Effect of the smoking cessation services in the out-patient department for patients with coronary heart disease
10.3760/cma.j.issn.0253-3758.2013.12.003
- VernacularTitle:基于冠心病患者的门诊戒烟服务方式分析与简化控烟流程探讨
- Keywords:
Coronary disease;
Smoking;
Smoking cessation;
Ambulatory care
- From:
Chinese Journal of Cardiology
2013;41(12):1000-1005
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects and clinical prognosis of out-patient department-based smoking cessation services for coronary heart disease (CHD) patients.Methods A total of 140 smoking patients diagnosed with coronary heart disease in our cardiovascular department were randomly divided into the intensive smoking cessation clinic follow-up group (intervention group,patients were informed on the importance and methods to quit smoking at the first visit and reminded for that at months interval for 6 months,n =70) and the conventional treatment group (control group,n =70).After 6 months,the smoking status,cardiovascular event rates,drug usage,out-patient medical costs and quality of life were compared between the two groups.Results Age,gender,concomitant diseases,drug usage were similar between the two groups at baseline (all P ＞ 0.05).After 6 months,smoking quit rate [34.2％ (24/70)vs.5.7％ (4/70),P ＜0.01],drug use rates:lipid-lowering drugs [95.3％ (67/70) vs.80.4％ (56/70)],β3 blockers [82.4％ (57/70)vs.41.3％ (28/70)],and ACEI/ARB [61.4％ (43/70)vs.34.4％ (24/70)] were significantly higher in the intervention group than in the control group,while total cardiovascular event rates [21.4％ (15/70) vs.47.1％ (33/70),P ＜ 0.01] and out-patient medical costs (3789.3 RMB vs.4984.2 RMB,P ＜0.01) were significantly lower in the intervention group than in the control group.The quality of life scores derived from MYO health survey questionnaire was significantly higher in the intervention group than in the control group (P ＜ 0.01).The top three reasons responsible for continuous smoking for all patients failed to quit smoking were:①others smoked more than me and still alive and healthy [90.3 ％ (56/62)] ; ②smoking helped me to keep relaxed and reduce trouble in daily work and life [70.9％ (44/62)]; ③smoking was essential while chatting and drinking with friends [66.1％ (41/62)].The overall satisfactory rate to this smoking cessation program was 42.8％ and the satisfactory rate was up to 50.0％ by patients.Conclusions Intensive outpatient smoking cessation follow-up program can significantly improve the smoking cessation rates,the guideline drug use rate and the quality of life while reduce medical costs for coronary heart disease patients.
