菸害每年造成全球四百萬人死亡，更與無數的心肺血管疾病有密切關聯；是目前世界衛生組織(WHO)及各國衛生政策的主要工作項目，也是我國衛生署的重點預防保健工作之一。中山醫學大學附設醫院家庭醫學科，於民國九十一年六月，接受國民健康局委託，承辦「戒菸治療服務試辦計畫」教育訓練；並自同年九月一日起，開辦門診戒菸治療服務；透過醫師的門診諮商及尼古丁置換療法，來幫助民戒菸。本計畫之研究目的，即在探討門診戒菸諮詢以及合併尼古丁置換療法其短期及中期成效的差異。自民國九十一年十月一日至十二月卅一日，至本院尋求戒菸協助的民中，選擇中重度成癮者（尼古丁成癮程度測試五分及以上者）依其意願分為兩組：一組接受戒菸教育及門診戒菸諮詢，合併尼古丁置換療法（共31人，女性4人、男性27人）；另一組僅接受戒菸教育及門診戒菸諮詢（共25人，女性2人、男性23人）。短期（三週）戒治率合併治療組及諮詢治療組各為29.0%及28.0%，中期（三個月）則為22.6%及4.0%。短期來看，兩組的戒治率沒有顯著分別；中期，則合併治療組有比較好的效果。根據結果來看，戒菸者若僅接受戒菸教育及諮詢，其決心可以維持三週；考慮到中期的效果，對中重度成癮者仍以合併尼古丁置換療法為宜。
The purpose of this study was to evaluate the short-term and mid-term effectiveness of a smoking cessation clinic project sponsored by the Bureau of Health Promotion, Department of Health, Taiwan. Subjects who visited the smoking cessation clinic operated by the Department of Family Medicine, Chung Shan Medical University Hospital during October 1 through December 31, 2002 were assigned by the subjects' selection to the group receiving the combination of nicotine replacement therapy (NRT) and counseling (31 subjects including 4 females and 27 males) or to the group receiving counseling only (25 subjects including 2 females and 23 males). Subjects were followed up by weekly telephone interviews inquiring about the most current status of smoking cessation until relapse of smoking was recorded. The short-term (within 3 weeks) and mid-term (within 3 months) smoking cessation rates for the group receiving the combination of NRT and counseling were 29.0% and 22.6%, respectively, while that was 28.0% and 4.0%, respectively for the group receiving counseling only. A difference with statistical significance in the mid-term smoking cessation rate was found between two groups, but not in the short-term rate. Compared with counseling only, the combination of NRT and counseling was beneficial to mid-term smoking cessation. However, additional strategies seem to be needed to maintain long-term effectiveness due to the fact that there was an obvious trend in the increased relapse rate of smoking from short-term to midterm.
