昆明地区慢性阻塞性肺疾病患者烟草依赖相关因素剖析.docVIP

昆明地区慢性阻塞性肺疾病患者烟草依赖相关因素剖析 　　[摘要] 目的 探讨昆明地区慢性阻塞性肺疾病（简称慢阻肺）患者烟草依赖的影响因素。 方法 选取2014年8月～2015年2月昆明地区5家三甲医院的慢阻肺住院患者共300例，通过填写、收集自行设计问卷，分析慢阻肺患者烟草依赖的相关因素。 结果 300名研究对象男性294例，女性6例，烟草依赖评分为（5.64±2.13）分，已戒烟者有202例（67.3%），未戒烟者有98例（32.7%）。单因素分析显示，不同文化程度、经济收入、吸烟指数患者烟草依赖评分比较，差异有统计学意义（P0.05）。多元回归分析显示，烟草依赖评分=1.152+1.43×吸烟指数。 结论 慢阻肺患者烟草依赖程度较高且与吸烟指数呈正相关，应加大戒烟宣传力度。 　　[关键词] 慢性阻塞性肺疾病；烟草依赖；相关因素 　　[中图分类号] R563.1+9 [文献标识码] A [文章编号] 1674-4721（2016）05（c）-0020-03 　　Analysis of related factors of tobacco dependence of chronic obstructive pulmonary disease patients in Kunming area 　　BI Hong JIN Zhi-xian LI Hang DU Jun-yi CHEN Min 　　The Second Dept of Respiratory Medicine，the First People′s Hospital of Kunming City，Kunming 650011，China 　　[Abstract] Objective To investigate the related factors of tobacco dependence of chronic obstructive pulmonary disease（COPD）patients in Kunming area. Methods A total of 300 patients with COPD were selected from 5 tertiary hospitals in Kunming area for investigation from August 2014 to February 2015.The related factors of tobacco dependence in COPD patients were analyzed by filling in and collecting self-designed questionnaire. Results Among 300 cases of patients，there were 294 cases of male and 6 cases of female，their tobacco dependence scores was （5.64±2.13） points.There were 202 cases of ex-smoker（67.3%） and 98 cases of smoker（32.7%）.Single factor analysis showed that the tobacco dependence scores had statistically significant differences in patients with different cultural degree，economic income，smoking index（P0.05）.Multiple regression analysis showed that，tobacco dependence score=1.152+1.43 × smoking index. Conclusion Tobacco dependence of COPD patients is high，and positively associated with smoking index，the related departments should strengthen the smoking cessation propaganda. 　　[Key words] Chronic obstructive pulmonary disease；Tobacco dependence；Related factors 　　慢性阻塞性肺疾病（简称慢阻肺）是呼吸内科的常见病及多发病，其中吸烟是导致慢阻肺的重要危险因素。2002年世界卫生组织报告指出，在影响健康的前十大危险因素中，吸烟位于第4位[1]