【摘要】 目的 比较不同干预方式对戒烟效果的影响，为戒烟的个体化和精确化提供指导。方法 收集2021年10月至2023年10月重庆医科大学附属第二医院戒烟门诊就诊的368名吸烟者资料，按照意愿分为门诊组、微信组和门诊+微信组。统计分析各组社会人口学特征、吸烟和戒烟情况，比较不同干预方式对戒烟疗效的影响。结果 第3和6月，微信组的减烟率、持续戒烟率和第3月的7天时点戒烟率最低和失访率最高(均P<0.05);第6月，门诊+微信组持续戒烟率最高和微信组最低(P<0.05)。第6月，各组减烟数量较前增多，门诊+微信组的减烟数量最高(P<0.05);烟草依赖程度较前降低，微信组的FTND和HSI评分高于其他两组(P<0.05)。年龄、烟草依赖程度和是否完成长期随访是戒烟成功的危险因素(P<0.05)。结论 不同方式均可帮助戒烟，门诊+微信组干预效果更强，微信组最弱。更多还原

【Abstract】 Objective To evaluate different intervention methods on the efficacy of smoking cessation in order to support individualized and precise smoking cessation. Methods Data of 368 patients who visited the smoking cessation clinic at the Second Affiliated Hospital of Chongqing Medical University from October 2021 to October 2023 were collected and divided into outpatient group,WeChat group and outpatient +WeChat group according to their preferences. Statistical analysis of social demographic characteristics,smoking and smoking cessation status in each group was performed. Results At the third and sixth months,the WeChat group had the lowest smoking reduction rate,sustained smoking cessation rate,and 7-day point-prevalence abstinence rate in the third month,as well as the highest dropout rate( all P<0. 05); In the sixth month,the outpatient+WeChat group had the highest continuous smoking cessation rate and the WeChat group had the lowest( both P<0. 05). In the sixth month,the number of cigarette reduction in each group increased compared to before,with the outpatient +WeChat group having the highest number of cigarette reductions( P<0. 05). The degree of tobacco dependence decreased compared to before and the FTND and HSI scores of the WeChat group were higher than the other two groups( both P<0. 05). Age,degree of tobacco dependence,and completion of long-term follow-up were risk factors for successful smoking cessation( all P<0. 05). Conclusions Different methods can help quit smoking and the intervention effect of outpatient+WeChat group is the most effective one and the WeChat group is the weakest one.更多还原