非呼吸系统癌症的戒烟干预:随机对照试验的元分析的系统性审查
Trupti Dhumal1, Kimberly M Kelly2, Safalta Khadka1
1Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, WV, USA.
概括
有效的戒烟干预措施对非呼吸系统癌症患者来说是有前途的. 需要对涉及癌症幸存者和护理人员的双层干预进行研究,以减少持续的烟草使用.
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:
- 癌症患者中持续吸烟很普遍,需要有效的戒烟策略.
- 对戒烟干预措施的研究是有限的,特别是对于非呼吸道癌症,如乳腺癌,前列腺癌和结直肠癌.
- 癌症患者的护理人员也代表了烟草戒烟干预措施研究不足的人群.
研究的目的:
- 系统地评估现有的戒烟干预措施,用于诊断为非呼吸道癌症的患者.
- 评估各种干预类型的有效性,包括行为和药理方法.
- 确定研究缺口,特别是针对癌症患者及其护理人员的干预措施.
主要方法:
- 进行了随机对照试验 (RCT) 的系统审查和元分析.
- 通过搜索到2023年7月的五个电子数据库来确定研究,遵守PRISMA指南.
- 专注于肺部,口腔,胸部和头癌的RCT被排除在外,以专注于非呼吸系统癌症人群.
主要成果:
- 分析包括了17个RCT,涉及3304项研究.
- 干预包括行为治疗 (6项研究),药物治疗 (2项研究) 和组合治疗 (9项研究).
- 观察到对戒烟的显著积极影响 (赔率比率 = 1.24) ,干预措施自2020年以来显著. 在两项研究中注意到了护理人员的参与.
结论:
- 目前的戒烟干预措施在患有非呼吸系统癌症的患者中显示出潜在的有效性.
- 研究结果支持在这种患者群体中推广戒烟计划.
- 迫切需要针对癌症幸存者和他们的护理人员进行双层干预.
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