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戒烟计划对癌症治疗患者的影响:一个准实验性干预研究
Elisabeth Kvaavik1, Maja Weemes Grøtting1,2, Torleif Halkjelsvik1,2
1Department Alcohol, Tobacco and Drugs, Norwegian Institute of Public Health (NIPH), Oslo, Norway.
Acta oncologica (Stockholm, Sweden)
|November 6, 2023
概括
一个结构化的戒烟计划显著增加了正在接受治疗的癌症患者戒烟率. 这种干预,利用动机采访和免费尼古丁替代品,证明比标准护理更有效.
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:
- 吸烟会对癌症治疗有效性产生负面影响,并增加毒性风险.
- 戒烟可以改善治疗结果,并减少癌症患者的不良影响.
- 这项研究评估了在接受治疗的癌症患者中戒烟计划的有效性.
研究的目的:
- 评估结构化戒烟计划对戒烟率的影响.
- 为了比较一种新的干预措施 (动机面试+免费NRT) 与癌症患者的标准护理.
主要方法:
- 采用了前测试后测试的非等效对照组设计.
- 参与者是成年癌症患者 (≥18岁),在6家挪威医院接受治疗.
- 干预组接受了激励性采访和免费的尼古丁替代品;对照组接受了标准的护理.
主要成果:
- 与对照组相比,干预组的戒烟率更高 (随访时为44%),而对照组的戒烟率更高 (随访时为49%).
- 在干预组中观察到吸烟的统计显著减少 (13个百分点,p=0.041).
- 经过调整后的分析证实了18个百分点的差异有利于干预组 (p=0.032).
结论:
- 一个结构化的戒烟计划,结合了动机面试和免费尼古丁替代品,可以提高癌症患者的戒烟率.
- 与癌症患者的标准护理相比,该计划提供了一种更有效的戒烟方法.
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