Cancer Control Office, King Hussein Cancer Center, Amman 11941, Jordan; Section of Pulmonary and Critical Care, Department of Internal Medicine, King Hussein Cancer Center, Amman 11941, Jordan.
Cancer Control Office, King Hussein Cancer Center, Amman 11941, Jordan.
Cancer Epidemiol. 2022 Aug;79:102207. doi: 10.1016/j.canep.2022.102207. Epub 2022 Jun 24.
To describe quitting experiences of cancer patients in a Cancer Center in Jordan; to study patients' perceptions regarding the process of smoking cessation; and to provide insights about patients in this difficult setting in order to inform oncology practitioners with regards to how improve perceptions and skills related to quitting.
An Arabic cross-sectional questionnaire was developed to evaluate smoking and quitting behaviors in the context of cancer. The tool used as its framework the Theoretical Domains Framework to capture quitting perceptions of cancer patients who smoke, as well as social, environmental, and system-level factors that influence quitting. Eligible patients who were treated at the Center (both in-patient and out-patient settings) and who were current smokers or who smoked up to the time of cancer diagnosis were eligible. Patients were interviewed between July, 2018 and January 2020 using two versions of the questionnaire: an 'ex-smokers' version, and a 'current smokers' version.
Only a third of subjects (104/350) had been smoke-free for at least 30 days. Both smokers and ex-smokers generally felt that quitting was important, but mean importance and confidence scores (out of 10) were significantly lower in current smokers (8.2 versus 9.1, p-value=0.002; 6.4 versus 8.7, p-value=0.000). Roughly 31% of subjects believed smoking harms were exaggerated and that smoking was not an addiction. About 62% of subjects agreed quitting required skills, and 78.5% felt the steps to quit were clear, but across several listed strategies for quitting, use of these was limited (even in ex-smokers). Among current smokers, roughly a third exhibited forms of cessation fatigue.
Jordanian cancer patients who smoke present with limited knowledge about the quitting process. Even when some success is observed, low rates of utilization of specific quitting strategies were observed, highlighting the need for better counseling about quitting.
描述在约旦癌症中心的癌症患者的戒烟经历；研究患者对戒烟过程的看法；并提供有关这一困难环境下患者的见解，以便为肿瘤医生提供信息，了解如何提高与戒烟相关的看法和技能。
开发了一份阿拉伯语横断面问卷，用于评估癌症背景下的吸烟和戒烟行为。该工具使用理论领域框架作为框架，以捕捉吸烟的癌症患者的戒烟看法，以及影响戒烟的社会、环境和系统层面因素。符合条件的患者在中心（包括住院和门诊环境）接受治疗，并且是当前吸烟者或在癌症诊断时吸烟的患者，符合条件。患者于 2018 年 7 月至 2020 年 1 月期间接受了两种问卷版本的访谈：一种是“已戒烟者”版本，另一种是“当前吸烟者”版本。
只有三分之一的受试者（104/350）已经戒烟至少 30 天。吸烟者和已戒烟者普遍认为戒烟很重要，但当前吸烟者的平均重要性和信心得分（满分 10 分）明显较低（8.2 分与 9.1 分，p 值=0.002；6.4 分与 8.7 分，p 值=0.000）。大约 31%的受试者认为吸烟危害被夸大了，并且吸烟不是一种成瘾。大约 62%的受试者同意戒烟需要技能，并且 78.5%的人认为戒烟的步骤很清楚，但在列出的几种戒烟策略中，这些策略的使用受到限制（即使在已戒烟者中也是如此）。在当前吸烟者中，大约三分之一的人表现出某种形式的戒烟疲劳。
约旦癌症患者吸烟，对戒烟过程的了解有限。即使观察到一些成功，也观察到具体戒烟策略的利用率较低，这突显了需要更好地进行戒烟咨询。
