对癌症患者吸烟的新型辩证行为治疗简短干预措施的定性评估
medRxiv : the preprint server for health sciences
|September 2, 2025
概括
这项研究探讨了吸烟癌症患者的新干预措施,使用辩证行为治疗技能培训 (DBT-ST) 的技能. 患者和提供者对这种改善戒烟效果的新方法表现出热情.
科学领域:
- 癌症学
- 行为科学
- 精神病学
背景情况:
- 戒烟显著改善了癌症治疗结果,但大约12.5%的癌症患者继续吸烟.
- 标准的烟草治疗可能无法充分解决该群体的心理障碍,如焦虑和情绪失调.
- 辩证行为疗法技能培训 (DBT-ST) 在改善物质使用和乳腺癌患者的应对能力方面取得了成功.
研究的目的:
- 对吸烟癌症患者的DBT-ST改编的新型虚拟八次小组干预措施进行评估.
- 通过教导情绪调节,痛苦耐受和正念技能,评估该干预措施提高戒烟的自我效能.
主要方法:
- 一项定性研究涉及8名吸烟或戒烟的癌症患者和9名医疗保健提供者 (瘤学家,心理治疗师,护士) 的半结构面试.
- 用专题分析来分析采访数据.
主要成果:
- 患者和提供者对DBT-ST小组形式和技能表示强烈支持, 特别是在管理情绪和压力方面.
- 参与者报告了感知到的好处,包括改善生活质量,增强社会支持,减少焦虑和抑郁.
- 对于干预的虚拟格式和时间承诺,人们有不同的看法.
结论:
- 在吸烟的癌症患者中,定性发现表明DBT-ST简短干预的早期热情充满希望.
- 这种干预措施有进一步发展的潜力,以解决导致这一群体持续吸烟的心理社会和情感因素.
- 通过虚拟交付的群体DBT-ST可以有效地接触到大量人群,并解决癌症患者戒烟工作中的关键缺口.
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