摘要
目的调查脑卒中吸烟患者的吸烟情况和拒烟自我效能现状,明确脑卒中吸烟患者拒烟自我效能的相关因素,为后续有针对性地进行戒烟干预和指导提供理论依据。方法采用非试验性研究中横断面调查方法,选取2021年9—12月在天津市环湖医院神经科入住的196例脑卒中患者进行问卷调查,使用一般资料调查表、尼古丁依赖测试量表、烟草危害认知得分和拒烟自我效能量表进行调查。采用多元线性回归分析患者拒烟自我效能的相关因素。结果脑卒中吸烟患者拒烟自我效能总体得分为(20.78±6.47)分,各维度得分由高到低依次为习惯/成瘾情境、消极/情绪情境和积极/社交情境;多元线性回归分析显示,职业、尼古丁依赖得分和烟草危害认知得分是拒烟自我效能的影响因素,可解释拒烟自我效能水平37.4%的变异量。结论脑卒中吸烟患者的拒烟自我效能水平亟待提高,帮助患者提高烟草危害认知水平、降低尼古丁依赖水平,可以提高患者拒烟自我效能水平,以提高戒烟成功率,从而降低甚至戒掉吸烟行为导致的健康危害。
Objective To investigate the current smoking status and smoking abstinence self-efficacy of stroke smoking patients,to clarify the factors associated with the smoking abstinence self-efficacy in stroke patients,and to provide a theoretical basis for subsequent targeted interventions and guidance for smoking cessation.Methods A total of 196 stroke patients admitted to the Neurology Department of Tianjin Huanhu Hospital from September to December in 2021 were surveyed adopted cross-sectional survey method by the General Information Questionnaire,the Fagerstrom Test for Nicotine Dependence,the Tobacco Hazard Perception Score,and the Smoking Abstinence Self Efficacy Scale.Multiple linear regression was used to analyze the factors associated with patients'smoking abstinence self-efficacy.Results The overall score of self-efficacy for smoking in stroke patients was(20.78±6.47),and the scores of each dimension in descending order were habit/addiction,negative/emotional and positive/social situations.Multiple linear regression analysis showed that occupation,nicotine dependence score and cognition score of tobacco harm were the influencing factors of smoking abstinence self-efficacy,which could explain 37.4%variation of smoking abstinence self-efficacy.Conclusions The self-efficacy level of smoking patients with stroke needs to be improved,and helping patients to improve their perception of tobacco harm and reduce their nicotine dependence can improve their self-efficacy level to increase the success rate of smoking cessation,thus reducing or even quitting the health risks caused by smoking behavior.
作者
周晴
张颖
杨霞
宋宝香
甘燕玲
Zhou Qing;Zhang Ying;Yang Xia;Song Baoxiang;Gan Yanling(School of Nursing,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;Neurosurgery Ward 7 of Tianjin Huanhu Hospital,Tianjin 300350,China)
出处
《中国实用护理杂志》
2023年第2期113-119,共7页
Chinese Journal of Practical Nursing
关键词
卒中
影响因素分析
拒烟自我效能
Stroke
Root cause analysis
Smoking abstinence self-efficacy
