Grech Joseph, Norman Ian J, Sammut Roberta
Department of Nursing, Faculty of Health Sciences, University of Malta, Msida, Malta.
Faculty of Nursing, Midwifery and Palliative Care, King's College London, United Kingdom.
Tob Prev Cessat. 2024 Feb 2;10. doi: 10.18332/tpc/181366. eCollection 2024.
Smoking cessation is an important aspect of diabetes management. Despite the increased risk for diabetes complications when smoking, evidence suggests that people living with type 1 and type 2 diabetes are less likely to quit smoking when compared to those without diabetes. Guided by the Information-Motivation-Behavioral Skills model, this study aimed to identify the needs of individuals living with type 1 and type 2 diabetes to quit smoking.
A qualitative descriptive design was adopted. Semi-structured telephone interviews were held between April and June 2021, with 20 former and current Maltese smokers living with type 1 or type 2 diabetes, recruited from the diabetic clinics within the two main acute public hospitals. The interview transcriptions were analyzed using applied thematic analysis.
Individuals with diabetes need more information on the effects of smoking on diabetes to encourage cessation. Preventing diabetic complications was reported as a motivator to quit smoking. However, having diabetes was identified as a challenge to quitting. Participants welcomed the provision of health professional support for quitting smoking, identifying the need to provide smoking cessation support within diabetic clinics. The provision of information on tobacco-associated diabetic complications, by using video messages featuring former smokers' stories was also suggested.
To promote smoking cessation among individuals with diabetes, they need to be informed about how smoking affects their condition. Utilizing video messages featuring real-life stories of former smokers with diabetes who experienced tobacco-associated diabetic complications may be influential. Additionally, providing diabetes-specific intensive smoking cessation support is crucial to help them quit.
戒烟是糖尿病管理的一个重要方面。尽管吸烟会增加糖尿病并发症的风险，但有证据表明，与没有糖尿病的人相比，1型和2型糖尿病患者戒烟的可能性较小。本研究以信息-动机-行为技能模型为指导，旨在确定1型和2型糖尿病患者的戒烟需求。
采用定性描述性设计。2021年4月至6月期间，对从两家主要急性公立医院的糖尿病诊所招募的20名患有1型或2型糖尿病的马耳他既往吸烟者和现吸烟者进行了半结构化电话访谈。使用应用主题分析法对访谈记录进行了分析。
糖尿病患者需要更多关于吸烟对糖尿病影响的信息，以鼓励戒烟。预防糖尿病并发症被报告为戒烟的一个动机。然而，患有糖尿病被认为是戒烟的一个挑战。参与者欢迎提供戒烟的健康专业支持，确定了在糖尿病诊所内提供戒烟支持的必要性。还建议通过播放有既往吸烟者故事的视频信息，提供与烟草相关的糖尿病并发症的信息。
为了促进糖尿病患者戒烟，需要让他们了解吸烟如何影响他们的病情。利用有糖尿病既往吸烟者经历与烟草相关糖尿病并发症的真实故事的视频信息可能会有影响力。此外，提供针对糖尿病的强化戒烟支持对于帮助他们戒烟至关重要。
