Smoking cessation is challenging even for patients recovering from lung cancer surgery with curative intent.
Smoking cessation is challenging even for patients recovering from lung cancer surgery with curative intent.
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DOI：
10.1016/j.lungcan.2009.01.021
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发表时间：
2009-11
期刊：
影响因子：
5.3
通讯作者：
Bueno, Raphael
中科院分区：
文献类型：
--
作者：
Cooley, Mary E.;Sarna, Linda;Kotlerman, Jenny;Lukanich, Jeanne M.;Jaklitsch, Michael;Green, Sarah B.;Bueno, Raphael
关键词：
虽然建议接受肺癌手术的吸烟者戒烟以减少术后并发症，但很少有研究调查围手术期的吸烟模式。这项研究的目标是确定：1)术后恢复期间的吸烟模式，2)戒烟策略的类型，以及3)肺癌手术后吸烟的相关因素。在术后1个月、2个月和4个月通过图表回顾、烟草、健康状况和症状问卷从94名患者中收集数据。通过自我报告和尿可替宁测量来评估吸烟状况。84名患者(89%)是曾经吸烟者，35名(37%)在确诊时报告吸烟。39名(46%)曾经吸烟者保持戒烟，13名(16%)在所有时间点继续吸烟，32名(38%)复发。在那些复发的人中，有10人(46%)是曾经吸烟者，并且至少有一年没有吸烟。在确诊时吸烟的人中，16人(46%)接受了戒烟帮助，药物治疗是最常见的策略。与恢复期吸烟相关的因素是较年轻的年龄和在诊断为肺癌前六个月戒烟≤。轻微显著的因素包括较低的教育水平、男性、较低的合并症数量和疼痛的存在，在吸烟者中只有一半的人在手术前得到了戒烟的帮助。一些患者无法戒烟，即使在戒烟一年以上的患者中，术后复发率也很高。结合症状管理和复发预防的创新计划可能会在术后护理期间加强戒烟。
Although it is recommended that smokers undergoing surgery for lung cancer quit smoking to reduce post-operative complications, few studies have examined patterns of smoking in the peri-operative period. The goals of this study were to determine: 1) patterns of smoking during post-operative recovery, 2) types of cessation strategies used to quit smoking, and 3) factors related to smoking after lung cancer surgery. Data were collected from 94 patients through chart review, tobacco, health-status, and symptom questionnaires at 1, 2, and 4-months after surgery. Smoking status was assessed through self-report and urinary cotinine measurement. Eighty-four patients (89%) were ever-smokers and 35 (37%) reported smoking at diagnosis. Thirty-nine (46%) ever-smokers remained abstinent, 13 (16%) continued smoking at all time-points, and 32 (38%) relapsed. Ten (46%) of those who relapsed were former-smokers and had not smoked for at least 1-year. Sixteen (46%) of those who were smoking at diagnosis received cessation assistance with pharmacotherapy being the most common strategy. Factors associated with smoking during recovery were younger age and quitting smoking ≤ six-months before the diagnosis of lung cancer. Factors that were marginally significant were lower educational level, male gender, lower number of comorbidities, and the presence of pain Only half of those who were smoking received assistance to quit prior to surgery. Some patients were unable to quit and relapse rates post-surgery were high even among those who quit more than 1-year prior. Innovative programs incorporating symptom management and relapse prevention may enhance smoking abstinence during post-operative care.
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影响因子：
9.6
作者：
Dresler, CM;Bailey, M;Cooper, JD
通讯作者：
Cooper, JD
影响因子：
9.6
作者：
Bluman, LG;Mosca, L;Simon, DG
通讯作者：
Simon, DG
影响因子：
158.5
作者：
Christakis, Nicholas A.;Fowler, James H.
通讯作者：
Fowler, James H.
影响因子：
4.4
作者：
GARVEY, AJ;BLISS, RE;ROSNER, B
通讯作者：
ROSNER, B
DOI：
10.1093/jnci/89.8.572
发表时间：
1997-04-16
期刊：
JOURNAL OF THE NATIONAL CANCER INSTITUTE
影响因子：
--
作者：
Gilpin, EA;Pierce, JP;Farkas, AJ
通讯作者：
Farkas, AJ