Who should have the strongest quit smoking willingness and much easier to persuade?
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Chinese Association of Tobacco Control, China
People Hospital of Peking University, China
Chinese Society of Cardiovascular Prevention & Rehabilitation, China
Publication date: 2018-03-01
Tob. Induc. Dis. 2018;16(Suppl 1):A876
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Background and challenges to implementation:
Base on the Report on cardiovascular diseases (CVD) in China in 2016. In China, the prevalence of CVD is continuously increasing. Currently, an estimated 290 million individuals suffer from CVD. Rates of cardiovascular morbidity and mortality are higher among smokers and passive smokers than among non-smokers.

Intervention or response:
Put the “smoking history questionnaire” and “assessment of patient willingness to quit smoking survey” into process of 4154 cardiovascular disease patients diagnosis, treatment and rehabilitation. Increasing the frequency of intervention from none or 1 time to 3 times (intake, Discharge and follow-up) within one year in 27 difference hospitals from random province in China. Keep tracking the quit smoking willingness of the patients during the period from acute phase to recovery phase, and to maintenance phase.

Results and lessons learnt:
Continuing to increase the awareness that cigarette smoking causes HEART DISEASE and other serious diseases in this group of people. 90.15% patients were becoming increasingly clear to the harm of cigarette smoking to their whole body, not only the lung. Base on the quit line success rate, more than 2%, in 2015. Strengthen patients' quit smoking willingness is easier than non-disease smokers. The number of patients who has the willing for quit smoking increase from 21(0.5%, acute stage) to 282(6.7%, follow up) within one years. The patients who have strong will to quit smoking is 75 individuals (1.8%).

Conclusions and key recommendations:
Quitting smoking was found to substantially reduce the risks of death. Our retrospective study shows tremendous persuade successful rate in patient's population who have been educated by our cardiovascular doctors and their medical teams. We should start the quit smoking process from the “weakness” (willpower and physical) patients who are fearful of the disease may destroy his life or even take away his life and more dangerous groups. It will give us much more clinical outcomes than the normal person.