The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR.
PLoS One. 2023 Apr 20;18(4):e0284690. doi: 10.1371/journal.pone.0284690. eCollection 2023.
Continued smoking among patients with chronic diseases detrimentally affects their health and treatment outcomes. However, a majority of smokers with chronic diseases appear to have no intention to quit. Understanding the needs and concerns of this population is a crucial step in facilitating the design of an appropriate smoking cessation intervention. This study aimed to understand the risk perception, behaviours, attitudes, and experiences related to smoking and smoking cessation among patients with chronic diseases, including cardiovascular diseases, chronic respiratory diseases, and/or diabetes in Hong Kong. Individual semi-structured interviews with smokers with chronic diseases (n = 30) were conducted from May to July 2021. The methods and results are reported according to the COREQ. Four themes were generated: (1) perceptions of the association between chronic diseases and smoking/smoking cessation; (2) perceptions of the health/disease status; (3) quitting smoking is not the first priority; and (4) perceived barriers to quitting smoking. This study addressed a gap in the literature by gathering data concerning the perspectives of smokers with chronic diseases on smoking and smoking cessation. The deficit of knowledge among smokers with chronic diseases warrants the reinforcement of health education targeting this population. Our findings indicate the need for further efforts in designing appropriate smoking cessation interventions targeting smokers with chronic diseases, which will match the needs and concerns identified in this study.
慢性疾病患者持续吸烟会对其健康和治疗效果产生不利影响。然而，大多数患有慢性疾病的吸烟者似乎并无戒烟意愿。了解这一人群的需求和关注点是制定适当戒烟干预措施的关键步骤。本研究旨在了解香港心血管疾病、慢性呼吸系统疾病和/或糖尿病患者的吸烟和戒烟相关风险认知、行为、态度和体验。2021 年 5 月至 7 月期间，对 30 名患有慢性疾病的吸烟者进行了个体半结构化访谈。本研究按照 COREQ 报告方法和结果。共产生了 4 个主题：（1）慢性疾病与吸烟/戒烟之间关联的认知；（2）对健康/疾病状况的认知；（3）戒烟不是首要任务；以及（4）戒烟的感知障碍。本研究通过收集有关慢性疾病患者对吸烟和戒烟看法的资料，填补了文献中的空白。慢性疾病患者的知识匮乏，需要加强针对这一人群的健康教育。我们的研究结果表明，需要进一步努力设计针对慢性疾病患者的适当戒烟干预措施，以满足本研究中确定的需求和关注点。
