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目的探讨健康信念模式心理干预结合耳穴刺激社区控烟实践应用。方法随机选择1个街道(乡镇)6个社区(村)设立戒烟报名点,并随机分4组为心理干预组、耳穴刺激组、心理干预结合耳穴刺激组及对照组,问卷调查人口学资料、吸烟情况。采用4种不同干预,比较6个月后是否戒烟、每日吸烟量的变化。结果干预后心理干预结合耳穴刺激组完全戒烟率为30.16%,远高于其他3组,心理干预结合耳穴刺激组与对照组完全戒烟例数和每日吸烟量变化差异有统计学意义(P<0.05)。多因素回归分析后显示:年龄、心理耳穴刺激组干预为强影响因子,其OR值分别为2.317和3.272。结论健康信念模式心理干预结合耳穴刺激控烟的方法不失为一种简便、安全、便于社区实践的有效方法。
Objective To explore the application of health belief mode psychological intervention combined with auricular stimulation community smoking control practice. Methods Six community (villages) in one street (township) were randomly selected to set up smoking cessation application points. Four groups were randomly divided into psychological intervention group, auricular stimulation group, psychological intervention combined with auricular stimulation group and control group, questionnaire demographic data, Smoking situation. Four different interventions were used to compare the changes in smoking cessation and daily cigarette smoking after six months. Results After the intervention, the rate of complete smoking cessation was 30.16% in the combination of aural stimulation and auricular stimulation, which was much higher than the other three groups. There was significant difference between the total amount of smoking cessation and the daily smoking change in the psychological intervention combined with the auricular stimulation group and the control group (P < 0.05). Multivariate regression analysis showed that the intervention of age and psychological auricular stimulation group was a strong influencing factor with OR values of 2.317 and 3.272 respectively. Conclusion The method of health belief model psychological intervention combined with auricular stimulation of tobacco control after smoking is an easy, safe, and effective community practice.