Department of Nursing, College of Healthcare and Management, Asia Eastern University of Science and Technology, Taipei, Taiwan, Republic of China.
Department of Nursing, College of Nursing and Health Sciences, DA-YEH University, Changhua, Taiwan, Republic of China.
J Nurs Scholarsh. 2022 Mar;54(2):152-160. doi: 10.1111/jnu.12719. Epub 2021 Nov 7.
After suddenly stopping smoking after an initial oral cancer (OC) diagnosis, patients may restart smoking and nicotine dependence. This study sought to identify factors associated with high nicotine dependence in OC patients who restarted smoking post-treatment.
A cross-sectional study.
A group of 220 OC patients who restarted smoking post-treatment were recruited from the outpatient radiation department of a single cancer center in northern Taiwan. Demographic and clinical characteristics were recorded, and patients were assessed for nicotine and smoking dependence, physical activity and function, socio-emotional function, social support, and depression.
Among patients who restarted smoking after treatment for OC, 75.9% reported low-to-moderate dependence on smoking, while 24.1% reported high nicotine dependence. Factors associated with high nicotine dependence included higher incidence of smoking per day, greater dependence on smoking, less physical activity per week, and poorer social-emotional function. Those highly dependent on nicotine were younger, unmarried, had less education, and had begun smoking earlier than those with low-to-moderate nicotine dependence.
The amount of smoking per day, greater smoking behavioral dependence, less physical activity per week, and worse social-emotional function affected high nicotine dependence.
Smoking cessation training and counseling for OC patients may help them better control their use of tobacco after treatment.
口腔癌（OC）初诊后突然戒烟的患者可能会重新开始吸烟并产生尼古丁依赖。本研究旨在确定与治疗后重新吸烟的 OC 患者中尼古丁依赖程度较高相关的因素。
一项横断面研究。
从台湾北部一家癌症中心的门诊放疗科招募了 220 名治疗后重新吸烟的 OC 患者。记录人口统计学和临床特征，并评估患者的尼古丁和吸烟依赖程度、身体活动和功能、社会心理功能、社会支持和抑郁情况。
在治疗 OC 后重新吸烟的患者中，75.9%报告吸烟依赖程度较低至中度，而 24.1%报告尼古丁依赖程度较高。与尼古丁高依赖相关的因素包括每天吸烟量增加、对吸烟的依赖性更大、每周身体活动减少以及社会心理功能更差。与尼古丁低至中度依赖的患者相比，尼古丁高度依赖的患者年龄更小、未婚、受教育程度更低、吸烟开始时间更早。
每天吸烟量、更大的吸烟行为依赖、每周身体活动减少和更差的社会心理功能影响尼古丁高依赖。
OC 患者的戒烟培训和咨询可能有助于他们在治疗后更好地控制烟草使用。
