基于接纳和正念的干预措施对男性精神分裂症患者戒烟行为的影响

Influence of acceptance and mindfulness-based intervention on smoking cessation behavior in male patients with schizophrenia

目的探讨基于接纳和正念的干预措施对长期住院男性精神分裂症患者戒烟行为的影响。方法将50例长期住院的男性精神分裂症患者随机分为常规组和干预组,每组25例。常规组采用常规戒烟干预措施,干预组采用基于接纳和正念的干预措施,观察并比较2组患者的戒烟情况(以300 d为戒烟结局的观察截点)。以停止吸烟为结局,以不同干预方式为主要研究因素,同时调整年龄、受教育程度等因素的影响,比较2种干预方式对精神分裂症患者戒烟的影响是否存在差异。结果常规组的中位戒烟时间为280 d(95%CI为158.39~401.62),长于干预组的中位戒烟时间66 d(95%CI为9.21~122.79);Log-rank法检验结果显示,2组患者戒烟时间比较,差异有统计学意义(χ^(2)=22.633,P<0.001)。结论基于接纳和正念的干预措施能显著缩短长期住院男性精神分裂症患者的戒烟时间。

Objective To explore the influence of intervention based on acceptance and mindfulness on smoking cessation behavior in long-term hospitalized male schizophrenic patients.Methods Fifty long-term hospitalized male patients with schizophrenia were randomly divided into routine group(n=25)and intervention group(n=25).The routine group used conventional smoking cessation intervention,while the intervention group was given intervention based on the theory of acceptance and mindfulness.The smoking status of two groups(taking 300 d as ending time for observation)was observed.Cessation of smoking were taken as the outcome,different intervention methods as the main research factors,the differences in influence of the two intervention methods on the smoking cessation of schizophrenia patients were compared after adjusting the influence of age,education level and other factors.Results The median time to quit smoking in the routine group was 280 days(95%CI,158.39 to 401.62),which was longer than 66 days(95%CI,9.21 to 122.79)in the intervention group.Log-rank test showed that there was a significant difference in the time of quitting smoking between the two groups(χ^(2)=22.633,P<0.001).Conclusion Intervention based on acceptance and mindfulness can significantly shorten the time to quit smoking for long-term hospitalized male patients with schizophrenia.