Grech Joseph, Norman Ian James, Sammut Roberta
Department of Nursing, Faculty of Health Sciences, University of Malta, Mater Dei Hospital, Msida MSD 2080, Malta.
Faculty of Nursing, Midwifery & Palliative Care, King's College London, United Kingdom.
Prim Care Diabetes. 2023 Apr;17(2):119-128. doi: 10.1016/j.pcd.2023.01.005. Epub 2023 Jan 19.
Tobacco smoking is recognised as a priority in diabetes management, yet many individuals with diabetes continue to smoke beyond diagnosis. This paper identifies the most promising smoking cessation strategies by reviewing the literature reporting interventions carried out amongst this study population, and the challenges and barriers to smoking cessation. Stand-alone smoking cessation interventions which included pharmacotherapy were found to be more successful in achieving abstinence than interventions which included smoking cessation as part of a broader intervention for improving diabetes management. Misconceptions about smoking and diabetes management were frequently reported, undervaluing smoking cessation. This emphasizes further the need to inform smokers with diabetes about the link between tobacco use and diabetes complications.
吸烟被视为糖尿病管理中的一个优先事项,但许多糖尿病患者在确诊后仍继续吸烟。本文通过回顾报告在该研究人群中开展的干预措施的文献,以及戒烟的挑战和障碍,确定了最有前景的戒烟策略。结果发现,包括药物治疗的独立戒烟干预措施在实现戒烟方面比将戒烟作为改善糖尿病管理的更广泛干预措施的一部分的干预措施更成功。经常有人报告对吸烟和糖尿病管理存在误解,低估了戒烟的重要性。这进一步强调了有必要告知糖尿病吸烟者烟草使用与糖尿病并发症之间的联系。