摘要
目的 了解食管癌围术期患者的控烟现状并探讨其影响因素.方法 2016年3—8月采用尼古丁依赖量表和自行设计的一般资料问卷,对北京市某三级甲等专科医院的104例食管癌围术期患者进行调查.结果 104例食管癌患者均为吸烟或戒烟〈2年的患者,开始吸烟年龄14~60岁,吸烟量1~80支/d;尼古丁依赖量表平均得分（3.85±2.42）分,64.4%的患者尼古丁依赖程度属于低中度.多元分析显示,年纪轻、BMI偏低、文化程度低、家庭人均月收入高、同住人吸烟、易吸烟、从未或者刻意戒烟以及觉得戒烟困难的患者尼古丁依赖程度高（P〈0.05）.结论 医务工作者应加强对食管癌围术期患者控烟问题的关注,加强宣教和监督力度,为患者手术做好充分准备.社会、医务工作者要加强对大众、患者关于烟草危害的教育.
Objective To investigate the present situation on the tobacco control of perioperative patients with esophageal cancer, and analyze its influential factors.Methods A total of 110 perioperative patients with esophageal cancer were investigated with questionnaires which included self-design scale and Fagerstrom Test For Nicotine Dependence from March to August 2016 in one tertiary specific hospital in Beijing. Results The 104 patients with esophageal cancer were smoker or quite smoking below 2 years, with smoking at the age of 14-60 years old, 1-18 cigarettes per day; the Fagerstrom Test For Nicotine Dependence was （3.85±2.42） score and nicotine dependence reached low or medium degree was 64.4%. Multiple regression analysis showed patients had high nicotine dependence in young, low BMI, low education, high family income, living with smoker, easy smoking, never or mean to quit smoking, and feeling hard to quit smoking （P〈0.05）. Conclusions Medical staff should strengthen the awareness on the smoking control in esophageal cancer patients, and improve education and supervision, so as to prepare well for patients operation. Society and medical staff require to focus on the education of tobacco risks for public and patients.
作者
吴倩
刘淼
王卫宁
王兵
Wu Qian Liu Miao Wang Weining Wang Bing(National Cancer Center, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China)
出处
《中华现代护理杂志》
2017年第20期2598-2603,共6页
Chinese Journal of Modern Nursing
关键词
食管肿瘤
围手术期
控烟
影响因素
Esophageal neoplasms
Perioperative period
Smoking control
Influential factors
