Gath Megan E, Stamp Lisa K, Aimer Pip, Stebbings Simon, Treharne Gareth J
Department of Medicine, University of Otago, Christchurch, Aotearoa/New Zealand.
Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, Aotearoa/New Zealand.
Musculoskeletal Care. 2018 Mar;16(1):139-146. doi: 10.1002/msc.1227. Epub 2017 Dec 13.
Smokers with rheumatoid arthritis (RA) may have different motivations for, and barriers to, quitting. Understanding the motivations of smokers and ex-smokers with RA will help in the design and implementation of targeted smoking cessation interventions for people with RA that are not based solely on extrapolation from the general population or populations with other chronic illnesses.
Twenty-nine smokers and 10 recent ex-smokers with RA participated in semi-structured interviews via telephone 18 months after being offered a smoking cessation intervention in Aotearoa/New Zealand. The sample consisted of 27 women and 12 men (age range 32-78 years), of whom 14 had received the intervention, 14 had been in the control group and 11 had declined participation in the trial.
Thematic analysis led to the formulation of four "incentives" to quit and five "facilitators" of quitting for people with RA. Desiring improvements to health (overall and specific to arthritis), social relationships and avoiding costs were incentives to quit. Coping with stress without smoking, commitment, mental preparedness, willpower and interventions were facilitators of quitting.
Becoming aware of the effects of smoking on arthritis provides an important motivation to quit smoking that may counter RA-specific barriers to smoking cessation. Further research is needed to test whether similar incentives and facilitators of smoking cessation exist in other chronic illnesses, and how to develop interventions to address these motivational processes.
患有类风湿性关节炎（RA）的吸烟者在戒烟方面可能有不同的动机和障碍。了解患有RA的吸烟者和已戒烟者的动机，将有助于设计和实施针对RA患者的有针对性的戒烟干预措施，而不仅仅是基于从一般人群或患有其他慢性疾病的人群中推断出来的情况。
在新西兰的奥塔哥/新西兰接受戒烟干预18个月后，29名患有RA的吸烟者和10名近期已戒烟者通过电话参与了半结构化访谈。样本包括27名女性和12名男性（年龄范围32 - 78岁），其中14人接受了干预，14人在对照组，11人拒绝参与试验。
主题分析得出了针对RA患者戒烟的四个“激励因素”和五个“促进因素”。希望改善健康（总体健康以及关节炎相关的特定健康）、社会关系和避免费用是戒烟的激励因素。不吸烟应对压力、承诺、心理准备、意志力和干预措施是戒烟的促进因素。
意识到吸烟对关节炎的影响为戒烟提供了一个重要的动机，这可能会克服RA患者戒烟的特定障碍。需要进一步研究来测试其他慢性疾病中是否存在类似的戒烟激励因素和促进因素，以及如何制定干预措施来应对这些动机过程。
