Department of Public Health Sciences, Medical University of South Carolina, Charleston, SC, USA.
Department of Pulmonary, Critical Care, Allergy, and Sleep Medicine, Medical University of South Carolina, Charleston, SC, USA.
Cancer Med. 2021 Aug;10(15):5329-5337. doi: 10.1002/cam4.4082. Epub 2021 Jul 1.
Diagnosis of a chronic illness, such as cancer may influence health behavior changes, such as smoking cessation. The present analyses examine associations between a cancer diagnosis (i.e., yes or no) and response to an opt-out smoking cessation bedside intervention provided to hospitalized patients. It was hypothesized that patients with a past or present cancer diagnosis would report higher motivation and engagement with quitting smoking, and higher rates of smoking abstinence after hospital discharge, compared to those without a cancer diagnosis.
Chart review was conducted on 5287 inpatients who accepted bedside treatment from a counselor and opted-in to automated follow-up calls from July 2014 to December 2019.
At the time of inpatient assessment, those with a past or present cancer diagnosis (n = 419, 7.9%) endorsed significantly higher levels of importance of quitting than those without a cancer diagnosis (3.92/5 vs. 3.77/5), and were more likely to receive smoking cessation medication upon discharge (17.9% vs. 13.3%). Follow-up data from 30-days post-discharge showed those with a cancer diagnosis endorsed higher rates of self-reported abstinence (20.5%) than those without a cancer diagnosis (10.3%; p < 0.001).
Being hospitalized for any reason provides an opportunity for smokers to consider quitting. Having a previous diagnosis of cancer appears to increase intention to quit and lead to higher rates of smoking cessation in patients who are hospitalized compared to patients without cancer. Future research needs to work toward optimizing motivation for smoking cessation while admitted to a hospital and on improving quit rates for all admitted patients, regardless of diagnosis.
癌症等慢性病的诊断可能会影响健康行为的改变，例如戒烟。本分析研究了癌症诊断（即有或无）与向住院患者提供的默认戒烟床边干预措施的反应之间的关联。研究假设，与没有癌症诊断的患者相比，过去或现在患有癌症的患者会报告更高的戒烟动机和参与度，以及更高的出院后戒烟率。
对 2014 年 7 月至 2019 年 12 月期间接受咨询师床边治疗并选择自动随访电话的 5287 名住院患者进行了病历审查。
在住院评估时，过去或现在患有癌症诊断的患者（n=419，7.9%）比没有癌症诊断的患者更重视戒烟（3.92/5 对 3.77/5），并且更有可能在出院时获得戒烟药物（17.9%对 13.3%）。出院后 30 天的随访数据显示，有癌症诊断的患者自我报告的戒烟率（20.5%）高于没有癌症诊断的患者（10.3%；p<0.001）。
因任何原因住院都为吸烟者提供了考虑戒烟的机会。与没有癌症的患者相比，以前被诊断患有癌症的患者似乎更有戒烟的意愿，并导致住院患者的戒烟率更高。未来的研究需要努力优化住院期间的戒烟动机，并提高所有住院患者的戒烟率，无论其诊断如何。
