School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong, China.
Int J Environ Res Public Health. 2020 Jan 2;17(1):321. doi: 10.3390/ijerph17010321.
Although there is a high prevalence of smoking among individuals with schizophrenia, no previous attempt has been made to explore experiences of tobacco use and cessation within a Chinese sample of this population. A qualitative descriptive study was conducted to explore through the use of individual and semi-structured interviews the experiences of tobacco use and quitting in a sample Chinese population with schizophrenia. Twenty-three eligible participants with schizophrenia who currently smoke were recruited from three community residential mental health service settings. Four main themes representing the experiences of the participants were uncovered in this study: (1) smoking and illness; (2) environment and culture; (3) reasons for smoking; and (4) beliefs about cessation methods. The findings indicated that the participants considered the disease to be far more harmful than smoking, and perceived many benefits to smoking. Although some thought of quitting at times, most gave up the idea or failed to quit due to internal factors such as disease-related suffering, the use of an avoidance coping strategy, and a lack of cessation support. The most notable finding concerns the use of avoidance coping by the participants, who relied on smoking as a way to avoid the suffering brought about by the disease.
尽管精神分裂症患者中有很高的吸烟率，但之前没有人试图在中国人样本中探索他们的吸烟和戒烟经历。本研究采用个体和半结构化访谈，对社区居住的精神卫生服务机构中的 23 名目前吸烟的精神分裂症患者进行了定性描述性研究，以探索他们的吸烟和戒烟经历。本研究揭示了四个代表参与者经历的主要主题：（1）吸烟与疾病；（2）环境与文化；（3）吸烟原因；（4）对戒烟方法的看法。研究结果表明，参与者认为疾病比吸烟更有害，并认为吸烟有很多好处。尽管有时他们也想戒烟，但由于疾病相关的痛苦、回避应对策略的使用以及缺乏戒烟支持等内在因素，大多数人放弃了这个想法或未能戒烟。最值得注意的发现是参与者使用回避应对策略，他们依靠吸烟来避免疾病带来的痛苦。
