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外文摘要
引文資料
題名:
男性冠心病住院病患出院後三個月成功戒菸相關因素之探討
書刊名:
護理雜誌
作者:
汪慧鈴
/
王鵬智
/
吳彥雯
/
徐國基
作者(外文):
Wang, Huey-ling
/
Wang, Peng-chih
/
Wu, Yen-wen
/
Shyu, Kou-gi
出版日期:
2017
卷期:
64:4
頁次:
頁34-43
主題關鍵詞:
冠心病
;
戒菸
;
吐氣一氧化碳濃度測試
;
Coronary artery disease
;
Smoking cessation
;
Expired CO test
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
4
點閱:8
背景:冠心病患者若能戒菸,則能降低其心臟病的再發率及死亡率,然冠心病患者出院後之吸菸率仍偏高。目的:探討男性冠心病住院病患出院後三個月成功戒菸的相關因素。方法:採相關性研究法,以方便取樣,在北部二所醫學中心的心臟病房進行收案,共165位個案,三個月後追蹤到的個案為154位。住院期間個案填寫一份結構式問卷,內容包括:基本資料、吸菸和戒菸史、尼古丁成癮程度、認為吸菸引起心臟病的程度、吸菸結果的重要性、自我效能和出院後戒菸的意願;而疾病相關資料則經查詢病歷獲得。於個案出院後三個月以電話追蹤戒菸狀態,若自述已戒菸者,則以吐氣一氧化碳(carbon monoxide, CO)濃度來確認,運用多元邏輯斯迴歸分析檢測戒菸成功的預測因子。結果:在出院後三個月戒菸狀況,個案自述未吸菸者有57人(37.01%),以吐氣CO測試確認戒菸成功則有48人,戒菸率為31.17%。研究發現,疾病診斷為急性冠心症候群者、住院天數較長者,及出院戒菸意願較高者,較能戒菸成功。結論/實務應用:針對冠心症且住院男性病患,吐氣CO測試能較精確呈現戒菸狀況;針對疾病診斷為心絞痛者、住院天數較短者及出院戒菸意願較低者,醫護人員需更強調戒菸的重要性。
以文找文
Background: The promising effects of smoking cessation for coronary artery disease (CAD) patients include decreased risks of subsequent clinical events and mortality. However, most CAD patients continue to smoke after being hospitalized for a cardiac event. Purpose: To explore the factors that are associated with successful smoking cessation in CAD male patients at 3 months after hospital discharge. Method: A correlational design was applied. A convenience sample (N = 165) was recruited from the cardiac wards of two medical centers in northern Taiwan and 154 of these completed the 3-month follow up. The medical charts of the participants were reviewed to obtain their disease-related factors. All of the participants finished one questionnaire during their hospital stay. This questionnaire collected data on participant demographics, smoking and quitting history, and nicotine addiction as well as the causal attribution of heart disease to smoking, importance of smoking outcomes, self-efficacy for quitting, and post-discharge intention to quit. Information on post-discharge smoking status was collected via phone calls to the participants at three-months after hospital discharge and, for participants who claimed to have not smoked since discharge, was further confirmed by measuring their expired CO (carbon monoxide) level. Multiple logistic regression analysis was used to examine the identified predictors of successful smoking cessation. Results: The 3-month self-reported rate of abstinence was 37.01% (n = 57), while the rate of abstinence as confirmed by expired CO was 31.17% (n = 48). Those with acute coronary syndrome, longer hospital stays, and higher postdischarge intention to quit were more likely to quit smoking. Conclusions / Implications for Practice: The abstinence rate as confirmed by expired CO for hospitalized male patients with CAD is more accurate than the rate obtained by self-reporting. Healthcare providers should stress the importance of smoking cessation, especially for those who have been diagnosed with angina, are hospitalized for shorter periods of time, and indicate a lower post-discharge intention to abstinence.
以文找文
期刊論文
1.
Velicer, W. F.、Prochaska, J. O.、Rossi, J. S.、Snow, M. G.(1992)。Assessing outcome in smoking cessation studies。Psychological Bulletin,111(1),23-41。
2.
Velicer, W. F.、DiClemente, C. C.、Prochaska, J. O.、Branderburg, N.(1985)。Decisional Balance Measure for Assessing and Predicting Smoking Status。Journal of Personality and Social Psychology,48(5),1279-1289。
3.
鄭秀月、李茹萍(20090500)。戒菸門診個案持續戒菸行為與自我效能之研究。臺灣醫學,13(3),223-230。
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4.
Velicer, W. F.、DiClemente, C. C.、Rossi, J. S.、Prochaska, J. O.(1990)。Relapse situations and self-efficacy: An integrative model。Addictive Behaviors,15(3),271-283。
5.
Heatherton, T. F.、Kozlowski, L. T.、Frecker, R. C.、Fagerstrom, K. O.(1991)。The Fagerström test for nicotine dependence: A revision of the Fagerstrom Tolerance Questionnaire。British Journal of Addiction,86(9),1119-1127。
6.
Berndt, N.、Bolman, C.、Froelicher, E. S.、Mudde, A.、Candel, M.、de Vries, H.、Lechner, L.(2014)。Effectiveness of a telephone delivered and a face-to-face delivered counseling intervention for smoking cessation in patients with coronary heart disease: A 6-month follow-up。Journal of Behavioral Medicine,37(4),709-724。
7.
Berndt, N.、Bolman, C.、Mudde, A.、Verheugt, F.、de Vries, H.、Lechner, L.(2012)。Risk groups and predictors of shortterm abstinence from smoking in patients with coronary heart disease。Heart & Lung: The Journal of Acute and Critical Care,41(4),332-343。
8.
Chou, L.-P.、Chang, H.-F.、Kao, C.、Lin, W.、Huang, C.-L.(2013)。Smoking cessation in Taiwanese male smokers with coronary artery disease: Influencing factors and policy implications。International Nursing Review,60(2),244-250。
9.
Cropsey, K. L.、Trent, L. R.、Clark, C. B.、Stevens, E. N.、Lahti, A. C.、Hendricks, P. S.(2014)。How low should you go? Determining the optimal cutoff for exhaled carbon monoxide to confirm smoking abstinence when using cotinine as reference。Nicotine & Tobacco Research,16(10),1348-1355。
10.
Eisenberg, M. J.、Grandi, S. M.、Gervais, A.、O'Loughlin, J.、Paradis, G.、Rinfret, S.(2013)。Bupropion for smoking cessation in patients hospitalized with acute myocardial infarction: A randomized, placebocontrolled trial。Journal of the American College of Cardiology,61(5),524-532。
11.
Elshatarat, R. A.、Stotts, N. A.、Engler, M.、Froelicher, E. S.(2013)。Knowledge and beliefs about smoking and goals for smoking cessation in hospitalized men with cardiovascular disease。Heart & Lung: The Journal of Acute and Critical Care,42(2),126-132。
12.
Gerritsen, M.、Berndt, N.、Lechner, L.、de Vries, H.、Mudde, A.、Bolman, C.(2015)。Self-reporting of smoking cessation in cardiac patients: How reliable is it and is reliability associated with patient characteristics?。Journal of Addiction Medicine,9(4),308-316。
13.
Hammal, F.、Ezekowitz, J. A.、Norris, C. M.、Wild, T. C.、Finegan, B. A.(2014)。Smoking status and survival: Impact on mortality of continuing to smoke one year after the angiographic diagnosis of coronary artery disease, a prospective cohort study。BMC Cardiovascular Disorders,14(1),133。
14.
Rigotti, N. A.、Clair, C.(2013)。Managing tobacco use: The neglected cardiovascular disease risk factor。European Heart Journal,34(42),3259-3267。
15.
Li, L.、Feng, G.、Jiang, Y.、Yong, H. H.、Borland, R.、Fong, G. T.(2011)。Prospective predictors of quitting behaviours among adult smokers in six cities in China: Findings from the International Tobacco Control (ITC) China survey。Addiction,106(7),1335-1345。
16.
Pomerleau, C. S.、Carton, S. M.、Lutzke, M. L.、Flessland, K. A.、Pomerleau, O. F.(1994)。Reliability of the Fagerstrom tolerance questionnaire and the Fagerstrom test for nicotine dependence。Addictive Behaviors,19(1),33-39。
17.
SRNT Subcommittee on Biochemical Verification(2002)。Biochemical verification of tobacco use and cessation。Nicotine & Tobacco Research,4(2),149-159。
18.
汪慧鈴、Harrell, Joanne、Funk, Sandy(20080300)。Factors Associated with Smoking Cessation among Male Adults with Coronary Heart Disease in Taiwan。The Journal of Nursing Research,16(1),55-64。
19.
林芸安、蔡仲弘(20110200)。臺灣中老年男性戒菸因素之探討。臺灣公共衛生雜誌,30(1),36-44。
延伸查詢
研究報告
1.
衛生福利部(2016)。103年死因統計結果分析。
延伸查詢
學位論文
1.
陳明惠(2004)。病患接受經皮冠狀動脈血管成型術後健康生活型態之探討(碩士論文)。國立成功大學,台南市。
延伸查詢
2.
張雪鳳(2009)。有吸菸經驗男性冠心症患者戒菸行為及其相關因素探討(碩士論文)。長榮大學,台南市。
延伸查詢
圖書
1.
Miles, J.、Shevlin, M.(2001)。Appling regression & correlation. A guide for students and researchers。Thousand Oaks, CA:Sage。
2.
US Department of Health and Human Services(2014)。The health consequences of smoking-50 years of progress: A report of the surgeon general。Atlanta, GA:US Department of Health and Human Services, National Center for Chronic Disease Prevention and Health Promotion。
3.
行政院衛生署國民健康局(2012)。臺灣菸害防制年報。臺北:行政院衛生署國民健康局。
延伸查詢
4.
Fishbein, Martin、Ajzen, Icek(2010)。Predicting and changing behavior: The reasoned action approach。Psychology Press。
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