在肺癌诊断工作期间整合戒烟支持:一个务实的,多中心的,集群随机对照试验
Ingeborg Farver-Vestergaard1,2, Kaare Bro Wellnitz3,4, Ole Hilberg1,2
1Department of Medicine, Lillebaelt Hospital, Vejle, Denmark.
Frontiers in health services
|December 25, 2025
概括
将戒烟支持纳入肺癌诊断中并没有显著增加患者戒烟率. 需要进一步的研究来克服癌症患者有效戒烟干预措施的障碍.
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:
- 在肺癌诊断附近戒烟可以改善结局,生活质量和生存率.
- 许多肺癌患者在诊断后继续吸烟,这凸显了对有效干预的迫切需要.
研究的目的:
- 评估在肺癌诊断工作期间综合戒烟支持的有效性.
- 评估国家倡议对患者戒烟启动,动机和生活质量的影响.
主要方法:
- 一个务实的,多中心的,集群随机对照试验,涉及9家丹麦医院.
- 患者 (n=86) 在基线和6周填写了问卷;卫生保健专业人员 (n=140) 接受了有关戒烟实践的调查.
主要成果:
- 干预组和对照组之间在戒烟开始方面没有统计学上显著的差异 (OR=0.81,p=0.53).
- 干预组的医疗保健专业人员在报告的戒烟支持提供中显示出不同的变化.
- 对照组显示,随着时间的推移,支持和推的普遍趋势越来越大.
结论:
- 在肺癌诊断期间的综合戒烟支持在改善患者戒烟开始方面没有确定性.
- 影响结果的潜在因素包括选择偏差和跨站点的可变干预忠实度.
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