Influence of comprehensive smoking cessation intervention on cessation effect of peri-operative smoking patients
10.3760/cma.j.issn.1674-2907.2013.16.002
- VernacularTitle:综合性戒烟干预对围手术期患者戒烟效果的影响
- Author:
Wei-Li HAN
1
;
Jie WANG
;
Wei-Hong CAO
;
Xiao-Hong XIE
;
Ping MAI
;
Jing-Rong DING
;
Bei BAO
Author Information
1. 510620,广州市第十二人民医院护理部
- Keywords:
Surgery;
Peri-operative period;
Smoking cessation;
Comprehensive intervention
- From:
Chinese Journal of Modern Nursing
2013;19(16):1864-1869
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of comprehensive smoking cessation on pre-operative period patients' prognosis.Methods Totals of 120 cases smoking preoperative patients from 12th People' s Hospital of Guangzhou city between October 2011 and October 2012 were randomly divided into observation group and control group with each group of 60 patients.The patients in control group were given routine intervention,and the observation group given 5A interference and cognition intervention besides routine intervention.The following indexes including the patients' smoking dose,the ratio of smoking cessation succeeded,the concentration of expiratory gas carbon monoxide,the blood carboxyhemoglobin and urine cotinine were detected at the first week,first month and 6th month after the patients were discharged from the hospital.Results The smoking quit rate of observation group was higher than that of the control group (53.3％ vs 8.3％),the different were statistical significant (x2 =28.45,P =0.00),and the low nosocomial infection rate was found in the observation group than the control (5.0％ vs 16.7％).There was a lower concentration of the expiratory gas CO [(8.18 ±3.35) vs (14.98 ±8.43) ppm,(8.01 ±3.04) vs (14.65 ±6.91) ppm,(7.78 ±3.71) vs (14.49±6.13) ppm],COHb [(1.41 ±0.54)％ vs (2.93 ±1.24) ％,(1.39 ±0.67)％ vs (2.89 ± 1.52) ％,(1.33 ± 0.70) ％ vs (2.78 ± 1.08) ％] and urine cotinine [(17.05 ± 4.11) vs (45.38 ±20.81) μg/L,(15.23 ±4.71) vs (44.69±19.23) μg/L,(15.15 ±5.13) vs (44.64±21.47) μ.g/L] in the observation group than those of the control group at the first week,first month and 6th month (t =5.81,6.82,7.26,8.68,6.97,8.69,10.34,11.48,10.34;P ＜ 0.01).Conclusions Perioperative smoking cessation intervention could enhance smoking cessation quit rate,decrease the nosocomial infection rate and lower the concentration of CO,COHb,urine cotinine.
