Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer.
Predictors of smoking relapse in patients with thoracic cancer or head and neck cancer.
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DOI：
10.1002/cncr.27880
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发表时间：
2013-04-01
期刊：
影响因子：
6.2
通讯作者：
Brandon, Thomas H.
中科院分区：
文献类型：
--
作者：
Simmons, Vani Nath;Litvin, Erika B.;Jacobsen, Paul B.;Patel, Riddhi D.;McCaffrey, Judith C.;Oliver, Jason A.;Sutton, Steven K.;Brandon, Thomas H.
继续吸烟的癌症患者出现不良后果的风险增加，包括治疗效果降低和生存率下降。许多患者在确诊后自发戒烟；然而，复发的研究还不够深入。本研究的目的是评估吸烟相关变量、情感变量、认知变量和生理变量作为肺癌和头颈癌患者手术治疗后吸烟的预测因素。对最近戒烟的154名患者(57%为男性)进行了一项纵向研究。在基线(即手术时间)时测量预测变量；在手术后2、4、6和12个月评估吸烟行为。使用广义估计方程(GEE)方法对7日点患病率进行分析。复发率因术前吸烟状况的不同而有显著差异。在手术后12个月，60%在手术前一周内吸烟的患者已经恢复吸烟，而在手术前戒烟的患者中只有13%。在4次随访中，两组的吸烟率都相对稳定。对于手术前吸烟的患者(N=101)，吸烟复发的预测因素包括较低的戒烟自我效能感、较高的抑郁倾向和对癌症复发的更大恐惧。对于手术前戒烟的患者(N=53)，较高的戒烟难度和较低的癌症相关风险认知预示着吸烟复发。鼓励在确诊时及早戒烟，以及在手术后的急性期加强预防吸烟复发的努力，可能会促进长期戒烟。几个可修改的变量被确定为未来癌症患者吸烟复发预防干预的目标。
Cancer patients who continue smoking are at increased risk for adverse outcomes including reduced treatment efficacy and poorer survival rates. Many patients spontaneously quit smoking after diagnosis; however, relapse is understudied. The goal of this study was to evaluate smoking-related, affective, cognitive, and physical variables as predictors of smoking after surgical treatment among lung and head/neck cancer patients. A longitudinal study was conducted with 154 patients (57% male) who recently quit smoking. Predictor variables were measured at baseline (i.e., time of surgery); smoking behavior was assessed at 2, 4, 6, and 12 months post-surgery. Analyses of 7-day point prevalence were performed using a Generalized Estimating Equations (GEE) approach. Relapse rates varied significantly depending on pre-surgery smoking status. At 12-months post-surgery, 60% of patients who smoked during the week prior to surgery had resumed smoking, versus only 13% who were abstinent prior to surgery. Smoking rates among both groups were relatively stable across the 4 follow-ups. For patients smoking pre-surgery (N = 101), predictors of smoking relapse included lower quitting self-efficacy, higher depression proneness, and greater fears about cancer recurrence. For patients abstinent pre-surgery (N = 53), higher perceived difficulty quitting and lower cancer-related risk perceptions predicted smoking relapse. Efforts to encourage early cessation at diagnosis, and increased smoking relapse-prevention efforts in the acute period following surgery, may promote long-term abstinence. Several modifiable variables are identified to target in future smoking relapse-prevention interventions for cancer patients.
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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：
22.4
作者：
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通讯作者：
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2.3
作者：
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Spitz, MR
影响因子：
2.7
作者：
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影响因子：
6.2
作者：
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通讯作者：
Johnson, Bruce E.