针对吸烟糖尿病患者的行为疗法:范围综述。

IF 3 Q1 PRIMARY HEALTH CARE
Roberta Sammut, Joseph Grech, Riccardo Polosa, Davide Campagna, Agostino Di Ciaula, Tabinda Dugal, Andre Kenge, Anoop Misra, Syed Abbas Raza, Cristina Russo, Noel Somasundaram, Magdalena Walicka, Le Dinh Phoung, Graziella Chiara Prezzavento, Mirko Casu, Giusy Rita Maria La Rosa, Pasquale Caponnetto
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引用次数: 0

摘要

背景:吸烟会加剧糖尿病相关并发症;尽管吸烟率很高。糖尿病患者在戒烟过程中面临着许多障碍和挑战,如多种生活方式限制;戒烟需要有针对性的干预措施:方法:研究必须是随机对照试验:研究必须是随机对照试验、准实验或系统综述。与标准护理相比,行为干预包括:5A、认知行为疗法、动机访谈、权变管理、健康指导和咨询。研究结果为自我报告和/或生化验证的戒烟情况。对 CINAHL Complete、MEDLINE Complete、Cochrane 系统综述和随机对照试验数据库、PsychInfo 和 PubMed Central 进行了检索,直至 2023 年 7 月。使用的关键词包括糖尿病、戒烟和每种行为干预:结果:共发现 1615 篇论文。保留了 3 篇关于 5A/简要建议的研究、4 篇关于动机干预的研究和 1 篇关于咨询的研究。5A和动机干预的结果相互矛盾。更深入的干预似乎更能成功实现糖尿病吸烟者的戒烟:结论:未来的研究应侧重于继续开发和评估基于5A、动机访谈和认知行为疗法的结构化戒烟干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Behavioral Therapy for People With Diabetes Who Smoke: A Scoping Review.

Background: Tobacco smoking exacerbates diabetes-related complications; its prevalence is notwithstanding substantial. Persons with diabetes face a number of barriers and challenges to quitting such as multiple lifestyle restrictions; tailored interventions are required for smoking cessation.

Objective: To identify research on behavioral interventions for smoking cessation in diabetes.

Methods: Studies had to be randomized controlled trials, quasiexperimental or systematic reviews. The behavioral interventions included were: the 5As, Cognitive-Behavioral Therapy, Motivational Interviewing, Contingency Management, Health Coaching and Counselling, as compared to standard care. The outcomes were self-reported and/or biochemically verified smoking cessation. CINAHL Complete, MEDLINE Complete, the Cochrane databases of systematic reviews and randomized controlled trials, PsychInfo and PubMed Central were searched until July, 2023. Keywords used included diabetes, smoking cessation and each of the behavioral interventions included.

Results: 1615 papers were identified. Three studies on the 5As/brief advice, 4 on Motivational Intervention and 1 on counseling were retained. The results on the 5As and Motivational Interviewing were conflicting. More intensive interventions appear to be more successful in achieving smoking cessation in smokers with diabetes.

Conclusions: Future research should focus on the continued development and evaluation of structured smoking cessation interventions based on the 5As, Motivational interviewing and Cognitive Behavioral Therapy.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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