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头颈部癌症患者的吸烟和饮酒习惯:有多少患者在诊断后戒烟戒酒?

Smoking and alcohol habits in head and neck cancers: How many patients stop after diagnosis?

机构信息

Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo 90127, Italy.

Division of Otorhinolaryngology, Department of Biomedicine, Neuroscience and Advanced Diagnostic, University of Palermo, Palermo 90127, Italy.

出版信息

J Cancer Policy. 2024 Sep;41:100498. doi: 10.1016/j.jcpo.2024.100498. Epub 2024 Jul 25.

Abstract

BACKGROUND

Smoking and alcohol are the main risk factors for head and neck cancer. Despite the significant psychological impact, many patients continue to smoke and drink alcohol after diagnosis of cancer. This study aims to analyze the patients' behavior post diagnosis and treatment of head and neck cancer.

METHODS

An observational retrospective study was conducted on patients suffering from head and neck cancer. Their smoking and alcohol habits before and after diagnosis of cancer were studied.

RESULTS

A total of 85 patients were recruited: 80 % males, mean age 61.77±9.30 years. Among smokers, 35.80 % continued smoking post-diagnosis. A statistically significant correlation was found between smoking habit after diagnosis of cancer and type of treatment and tracheostomy. Among drinkers, 65.52 % continued to consume alcohol after diagnosis of cancer. A statistically significant correlation was found between alcohol consumption post-diagnosis and sex.

CONCLUSIONS

Patients undergoing more invasive treatments are more likely to quit smoking and/or drinking alcohol, suggesting the strong psychological impact of cancer and its therapy. Many patients continue smoking and consuming alcohol due to unawareness, depression, or addiction. However, most patients reduced cigarette smoking and alcohol consumption. Comprehensive care, including psychological support, is essential for these patients.

摘要

背景

吸烟和饮酒是头颈部癌症的主要危险因素。尽管癌症诊断后对患者的心理影响很大,但许多患者仍继续吸烟和饮酒。本研究旨在分析头颈部癌症患者诊断和治疗后的行为。

方法

对患有头颈部癌症的患者进行了一项观察性回顾性研究。研究了他们癌症诊断前后的吸烟和饮酒习惯。

结果

共招募了 85 名患者:80%为男性,平均年龄 61.77±9.30 岁。在吸烟者中,35.80%在诊断后继续吸烟。在癌症诊断后吸烟习惯与治疗类型和气管切开术之间存在统计学显著相关性。在饮酒者中,65.52%在诊断后继续饮酒。在癌症诊断后饮酒与性别之间存在统计学显著相关性。

结论

接受更具侵袭性治疗的患者更有可能戒烟和/或戒酒,这表明癌症及其治疗对患者的心理影响很大。许多患者继续吸烟和饮酒是因为无知、抑郁或成瘾。然而,大多数患者减少了吸烟和饮酒。这些患者需要综合护理,包括心理支持。

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