만성폐쇄성폐질환 환자에서 금연 중재의 효과: 체계적 문헌고찰

이보람; 장수현; 최나혜; 이영실; 정채림; 이태진

추천

검색

자료유형: 학술저널

저자정보: 이보람 장수현 최나혜 이영실 정채림 이태진

저널정보: 한국보건의료기술평가학회 보건의료기술평가 보건의료기술평가 제7권 제2호

발행연도: 2019.1

수록면: 103 - 111 (9page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives:The prevalence of chronic obstructive pulmonary disease (COPD) is expected to risein not only developed countries, but also developing countries. Smoking is the largest risk factor forCOPD and smoking cessation is the most effective way to prevent or slow the progression of the disease. In this study, we reviewed literatures to investigate the benefits of smoking cessation interventions in COPD patients. Methods:A systematic literature search was performed based on patient, intervention, comparison, outcomes framework. The main searching terms were COPD, emphysema,bronchitis, pulmonary disease, and smoking cessation in PubMed, EMBASE, Cochrane library, KoreaMed, and RISS. The participants were current adult smokers with COPD. We included smokingcessation counselling/education, drugs (varenicline, bupropion), and nicotine replacement treatmentas interventions but excluded cases where the intervention was only a part of disease managementprogram. The comparisons were no treatment, usual care, or placebo. The outcomes were abstainingrate, forced expiratory volume in one second (FEV1) decline rate, and mortality. The follow-up timeof study was at least 6 months. We included randomized/non-randomized controlled trials (RCT/nRCT), and cohort studies written in English or Korean. Authors independently extracted the dataand resolved any disagreements by consensus. Results:The sixteen published articles (12 studies)were selected; 11 RCTs and 1 nRCT. We found consistent evidences that such interventions were verysupportive to help COPD patients quit smoking. Also abstinent COPD patients in the interventiongroup showed better health outcomes than those in the control group in terms of FEV1decline rateand all-cause mortality. Conclusion:Smoking cessation interventions are effective to reduce lungfunction decline rate and mortality by encouraging COPD patients to stop smoking.

참고문헌 (37)

참고문헌 신청

goldcopd.org

Korea Center for Disease Control and Prevention / 2018 / Korea health statistics 2017: Korea national health and nutrition examination survey (KNHANES VII-2)

Statistics Korea / 2019 / 2018 Annual report on the causes of death statistics

The Korean Academy of Tuberculosis and Respiratory Diseases / 2016 / Guidelines for the measurement of pulmonary function / The Korean Academy of Tuberculosis and Respiratory Diseases

The Korean academy of tuberculosis and respiratory diseases / 2014 / Guidelines for COPD: diagnosis and management, revised / The Korean academy of tuberculosis and respiratory diseases

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!