量身定制的患者导航以支持LGBTQ+个体的肺癌查和戒烟:试点研究
Matthew Triplette1,2, Brandon Omernik2, Madison Snidarich2
1Division of Pulmonary, Critical Care, and Sleep Medicine, University of Washington, Seattle, Washington.
Annals of the American Thoracic Society
|May 29, 2025
概括
一项患者导航干预措施有效提高了女同性恋,男同性恋,双性恋,跨性别者,酷尔/质疑 (LGBTQ+) 成人的肺癌查 (LCS) 和戒烟率. 这种量身定制的方法有望改善这个社区内的癌症预防.
科学领域:
- 公共卫生 公共卫生
- 在瘤学瘤学.
- 健康差异 在健康上的差异
背景情况:
- 肺癌是癌症死亡的主要原因之一,吸烟是主要原因.
- 女同性恋,男同性恋,双性恋,跨性别者,酷尔/质疑 (LGBTQ+) 个体的吸烟率较高,但面临着肺癌预防的有限的有针对性的干预措施.
- 一种社区参与的方法开发了一种患者导航干预措施,用于LGBTQ+成年人戒烟和肺癌查 (LCS).
研究的目的:
- 为了评估患者导航干预的有效性,在未来的试点研究中.
- 评估患者对戒烟和LCS的满意度,接受度和知识变化.
- 确定干预措施对LCS护理完成率和戒烟率的影响.
主要方法:
- 已注册的当前吸烟者认定为LGBTQ +,并有资格获得LCS进入90天的患者导航干预.
- 进行干预前后调查,以评估知识和满意度.
- 通过电子健康记录追踪LCS活动,并使用呼气一氧化碳 (CO) 测量验证戒烟.
主要成果:
- 报告了高接受度 (平均得分4.5) 和患者满意度 (平均得分40.8).
- LCS完成率从基线时的22%增加到90天后的59%.
- 41%的人报告吸烟禁欲超过7天,18%的人获得了CO证实超过30天的戒烟.
结论:
- 量身定制的患者导航是提高LCS吸收率和在符合查条件的LGBTQ+个人中戒烟的有希望的策略.
- 该干预措施在改善对肺癌查的遵守和减少吸烟方面取得了积极成果.
- 进一步的研究和实施此类定制计划是为这种服务不足的人群的必要.
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