膀癌患者和提供者关于戒烟的观点
Matthew Mossanen1, Angela B Smith2, Nnamdi Onochie3
1Division of Urology, Brigham and Women's Hospital, Boston, MA; Department of Surgery, Center for Surgery and Public Health, Boston, MA; Lank Center for Genitourinary Oncology, Dana Farber Cancer Institute, Boston MA.
Urologic oncology
|October 7, 2023
概括
膀癌幸存者经常在没有药物的情况下戒烟,需要多次尝试. 提供者面临时间和培训障碍,但渴望吸烟戒烟教育以支持患者.
科学领域:
- 在瘤学瘤学.
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 吸烟是膀癌的主要危险因素,对患者的治疗结果产生负面影响.
- 了解患者和提供者的观点对于提高膀癌幸存者的戒烟成功至关重要.
研究的目的:
- 确定患者和提供者对戒烟策略的观点.
- 为在膀癌治疗中提供戒烟支持的有针对性的干预措施的开发提供信息.
主要方法:
- 一个经过修改的Delphi过程,涉及膀癌提供者,研究人员和患者倡导者.
- 两项匿名电子调查分发给308名患者和103名提供者,评估戒烟的障碍和促进者.
- 参与者通过膀癌倡导网络 (BCAN) 和专业组织 (SUO,LUGPA) 招募.
主要成果:
- 大多数戒烟的患者 (64%) 喜欢"冷火"而不是药物干预; 67%做了多次戒烟尝试.
- 很大一部分患者 (10人中1人) 没有意识到吸烟与膀癌的联系.
- 提供者认为缺乏临床时间 (75%),培训和补偿是主要障碍,但79%的人表示愿意停止教育.
结论:
- 膀癌患者采用多种止方法,通常需要重复尝试.
- 医疗保健提供者在提供戒烟支持方面遇到重大障碍.
- 未来的干预措施应侧重于教育临床医生,以改善膀癌幸存者的戒烟咨询.
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