Münnemann Anika, Meyer Alexandra, Engelmann Dorit, Boehm Andreas, Breitenstein Kerstin, Ulrich Angela, Guntinas-Lichius Orlando, Schock Elke-Juliane, Keszte Judith, Ernst Jochen
Abteilung Medizinische Psychologie und Medizinische Soziologie, Universität Leipzig, Deutschland.
Abteilung Psychoonkologie, Medizinisches Versorgungszentrum Delitzsch, Deutschland.
Psychother Psychosom Med Psychol. 2021 Aug;71(8):320-327. doi: 10.1055/a-1322-3541. Epub 2021 Mar 5.
The aim of our study was to examine how different causal attributions in patients with laryngeal cancer are associated with smoking behaviours (smoking cessation rates and amount of cigarettes per day) after partial resection of the larynx.
Multicentre prospective cohort study including 4 interviews: between diagnosis and partial resection of larynx (t1), one week (t2), 3 months (t3) and 12 months (t4) after surgery. Presented in this study are t1 and t4. A total of 134 patients (mean age 62 years, 93% male) were interviewed at t1 and t4 between 2007 and 2013. Key items were causal attribution as well as previous and current smoking behaviour. Patients were grouped according to the subjectively stated causal attribution. Results were analysed descriptively and group as well as mean value comparisons were conducted.
Smoking was the most commonly stated causal attribution (43.3%). The quantity of cigarettes decreased significantly by about 6 cigarettes from 17 (range 3-40) to 11 (range 2-30) cigarettes per day in this group (p=0.001). 25% of patients did not recognize a reason for their illness. In longitudinal analyses of all groups of different causal attributions, there was a non-significant decrease in the percentage of smokers.
We show that causal attribution does not affect smoking cessation rate significantly in a positive way. But active smokers after PRL reduce their quantity of cigarettes per day significantly. This impact is more noticeable in patients who were able to define a causal attribution. Psycho-oncological care, information services and smoking cessation programs could contribute to this effect by making the causal attribution a subject of discussion.
我们研究的目的是探讨喉癌患者不同的因果归因如何与喉部分切除术后的吸烟行为（戒烟率和每日吸烟量）相关联。
多中心前瞻性队列研究，包括4次访谈：在诊断与喉部分切除之间（t1）、术后1周（t2）、3个月（t3）和12个月（t4）。本研究展示的是t1和t4的数据。2007年至2013年间，共有134例患者（平均年龄62岁，93%为男性）在t1和t4接受了访谈。关键项目包括因果归因以及既往和当前的吸烟行为。患者根据主观陈述的因果归因进行分组。对结果进行描述性分析，并进行组间及均值比较。
吸烟是最常被提及的因果归因（43.3%）。该组患者的每日吸烟量从17支（范围3 - 40支）显著减少约6支至11支（范围2 - 30支）（p = 0.001）。25%的患者未认识到自己患病的原因。在对所有不同因果归因组的纵向分析中，吸烟者的百分比有不显著的下降。
我们表明，因果归因对戒烟率没有显著的积极影响。但喉部分切除术后的现吸烟者会显著减少其每日吸烟量。这种影响在能够确定因果归因的患者中更为明显。心理肿瘤护理、信息服务和戒烟项目可以通过将因果归因作为讨论的主题来促成这种效果。
