目的 探讨动机访谈在武警部队官兵吸烟行为改变中的应用效果。方法 将随机抽样选取的武警部队官兵126名随机分为两组,干预组和对照组各63名。对照组给予吸烟危害宣教及辅助戒烟,干预组在此基础上给予面对面动机访谈干预,于12周采用问卷调查方法评价两组对吸烟危害的知晓率、吸烟行为改变的认知率及戒烟率。结果 12周后干预组吸烟危害知晓率高于对照组,但两组间差异无统计学意义;与对照组比较,干预组的吸烟行为改变认知率明显升高(53.3% vs 87.3%,P<0.01);干预组戒烟率显著高于对照组,具有统计学差异(51.7% vs 26.7%,P<0.01)。结论 动机访谈有助于提高武警官兵对吸烟危害的认知和吸烟行为的改变。
Abstract
Objective To probe into the application and effect of motivational interview on the change of smoking behavior of the Armed Police Forces officers and soldiers. Methods 126 Armed Police Forces officers and soldiers were randomly divided into interventional group (n=63) and control group (n=63). The control group was given smoking harm propagamda and education, and was assisted to quit smoking. The interventional group was given motivational interview on the basis of the same in the control group. The effects were evaluated on awareness of smoking hazards, improved awareness of smoking behavior, and smoking quitting rate by questionnaire after 12 weeks. Results The awareness rate of diseases caused by smoking in the intervention group was higher than that in the control group after 12 weeks, but there was no statistically significant difference between the two groups. Compared with the control group, the rates of awareness of smoking behavior and smoking quitting in the intervention group were higher; there were statistically significant difference between the two groups (53.3% vs 87.3%, 51.7% vs 26.7%,P<0.01). Conclusions MI can help the Armed Police Force officers and soldiers improve the awareness of smoking hazards and smoking behavior.
关键词
吸烟 /
动机访谈 /
武警部队 /
戒烟 /
认知度
Key words
smoking /
motivational interview /
People’s Armed Police /
smoking quitting /
awareness
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参考文献
[1] 中国控制吸烟协会吸烟与疾病控制专业委员会肿瘤学组. 中国控制吸烟协会吸烟与疾病控制专业委员会成立大会纪要及倡议书[J].中国肺癌杂志,2010,13(7):753-754.
[2] Richey P A, Klesges R C, Talcott G W,et al. Efficacy of a smoking quit line in the military: baseline design and analysis[J]. Contemp Clin Trials,2012,33(5):959-968.
[3] 高鸿雁,高鸿敏. 某部35岁以下青年军人吸烟现状调查及对策分析[J]. 解放军预防医学杂志,2014,32(3):243-244.
[4] 郭宏霞,李浴峰. 武警部队控烟的现状与对策[J]. 解放军预防医学杂志,2013,31(1):70-71.
[5] 张德明,杨明常,李志斌,等.驻穗部队老干部吸烟情况调查分析[J].现代预防医学,2009,36(1):99-101.
[6] Miller W R. Motivational interviewing:preparing people for change [M].2nd ed. New York:Guilford Press,2002:66-67.
[7] Thompson D R. Motivational interviewing with problem drinks[J].J Clin Nurs,2011,20(9/10):1236-1244.
[8] Miller W R, Rollnick S. Motivational interviewing: preparing people for changing addictive behavior [M]. New York: Guilford Press,2002:120-123.
[9] Chanut F, Brown T G, Donguier M. Motivational interviewing and clinical psychiatray [J]. Psychiatry,2005,50(11):715-721.
[10] 姜 垣,杨 焱.戒烟门诊操作指南[M]. 北京:人民卫生出版社,2008:68-101.
[11] Nerín I, Crucelaegui A, Mas A, et al. Profile of smokers who seektreatment at a smoking cessation clinic[J]. Arch Bronconeumol,2003, 39(7):298-302.
[12] 胡大一,丁荣晶. 临床医生应该首先戒烟[J].中国实用内科杂志,2011,31(1):4-5.
[13] 李权超,于 泱,傅建国. 部队吸烟与控烟情况调查[J].中国医药科学,2013,3(4):59-60.
[14] 牛占丛,平 芬,郝志华,等. 河北省部分在职公务员吸烟状况调查及戒烟干预结果分析[J].山东医药,2013,53(25):46-47.
[15] Hughes J R, Keely J, Naud S. Shape of the relapse curve and long-term abstinence among untreated smokers[J]. Addiction,2004,99(1):29-38.
[16] Masterson Creber R, Patey M, Dickson V V, et al. Motivational interviewing Tailored Interventions for Heart Failure (MITI-HF): study design and methods[J]. Contemp Clin Trials,2015,41(2):62-68.
[17] 王玉萍,陈 佩,陶 静. 动机访谈在院外注射甘精胰岛素的糖尿病病人随访教育中的应用[J].护理研究,2014,4(28):1364-1366.
[18] 李 晴,薛小玲,杨小芳,等. 动机性访谈对促进经皮冠状动脉介入术后患者低盐饮食的效果分析[J].中华护理杂志,2012,8(47):695-697.
基金
比尔及梅林达·盖茨基金资助项目(2012138)
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