Tyc V L, Hudson M M, Hinds P, Elliott V, Kibby M Y
Department of Hematology-Oncology, St Jude Children's Research Hospital, The University of Memphis, TN 38105-2794, USA.
J Clin Oncol. 1997 Jun;15(6):2194-204. doi: 10.1200/JCO.1997.15.6.2194.
The current status of tobacco use among young cancer patients and the acute and chronic complications associated with tobacco use in these patients is reviewed.
Studies report that adolescent cancer survivors use tobacco as much as their peers who have never been treated for cancer, despite the adverse consequences of engaging in this unhealthy habit. Health care professionals have the opportunity and responsibility to incorporate tobacco counseling as a routine component of medical care delivery. Nurse/physician-delivered smoking interventions have been found to promote smoking cessation in adults, although little effort has been devoted to the development of similarly effective smoking interventions for pediatric cancer patients who smoke. Components of existing smoking prevention/cessation curricula from successful school-based interventions and physician-delivered smoking interventions can be adapted and tailored to pediatric cancer patients in medical settings. Smoking interventions that educate patients about their increased vulnerability to tobacco-related consequences, relative to their healthy peers, may have an enhanced impact. Guidelines for conducting a comprehensive assessment of tobacco use and implementing smoking interventions with pediatric cancer patients is provided. Strategies for modifying the cancer patient's perceived vulnerability to tobacco-related consequences is also discussed.
回顾了年轻癌症患者的烟草使用现状以及这些患者中与烟草使用相关的急慢性并发症。
研究报告称，青少年癌症幸存者与从未接受过癌症治疗的同龄人一样大量使用烟草，尽管这种不健康习惯会带来不良后果。医疗保健专业人员有机会且有责任将烟草咨询纳入医疗服务的常规内容。已发现护士/医生实施的吸烟干预措施可促进成年人戒烟，不过针对吸烟的儿科癌症患者开发类似有效的吸烟干预措施的工作做得很少。成功的基于学校的干预措施和医生实施的吸烟干预措施中现有吸烟预防/戒烟课程的组成部分可加以调整并适用于医疗机构中的儿科癌症患者。相对于健康同龄人，告知患者其更易受到与烟草相关后果影响的吸烟干预措施可能会产生更大影响。提供了对儿科癌症患者的烟草使用进行全面评估并实施吸烟干预措施的指南。还讨论了改变癌症患者对与烟草相关后果的易感性认知的策略。
