肺癌查期间的和烟草风险咨询 共享决策
Stacy R Stanifer1, Kathy Rademacher2, Whitney Sedio3
1Assistant Professor, University of Kentucky, College of Nursing, Lexington, Kentucky.
Journal of the American College of Radiology : JACR
|December 3, 2025
概括
医疗保健提供者经常在肺癌查期间就烟草风险提供建议,但很少讨论风险. 提高提供者的自我效能和的信念对于全面降低肺癌风险至关重要.
科学领域:
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康
- 环境健康 环境健康
背景情况:
- 肺癌在美国仍然是一个重大的公共卫生问题.
- 风险降低策略,包括戒烟和降低,对于降低肺癌负担至关重要.
- 在肺癌查期间的共享决策 (SDM) 为风险咨询提供了机会.
研究的目的:
- 检查卫生保健提供者的肺癌查SDM期间烟草和风险咨询的频率.
- 调查提供者对的信念,咨询中的自我效能以及他们的咨询实践之间的关系.
主要方法:
- 一个横截面的观察性研究,使用邮寄的自我报告调查.
- 肯塔基州1000名合格医疗保健提供者被随机抽样.
- 用回归分析来评估提供者特征,信仰,自我效能和咨询频率之间的关联.
主要成果:
- 低响应率 (14.9%) 产生了149名参与者.
- 提供者报告说,烟草咨询的自我效率很高,但咨询的自我效率很低.
- 在肺癌查SDM期间,烟草风险咨询经常出现,而风险咨询几乎没有.
- 只有戒烟咨询的自我有效性能显著预测烟草风险咨询的频率.
结论:
- 风险降低咨询对于减轻肺癌发病率至关重要.
- 需要进行干预,以加强提供者对风险的信念,以及在肺癌查期间讨论烟草和的自我有效性.
- 目前的实践突出了肺癌查中的风险沟通缺口.
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