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类风湿关节炎患者参与戒烟试验的体验:一项定性研究。

How do people with rheumatoid arthritis experience participation in a smoking cessation trial: a qualitative study.

机构信息

Copenhagen Center for Arthritis Research (COPECARE), Center for Rheumatology and Spine Diseases, Centre for Head and Orthopaedics, Rigshospitalet, Glostrup, Denmark.

Herlev Anaesthesia Critical and Emergency Care Science Unit, ACES, Department of Anesthesiology, Copenhagen University Hospital, Herlev-Gentofte, Copenhagen, Denmark.

出版信息

Int J Qual Stud Health Well-being. 2020 Dec;15(1):1725997. doi: 10.1080/17482631.2020.1725997.

Abstract

: The aim of this study was to gain more knowledge on how people with rheumatoid arthritis (RA) experienced participation in a randomized controlled trial (RCT) testing the effect of a smoking cessation intervention since this intervention have not been tested on an RA population before: We conducted a qualitative study with semi-structured individual interviews with 12 participants from the intervention group in the RCT.: Through thematic analysis we identified four themes: , referring to the initial invitation to participate in the RCT; , referring to cooperation with the smoking cessation counsellor, improved carbon monoxide levels, fear of becoming addicted to nicotine replacement therapy, and suggestions for additional components in the intervention which could promote motivation; , referring to ongoing reflection on quitting smoking; and , referring to the lack of information on smoking and RA from health professionals, and the impact of smoking on RA symptoms and overall health.: The results reflect the participants' perspective on what is meaningful to them when trying to quit smoking and adds important knowledge to future smoking cessation studies in this patient group.

摘要

: 本研究旨在深入了解类风湿关节炎 (RA) 患者参与随机对照试验 (RCT) 的体验,因为此前尚未在 RA 人群中测试过这种戒烟干预措施:我们对 RCT 中的干预组的 12 名参与者进行了一项定性研究,采用半结构化个体访谈。通过主题分析,我们确定了四个主题:, 指最初受邀参加 RCT;, 指与戒烟顾问合作,一氧化碳水平提高,对尼古丁替代疗法成瘾的恐惧,以及对可能促进动机的干预措施的其他组成部分的建议;, 指对戒烟的持续反思;, 指卫生专业人员对吸烟与 RA 之间缺乏信息,以及吸烟对 RA 症状和整体健康的影响。 : 研究结果反映了参与者在尝试戒烟时对有意义的事物的看法,为未来在这一患者群体中进行的戒烟研究提供了重要的知识。

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本文引用的文献

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Reconceptualizing motivation for smoking cessation among people with rheumatoid arthritis as incentives and facilitators.
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Efficacy of a Rheumatoid Arthritis-Specific Smoking Cessation Program: A Randomized Controlled Pilot Trial.
Arthritis Care Res (Hoboken). 2017 Jan;69(1):28-37. doi: 10.1002/acr.22960. Epub 2016 Nov 16.
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