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[通过分析加利西亚某健康领域吸烟者的叙述来探讨其临床模式]

[Clinical patterns of smokers through the analysis of their narrative in a health area of Galicia].

作者信息

Rábade-Castedo Carlos, Zamarrón-Sanz Carlos, Iglesias-Francesch Belén, Fernández-Fernández Elena, Fernández-Moreno Juana Antonia, Valdés-Cuadrado Luis

机构信息

Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España; Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS), Santiago de Compostela, La Coruña, España.

Servicio de Neumología, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, La Coruña, España.

出版信息

Aten Primaria. 2025 Jul 10;57(9):103334. doi: 10.1016/j.aprim.2025.103334.

Abstract

OBJECTIVE

Language processing techniques such as textual analysis can identify new unknown aspects of smoking not detected by questionnaires in clinical practice. Therefore, the aim of this study is to identify through their use clinical patterns of smoking before and after the intervention.

DESIGN

Observational, prospective, multicentre study of smokers who are ready to quit smoking and who visit a health professional. A textual analysis of the smoker's narrative was carried out.

SETTING

Primary and Specialised Care settings in a health area of Galicia (Santiago-La Coruña) between 2017-2020.

PARTICIPANTS

Patients over the age of 18 years who go to a healthcare professional for a serious quit attempt and who agree to participate in the study.

METHOD

The smokers' narratives collected through a semi-structured interview were analysed using 2 textual analysis techniques (a similarity analysis and a correspondence factor analysis).

RESULTS

The textual corpus of 116 smokers before and after the smoking cessation intervention (221 interviews) was analysed. Smoking is the central theme in the narrative. The baseline interview is dominated by a narrative focused on the pros and cons of quitting smoking. After the intervention, the actions taken by the smoker in the smoking cessation process predominate.

CONCLUSIONS

The analysis of smokers' narratives allows us to identify new aspects that can make smoking cessation treatment more effective.

摘要

目的

文本分析等语言处理技术能够识别临床实践中问卷调查未检测到的吸烟新的未知方面。因此,本研究的目的是通过使用这些技术来识别干预前后吸烟的临床模式。

设计

对准备戒烟并就诊于健康专业人员的吸烟者进行观察性、前瞻性、多中心研究。对吸烟者的叙述进行了文本分析。

背景

2017年至2020年期间,在加利西亚(圣地亚哥-拉科鲁尼亚)一个健康区域的初级和专科护理机构。

参与者

18岁以上因严重戒烟尝试而前往医疗保健专业人员处并同意参与研究的患者。

方法

使用两种文本分析技术(相似性分析和对应因子分析)对通过半结构化访谈收集的吸烟者叙述进行分析。

结果

对116名吸烟者戒烟干预前后的文本语料库(221次访谈)进行了分析。吸烟是叙述的中心主题。基线访谈主要围绕关注戒烟利弊的叙述。干预后,吸烟者在戒烟过程中采取的行动占主导。

结论

对吸烟者叙述的分析使我们能够识别可使戒烟治疗更有效的新方面。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b4d/12275144/f721bf371ab8/gr1.jpg

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