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目的了解吸烟的老年冠心病患者对于吸烟问题的认识及控烟状况,探索戒烟成功与否的原因和影响因素,为帮其控烟提供参考方法。方法对574例有吸烟史的老年冠心病患者进行问卷调查,采用分组分析、logistic回归分析法等方法分析戒烟的影响因素。结果 574例有吸烟史的老年冠心病患者中,43.2%的患者目前已戒烟,56.8%的患者目前仍吸烟。戒烟成功者和目前吸烟者两组间文化程度、城乡居住、自感健康情况、吸烟有害认知、周围吸烟人群间差异有统计学意义。结论老年冠心病患者戒烟水平和意识仍有待提高;除现有的控烟政策外,应更加关注文化程度低、农村地区、居住环境多吸烟者的冠心病患者的控烟活动;在针对吸烟的冠心病患者控烟活动的同时对其家人和周围吸烟人群开展宣传控烟活动也是迫切需要的。
Objective To understand the smoking awareness of elderly patients with coronary heart disease and control of smoking status, to explore the reasons for the success of smoking cessation and its influencing factors in order to provide a reference for its control tobacco. Methods 574 elderly patients with smoking history of coronary heart disease were investigated by questionnaire, using group analysis, logistic regression analysis and other methods to analyze the influencing factors of smoking cessation. Results Of the 574 elderly patients with smoking history, 43.2% of them had quit smoking and 56.8% of them were still smoking. Smoking cessation and the current smoker between the two groups, education level, living in urban and rural areas, self-senses of health, harmful awareness of smoking, smoking among the surrounding differences were statistically significant. Conclusion In addition to the existing tobacco control policy, more attention should be paid to tobacco control activities of coronary heart disease patients with low education, rural areas and multi-smokers living in elderly patients with coronary heart disease. In smoking-related coronary heart disease Tobacco control activities of patients at the same time for their families and the surrounding smoking population to promote tobacco control activities are also urgently needed.