慢性阻塞性肺病患者的戒烟计划偏好:一种定性研究
Noah Tregobov1,2, Kassandra Starnes3, Saron Kassay4
1Vancouver-Fraser Medical Program, University of British Columbia, Vancouver, Canada.
Primary health care research & development
|September 20, 2024
概括
患有慢性阻塞性肺病 (COPD) 和喘-COPD重叠 (ACO) 的患者希望有数字支持的远程医疗戒烟计划. 关于电子烟作为戒烟辅助的观点是不同的,强调了个性化策略的必要性.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 公共卫生 公共卫生
- 数字健康数字健康
背景情况:
- 烟草吸烟显著恶化慢性阻塞性肺病 (COPD) 的进展.
- 现有的戒烟计划可能无法充分满足COPD和喘-COPD重叠 (ACO) 患者的特定需求.
- 需要创新的基于远程医疗的干预措施来改善这一群体的戒烟结果.
研究的目的:
- 调查COPD和ACO患者对远程医疗戒烟计划的看法.
- 探索电子烟作为一种在COPD和ACO患者中减少和戒烟的工具的潜在作用.
- 确定设计有效的数字戒烟干预措施的关键要素和偏好.
主要方法:
- 使用焦点小组和个人访谈进行定性探索性研究.
- 包括目前的吸烟者 (每天≥5支烟) 和最近的前吸烟者 (<12个月戒烟) 被诊断患有COPD或ACO.
- 收集数据的系统编码和主题分析.
主要成果:
- 关键主题包括所需的程序结构,远程医疗与数字工具的整合,以及用于减少/戒烟的电子烟的使用.
- 参与者强调了社会和专业支持的价值,包括前吸烟者的同行指导.
- 远程医疗在可访问性和立即支持方面被认为是积极的,尽管在群体和个性化方法之间偏好有所不同.
- 关于电子烟的意见分歧,有些人认为它们是一种不那么有害的替代品,而另一些人则对安全性和有效性表示怀疑.
结论:
- 慢性肺炎和ACO患者对基于远程医疗的戒烟计划,特别是那些提供综合数字支持和指导的项目,都很容易接受.
- 个性化戒烟计划和对电子烟的混合观点需要在计划设计中仔细考虑.
- 需要进一步的研究来澄清电子烟的有效性和安全性,以帮助该患者群体戒烟.
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