Effect Of Acute Coronary Syndrome And Non-acute Coronary Syndrome On Smoking Cessation Compliance

Objective:In this study,we conducted a follow-up observation of patients with acute coronary syndrome(ACS)and those who did not have ACS.The differences in the success rate of smoking cessation,withdrawal symptoms,and possible factors affecting smoking cessation were discussed.Methods:100 smoking patients who were admitted to the heart disease area of the People's Hospital of Shanxi Province from April 2018 to January 2019 were enrolled.50 patients with ACS and 50 patients with non-ACS were enrolled in the same smoking cessation mission.Record the smoking status of patients,and follow the smoking cessation status and withdrawal symptoms on the 1st,2nd,1st,and 3rd month after smoking cessation.According to the patient's self-reported withdrawal,determine the smoking cessation rate,continuous quit rate,and quit.The severity of symptoms and the incidence of withdrawal symptoms were compared.Results:(1)General data,including gender,age,waist circumference,BMI,education level,average annual income,occupational and work stress,were not statistically significant.The average daily smoking,smoking age,smoking index,smoking severity index,past There was no significant difference in the presence or absence of smoking cessation.The two groups of patients were from the same group and were comparable.The quitsmoking confidence in the ACS group was significantly higher than that in the non-ACS group(P=0.004);(2)the smoking cessation rate in the ACS group at 1 day,2 weeks,1month,and 3 months,and the continuous smoking cessation for 3 months.The rate was significantly higher than that of non-ACS group(P<0.05),and ACS was positively correlated with smoking cessation rate.With time,the smoking cessation rate of ACS group and non-ACS group showed a downward trend;(3)The patients with withdrawal symptoms were mainly craving for smoking,and the ACS group was more likely to smoke,irritability,and increased appetite than the non-ACS group,the difference was statistically significant(P<0.05);(4)ACS group withdrawal The severity of symptoms was lower than that of non-ACS group,and the severity of withdrawal symptoms was statistically significant at 1 day,2 weeks,and 3 months(P<0.05).The severity of withdrawal symptoms gradually resolved with time;There was a statistically significant difference in the incidence of withdrawal symptoms between the ACS group and the non-ACS group at different time points(P<0.001),and ACS was negatively correlated with the occurrence of withdrawal symptoms.The incidence of withdrawal symptoms gradually changed with time.decline.Conclusion:Smokers with acute coronary syndrome are more likely to quit than those with non-acute coronary syndrome.The symptoms of withdrawal are less severe and the incidence of withdrawal symptoms is lower.In this study,acute coronary syndrome was positively correlated with smoking cessation rate and negatively correlated with withdrawal symptoms.With the extension of time,the smoking cessation rate,the severity of symptoms of withdrawal symptoms and the incidence rate showed a downward trend.