Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting.
Patient-provider communication and perspectives on smoking cessation and relapse in the oncology setting.
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DOI：
10.1016/j.pec.2009.09.024
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发表时间：
2009-12
影响因子：
3.5
通讯作者：
Brandon, Thomas H.
中科院分区：
文献类型：
--
作者：
Simmons, Vani Nath;Litvin, Erika B.;Patel, Riddhi D.;Jacobsen, Paul B.;McCaffrey, Judith C.;Bepler, Gerold;Quinn, Gwendolyn P.;Brandon, Thomas H.
通过调查癌症患者与提供者之间关于烟草使用的沟通以及患者对其戒烟和复吸经历的看法，填补研究空白。对20名肺癌和头颈癌患者以及11名医疗保健提供者进行了深入访谈。定性分析显示，癌症患者表现出高水平的戒烟动机；然而，患者在戒烟和保持戒烟方面不会向医生寻求帮助，而复发的患者由于耻辱和内疚而不愿透露吸烟行为。卫生保健提供者提供的建议和援助类型各不相同，他们对复发病人的感受的认识和敏感性也各不相同。尽管医疗服务提供者在与患者的互动中强调了继续吸烟的长期风险，并对干预内容提出了建议，但患者表示更倾向于在风险和收益之间取得平衡。研究结果强调，需要提高对继续吸烟的直接风险的认识、重视和沟通，特别是对癌症患者来说，继续戒烟的好处。我们的研究结果表明，通过改善戒烟和预防复发干预的培训，有可能影响癌症的预后。可以对卫生保健提供者进行额外的培训，以加强对临床实践指南的遵守，学习如何增强患者保持戒烟的动机，并以非威胁的方式传递吸烟信息。
To fill a gap in research by examining cancer patient-provider communication regarding tobacco use and patients’ perspectives regarding their experiences with smoking cessation and relapse. In-depth interviews were conducted with 20 lung and head and neck cancer patients and 11 health care providers. Qualitative analyses revealed that cancer patients express high levels of motivation to quit smoking; however patients do not ask providers for assistance with quitting and maintaining abstinence and relapsed patients are reluctant to disclose smoking behavior due to stigma and guilt. Health care providers vary in the advice and type of assistance they supply, and their awareness and sensitivity to relapsed patients’ feelings. Whereas providers emphasized long-term risks of continued smoking in their interactions with patients and recommendations for intervention content, patients expressed a preference for a balance between risks and benefits. Findings underscore the need for increased awareness, emphasis, and communication about the immediate risks of continued smoking and the benefits of continued abstinence specifically for cancer patients. Our findings demonstrate the potential to affect cancer outcomes by improved training in conducting smoking cessation and relapse prevention interventions. Additional training could be given to health care providers to increase adherence to clinical practice guidelines (5 A’s), to learn ways to enhance patients’ motivation to maintain abstinence, and to deliver smoking messages in a non-threatening manner.
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影响因子：
45.3
作者：
Paltiel, O;Avitzour, M;Soskolne, V
通讯作者：
Soskolne, V
影响因子：
45.3
作者：
Schnoll, RA;Zhang, B;Engstrom, PF
通讯作者：
Engstrom, PF
影响因子：
105.7
作者：
Chapple, A;Ziebland, S;McPherson, A
通讯作者：
McPherson, A
影响因子：
10.7
作者：
Moller, AM;Pedersen, T;Tonnesen, R
通讯作者：
Tonnesen, R
DOI：
10.1046/j.1523-5394.1999.07305.x
发表时间：
1999-05-01
期刊：
CANCER PRACTICE
影响因子：
--
作者：
Wyatt, GK;Friedman, LL;Christensen, K
通讯作者：
Christensen, K