摘要
目的本研究旨在探索森林疗法对降低吸烟者心理压力,减低吸烟欲望所产生的积极作用。方法招募48名中等活动量的城市环境工作吸烟者,一组在天然森林环境里参加为期10 d的治疗(实验组),另一组在城市环境里进行为期10 d的治疗(对照组)。除环境因素改变外,作息活动均按照统一制定的时间表进行。所有受试者佩戴统一的电子手环,监测每日的夜间睡眠质量。在不同环境治疗前后进行血清皮质醇、催产素及一氧化碳(CO)呼气值水平的比较,对尼古丁依赖程度评估量表(FTND)、吸烟强度指数量表(HSI)、明尼苏达尼古丁戒断症状量表(MNWS)和吸烟渴求简短问卷(QSU)进行评分。结果森林疗法干预后,与对照组比较,实验组在治疗第5天后,深度睡眠时间(DST)和快速动眼时间(REM)延长(P<0.05)。实验组血清皮质醇水平(73.77±25.68)pg/mL低于对照组(94.79±47.89)pg/mL。CO呼气值水平在实验组为(7.50±5.82)ppm,较对照组(12.38±4.06)ppm显著降低(P<0.01)。烟草依赖程度相关量表(FTND、HSI)及戒断症状与吸烟渴求程度(MNWS、QSU)评分较森林疗法干预前显著降低,且干预后实验组评分均显著低于对照组(P<0.05或P<0.01),但血清催产素在不同环境中差异并无统计学意义。结论自然森林可通过提高吸烟者睡眠质量、缓解压力等方式来减弱对烟草的偏好效应,对戒烟有一定辅助效果。
Objective To explore the positive effects of forest therapy on reducing smokers'psychological stress and desire to smoke.Methods Forty-eight moderate-activity urban working smokers were recruited for a 10-day treatment in a natural forest environment(experimental group)and a 10-day treatment in an urban environment(control group).Except for changes in environmental factors,life activities were carried out in accordance with a unified timetable.All subjects wore a uniform electronic bracelet to monitor their sleep quality at night.The levels of serum cortisol,oxytocin and carbon monoxide(CO)expirations were compared before and after treatment in different environments,and scores of Fagerstrom Test for Nicotine Dependence(FTND),Heaviness of Smoking Index(HSI),Minnesota Nicotine Withdrawal Scale(MNWS)and Questionaire of Smoking Urges(QSU)were measured.Results After forest therapy intervention,deep sleep time(DST)and rapid eye movement time(REM)were prolonged in the experimental group compared with the control group on day 5 of treatment(P<0.05).The serum cortisol level of the experimental group(73.77±25.68)pg/mL was lower than that of the control group(94.79±47.89)pg/mL.CO expiratory value in the experimental group was(7.50±5.82)ppm,which was significantly lower than that in the control group(12.38±4.06)ppm(P<0.01).The scores of tobacco dependence scale(FTND,HSI),withdrawal symptoms and smoking desire(MNWS,QSU)were significantly lower than those before forest therapy,and the scores of experimental group were significantly lower than those of control group after forest therapy(P<0.05 or P<0.01),but there was no significant difference in serum oxytocin levels in different environments.Conclusion Natural forest can reduce the preference effect of tobacco by improving the sleep quality and relieving stress of smokers,which has a certain auxiliary effect on smoking cessation.
作者
朱紫馨
欧阳秋月
程明亮
罗新华
Zhu Zixin;Ou Yang-Qiuyue;Cheng Mingliang;Luo Xinhua
出处
《中国疗养医学》
2022年第1期1-7,共7页
Chinese Journal of Convalescent Medicine
基金
贵州省安顺市科学技术学会【2018】4号。
关键词
森林疗法
烟草依赖
戒烟干预
Forest therapy
Tobacco dependence
Smoking cessation intervention
