Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), Faculty of Health, University of Technology Sydney (UTS), Broadway, New South Wales, Australia.
Institute for Public Policy and Governance (IPPG), University of Technology Sydney (UTS), Broadway, New South Wales, Australia.
Asia Pac J Clin Oncol. 2022 Dec;18(6):723-734. doi: 10.1111/ajco.13769. Epub 2022 Mar 31.
Given the importance of supporting cancer patients to quit smoking, we sought to ascertain cancer care clinicians' beliefs and practices regarding providing smoking cessation brief interventions.
We used a cross-sectional sequential explanatory mixed method design, including a survey of multidisciplinary cancer care clinicians and semistructured interviews.
One hundred and sixty-five cancer care clinicians completed the survey and 21 participated in interviews. Over half of survey respondents (53%) said they do not regularly undertake smoking cessation brief interventions and 40% rarely or never advise quitting. Nonmetropolitan clinicians were more likely to discuss medication options and refer to the Quitline. Physicians were more likely to do brief interventions with patients and radiation therapists were least likely. Barriers were lack of training and experience, lack of knowledge of the Quitline referral process, lack of role clarity, lack of resources and systems, and perceived psychological ramifications of cancer for patients.
There is a need to upskill cancer clinicians and improve systems to provide smoking cessation brief interventions as part of routine clinical practice. All cancer care clinicians should complete brief intervention smoking cessation training relevant to the cancer context, including making referrals to Quitline, and be supported by systems to record and follow-up care.
鉴于支持癌症患者戒烟的重要性，我们旨在确定癌症护理临床医生在提供戒烟简短干预方面的信念和实践。
我们采用了横断面序贯解释性混合方法设计，包括对多学科癌症护理临床医生的调查和半结构化访谈。
165 名癌症护理临床医生完成了调查，21 名参与了访谈。超过一半的调查受访者（53%）表示他们不经常进行戒烟简短干预，40%的人很少或从不建议戒烟。非城市地区的临床医生更有可能讨论药物选择并转介到戒烟热线。医生更有可能与患者进行简短干预，而放射治疗师则最不可能。障碍包括缺乏培训和经验、缺乏戒烟热线转介过程的知识、角色不明确、缺乏资源和系统，以及对癌症患者心理影响的担忧。
需要提高癌症临床医生的技能，并改善系统，以便将戒烟简短干预作为常规临床实践的一部分。所有癌症护理临床医生都应接受与癌症环境相关的简短干预戒烟培训，包括向戒烟热线转介，并得到系统的支持，以记录和跟进护理。
