关键词: 结核,肺/预防和控制, 戒烟

Abstract: Objective  To describe the result of smoking control project on patients at tuberculosis outpatient department in Huaiyuan county of Anhui province and analyze the factors affecting the effect.   Methods  From August 2008 to March 2009, smoking cessation advice was repeatedly given to 302 new pulmonary tuberculosis patients with smoking habits registered at tuberculosis outpatient department in Huaiyuan county. Follow-ups examination were conducted at the second month, the fifth month, the sixth month and the twelfth month, during which motivation scores and confidence scores (measured on a scale of 0 to 10 according to the strength of the patients’ willingness) of patients who volunteered for smoking cessation were recorded. A project management system at county, township and village levels was established in order that the whole quitting processing of the patients could be supervised and recorded. Follow-up results were described，the changes of motivation scores and confidence scores were observed and the factors affecting motivation and confidence scores were studied. Measurement data were compared with nonparametric tests, with a significance level of 0.01.  Results The quit rate at the ending of treatment was 27.9%(83/297). At the sixth month after treatment completion, it was 18.0%(53/295). At the beginning of treatment and the 4 times of follow-ups, motivation scores(the median score was 7.5, 5.0, 3.0, 1.0 and 1.0, respectively; χ²=405.524，P<0.01) and confidence scores(the median score was 7.0, 5.0, 3.0, 1.0 and 1.0, respectively; χ²=390.893，P<0.01) of the patients showed a downward trend. A negative correlation was found between the amount of cigarette smoked per day and the initial motivation score(r=－0.127, P<0.05), and it was also found between the amount of cigarette smoked per day and the initial confidence score(r=－0.141,P<0.05), between smoking time and the initial motivation score(r=－0.119,P<0.05), and between smoking time and the initial confidence score(r=－0.146,P<0.05).  Conclusion Health education offered by doctors in outpatient department could help improve the quit rate of patients. The amount of cigarette smoked per day and smoking time has negative effect on motivation and confidence of quitting behavior.

Key words: Tuberculosis, pulmonary/prevention &, control, Smoking cessation