德国癌症患者的吸烟模式和戒烟意愿：一项横断面研究。

Smoking patterns and the intention to quit in German cancer patients: a cross-sectional study.

机构信息

Department of Medical Psychology, University Medical Center Hamburg Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Center for Oncology, II. Medical Clinic and Polyclinic, University Medical Center Hamburg Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

出版信息

BMC Cancer. 2024 Jun 6;24(1):693. doi: 10.1186/s12885-024-12380-w.

DOI:10.1186/s12885-024-12380-w

PMID:38844877

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11155111/

Abstract

BACKGROUND

Continued smoking after a cancer diagnosis can be associated with lower treatment tolerance, poorer outcomes, and reduced quality of life compared to non-smoking cancer patients or to those who have quit. Yet about 60% of patients continue to smoke after being diagnosed and find it difficult to quit. To address this problem, it is necessary to identify current and past smoking patterns (e.g., frequency of use, types of tobacco products) and determine whether there is motivation to quit. Similarly, factors associated with continued smoking should be identified. These data will provide the basis for the development of smoking cessation programs tailored to the needs of cancer patients.

METHODS

A questionnaire was distributed to cancer patients older than 18 years in a German Comprehensive Cancer Center. Participating cancer patients were divided into three main groups: 1) patients who stopped smoking before being diagnosed with cancer (Ex-before); 2) patients who stopped smoking after a cancer diagnosis (Ex-after); and 3) patients who currently smoke cigarettes (CS). Sociodemographic, medical, and psychosocial data were collected, as well as smoking patterns and the motivation to quit smoking.

RESULTS

About half of patients (51%) who smoked before diagnosis continue to smoke after a cancer diagnosis. Being diagnosed with a tobacco-related cancer type was associated with a decreased probability of continued smoking. Patients with tobacco-related tumors and receiving positive support in burdensome situations were more likely to have a higher cigarette dependence. Of all CS, 59.1% had intention to quit, and 22.7% reported having taken action to quit. The support by a smoking cessation program was considered important. CS were willing to spend up to €100 for support and were open to multiple sessions per week, group sessions, one-on-one sessions and/or online support.

CONCLUSION

These findings underscore the importance of educating cancer patients about the consequences of smoking and to provide them with support to quit. Identified risk factors may further help to recognize cancer patients with high risk of continued smoking after diagnosis.

TRIAL REGISTRATION

The study was registered at OSF ( https://osf.io/3c9km ) and published as a study protocol at " https://bmjopen.bmj.com/content/13/4/e069570 ".

摘要

背景

与非吸烟癌症患者或已戒烟者相比，癌症诊断后继续吸烟可能与较低的治疗耐受性、较差的预后和降低的生活质量有关。然而，大约 60%的患者在诊断后继续吸烟，并且很难戒烟。为了解决这个问题，有必要确定当前和过去的吸烟模式（例如，使用频率、烟草制品类型），并确定是否有戒烟的动机。同样，应确定与继续吸烟相关的因素。这些数据将为制定针对癌症患者需求的戒烟计划提供基础。

方法

在德国综合癌症中心，向年龄在 18 岁以上的癌症患者发放问卷。参与的癌症患者分为三组：1）在诊断为癌症之前就已经戒烟的患者（Ex-before）；2）在癌症诊断后戒烟的患者（Ex-after）；3）目前吸烟的患者（CS）。收集了社会人口统计学、医学和心理社会数据，以及吸烟模式和戒烟动机。

结果

大约一半（51%）在诊断前吸烟的患者在癌症诊断后继续吸烟。被诊断为与烟草相关的癌症类型与继续吸烟的可能性降低有关。患有与烟草相关的肿瘤并在负担重的情况下得到积极支持的患者，更有可能有更高的香烟依赖。所有 CS 中，有 59.1%有戒烟的意愿，有 22.7%报告已采取行动戒烟。戒烟计划的支持被认为是重要的。CS 愿意为支持支付高达 100 欧元，并愿意接受每周多次、小组会议、一对一会议和/或在线支持。