目的:分析吸烟依赖程度之间的相关性,用Fagerström测试尼古丁依赖性(FTND)测量,Glover-Nilsson吸烟行为依赖(GN-SBQ)和自我感知依赖(SPD)的测量。
方法:横断面描述性观察研究。网站:城市初级卫生保健中心。
方法:18至65岁的男性和女性,每日吸烟者,通过非随机连续抽样选择。
方法:通过电子设备进行各种问卷的自我管理。
方法:年龄,性别和尼古丁依赖评估:FTND,GN-SBQ和SPD。统计分析,使用SPSS15.0:描述性统计,皮尔逊相关性分析和符合性分析
结果:包括了二百十四个吸烟者,54.7%是女性。中位年龄52岁(范围:27-65)。根据所使用的测试,发现高/非常高依赖程度的不同结果:FTND17.3%,GN-SBQ15.4%,SPD69.6%。发现3检验之间存在中等幅度(r≈0.5)的相关性。在评估一致性时,比较FTND与SPD,70.6%的吸烟者在依赖严重程度上不一致,报告对FTND的依赖程度低于对SPD的依赖程度。比较GN-SBQ与FTND,44.4%的患者与40.7%的患者一致,FTND低估了依赖的严重程度。同样,当比较SPD与GN-SBQ时,在64%的GN-SBQ低估中,而在34.1%的吸烟者中,证实了一致性。
结论:与GN-SBQ或FNTD相比,认为自己的SPD高/非常高的患者人数高出四倍;后者,是最苛刻的,对依赖性非常高的患者进行分类。要求FTND评分大于7才能开出戒烟药物可能会将辅助患者排除在接受治疗之外。
To analyze the correlation between the degrees of smoking dependence, measured with the Fagerström Test Nicotine Dependence (FTND), Glover-Nilsson Smoking Behavioral Dependence (GN-SBQ) and a measure of self-perceived-dependence (SPD).
Cross-sectional descriptive observational study. SITE: Urban primary health-care center.
Men and women between 18 and 65 years old, daily smokers, selected by non-random consecutive sampling.
Self-administration of various questionnaires though an electronic device.
Age, sex and nicotine dependence assessed by: FTND, GN-SBQ and SPD. Statistical analysis, with SPSS 15.0: descriptive statistics, Pearson correlation analysis and conformity analysis.
Two hundred fourteen smokers were included, 54.7% were women. Median age 52 years (range: 27-65). Depending on the test used, different results of the high/very high degree of dependence were found: FTND 17.3%, GN-SBQ 15.4% and SPD 69.6%. A moderate magnitude (r≈0.5) correlation between the 3 test was found. When assessing concordance, comparing the FTND with SPD, 70.6% of smokers didn\'t coincide in the severity of dependence, reporting a milder degree of dependence with the FTND than with SPD. Comparing GN-SBQ versus FTND, showed conformity in 44.4% of patients while in 40.7%, the FTND underestimated the severity of dependence. Likewise, when comparing SPD with the GN-SBQ, in the 64% GN-SBQ underestimates, while in 34.1% smokers conformity was demonstrated.
The number of patients who consider their SPD to be high/very high was four times higher compared to the GN-SBQ or the FNTD; the latter, being the most demanding, categorizing patients with very high dependence. Requiring a FTND score greater than 7 to prescribe drugs for smoking cessation may exclude subsidiary patients from receiving treatment.