Health Behavior on smoking cessation for tobacco dependent patients.Methods:A convenience sample of 77 tobacco-dependent patients from a smoking cessation clinic in a tertiary first-class hospital in Wuhan was divided into groups according to the time of visit.Among them,38 patients from November 2018 to January 2019 were the control group,and routine smoking cessation interventions were used.Another group of 39 patients from February to April 2019 was the observation group and was implemented smoking cessation interventions based on the COX's Interaction Model of Client Health Behavior.Results:There were statistically significant differences in the time effect,grouping effect,and interaction effect of tobacco dependence scores between the two groups of patients(P<0.05).After the intervention,the scores of tobacco dependence in the observation group were lower than those in the control group at one month and six months after the intervention,and the difference was statistically significant(P<0.05);in the two groups of smoking craving scores,the main effect of patient time was significant(P<0.001),while the main effect of grouping was not significant(P>0.05).There was a statistically significant difference in smoking craving scores between the two groups of patients one month after the intervention(P<0.05).There was no significant difference in smoking craving scores between the two groups of patients six months after the intervention(P>0.05).The smoking cessation rate of 1 month and 6 months after intervention in the observation group was higher than that in the control group(P<0.05),and the observation group had a high recognition of smoking cessation intervention based on the COX's Interaction Model of Client Health Behavior.Conclusion:The smoking cessation interventions based on the COX's Interaction Model of Client Health Behavior can help reduce the tobacco dependence and further increase the smoking cessation rate.Patients have a high degree of acceptance on the interventions.However,there is no improvement in their smoking cravings.