关键词: 时机理论, 戒烟干预, 慢性阻塞性肺疾病, 尼古丁依赖, 焦虑, 抑郁, 护理

Abstract:

Objective To explore the effects of a smoking cessation intervention based on Timing It Right in patients with chronic obstructive pulmonary disease（COPD）. Methods Totally 104 COPD patients with tobacco dependence hospitalized in the department of respiratory and critical care medicine in a tertiary hospital were selected by convenient sampling and allocated into an experimental group and a control group with 52 cases in each group by random number table. The control group received respiratory routine nursing care,and brief smoking cessation intervention on the basis of “Clinical Guideline for Smoking Cessation in China（2015 edition）”,and regular follow-up visits;the experimental group received interventions above and a cessation intervention based on Timing It Right. The rate of smoking cessation,nicotine dependence degree,anxiety and depression were compared between 2 groups at 1 month and 6 months after discharge. Results The rate of smoking cessation in the experimental group at 1 month after discharge was 72.34%,which was higher than 40.82% in the control group. The rate of smoking cessation in the experimental group at 6 months after discharge was 85.11%,which was higher than 48.98% in the control group; the differences were statistically significant（P<0.05）. The score of nicotine dependence degree of the experimental group was significantly lower than that of the control group at both time points（P<0.05）. There was no significant difference in anxiety and depression between 2 groups（P>0.05）. Conclusion The smoking cessation intervention based on Timing It Right can effectively improve the rate of smoking cessation and reduce the degree of nicotine dependence in COPD patients with tobacco dependence,but no improvement has been found in anxiety and depression.

Key words: Timing It Right, Smoking Cessation Intervention, Chronic Obstructive Pulmonary Disease, Nicotine Dependence, Anxiety, Depression, Nursing Care