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部落格戒菸戒菸泡泡龍的部落格
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歡迎來到我的部落格。我會在這裡分享病人戒菸的經驗,以及一些比較專業的知識。
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fjguo
暱稱:泡泡龍
個人介紹:因為喜歡潛水,潛水會產生許多泡泡,加上我屬龍,所以自稱泡泡龍

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我的戒菸病人有精神病
分類:心情筆記
泡泡龍(fjguo) | 2007/6/10 上午 12:34:55


”醫師醫師,你要救救我,我一直不停的吸菸,沒有辦法停下來 ...... 你一定要救救我....”

聽到這樣的說法,直覺告訴我這不是一般的病人 ......

翻開病歷,看到精神科就診紀錄,果然,又一位精神分裂症患者。

在我看戒菸門診以前,難得看到一位精神病患,可是看了戒菸門診以後,一直有精神病患出現,使我不禁懷疑,精神病患的吸菸問題可能很嚴重。

查查文獻,果真如此,精神分裂症的患者吸菸率可以高達90%,憂鬱症的患者也有較高的吸菸率。

精神病患是最弱勢的吸菸族群。精神病患通常沒有職業,沒有收入,需要親友接濟,然而吸菸又是一筆不小的花費,往往令親友非常不諒解。

曾經有一位60幾歲的爸爸,帶著30多歲的精神分裂症兒子來戒菸,爸爸一邊說一邊很感嘆,兒子不工作,生活花費已經很大,一天還要抽3包菸,氣得他真想打下去 .......

因為尼古丁有複雜的神經傳導物質作用,一般認為吸菸有助於精神病患的情緒穩定。如果精神病患想戒菸,必須在病情穩定的時候才有可能,否則反而會讓病情加重。

在我看戒菸門診的5年裡,大約有10位精神病患者,其中只有一位戒菸成功。依據文獻記載,精神病患的戒菸成功率只有一般人的一半。

精神病患並沒有特別有效的戒菸方法,還是尼古丁替換治療或耐菸盼。行為治療效果有限,要看病患的精神狀況而定。

作為戒菸治療的專業醫師,對於精神病患,還是相當的無奈 .........


回應 (3) | 人氣 (17203) | 推薦 (6872) | 轉寄 (0)
龍王、三芝...← 上一篇 | 下一篇 →吸菸名醫難... 到第
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emily(amythology) 於 2008/6/12 上午 05:19:05 回應 |
此為隱藏回覆

枕頭(ariel821112) 於 2007/6/19 上午 10:17:59 回應 |
原來如此呀~~有精神病的人很多都會吸煙@@
那枕頭也有病會吸煙嗎@@
(路人甲:這枕頭來亂的= =)

不鬧了~但是有因為吸煙而有精神病的嗎??
如果說戒菸的理由噢~~就拿死神好了......不過枕頭沒在抽菸就是了~
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泡泡龍(fjguo) 於 2007/6/20 上午 10:08:43 回覆
精神病患容易吸菸
不代表吸菸會得精神病

吸菸的人比較容易有憂鬱症
但是不能說吸菸 "引起" 憂鬱症

只要妳不要碰菸,菸是不會纏身的.......
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LULU(luludai) 於 2007/6/14 上午 01:20:37 回應 |
我想請問一下長期在戒煙和吸煙懊悔中!!是否容易讓人產生沒自信.沮喪.心情低落的情形呢!!
那一直徘徊在這各階段要該怎樣去調適自己比較好呢!!!麻煩你了~~謝謝!!
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泡泡龍(fjguo) 於 2007/6/15 上午 03:16:15 回覆
首先要了解,吸菸與戒菸的矛盾是很常見的
如果戒菸有這麼容易,大家都戒得掉了 .........

最重要的是堅定戒菸的理由
我是為了自己的健康而戒菸的(或者為了小孩、老婆 .....)
一時的失敗不是重新抽菸的理由

記下失敗的原因(壓力大、喝酒、朋友聚會的場合、無聊等等 ....)
想想下次遇到一樣的情形如何避免吸菸

如果是因為喝酒、吸菸的聚會而復發,最好就不要參加了
至少要戒菸半年以上,才能參加喝酒、吸菸的聚會

如果是自己情緒的問題
想想因應之道,例如找人談談心、多運動、喝開水、吃口香糖、培養長期的嗜好等等

依據失敗的經驗,找出解決的方法
每次想抽菸的時候,趕快將想好的拒菸方法拿出來

不要向菸癮投降,永遠向菸說不
持續不懈的努力與堅持,才是成功之道
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* 請問一下有最新的paper有關...
* 可否借引用此文章?謝謝。
* 可見香菸的危害比我知道的更多.
* 很遺憾李醫師...
* 但如果他把菸蒂沖到馬桶裡呢?
* 很溫馨,拍的很有FU。
* Dear IVAN(ivanw...
* 我引用囉 
* 抽菸可以防憂鬱症或焦慮症的理論...
我的最愛文章
*只要你活著
*給北油庫的一封信
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