"Are We Gonna Talk About It or Not?" Thoracic Oncology Provider Perspectives on Smoking Cessation.
"Are We Gonna Talk About It or Not?" Thoracic Oncology Provider Perspectives on Smoking Cessation.
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“我们要不要讨论这件事？”
DOI：
10.1016/j.jss.2020.08.058
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Johnson,JulieK
中科院分区：
文献类型：
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作者：
Radakrishnan,Ankitha;Coughlin,JuliaM;Odell,DavidD;Johnson,JulieK
背景烟草使用是美国死亡和疾病的最大可预防原因。尽管疾病控制和预防中心、美国预防工作组和主要专业协会建议所有医疗保健提供者提供戒烟咨询，但临床实践中并没有始终如一地提供戒烟干预措施。我们试图找出在胸部肿瘤项目中使用戒烟干预措施的重要障碍和促进因素。材料和方法我们对包括胸外科医生 (n=3)、介入肺科医生 (n=1)、肿瘤内科医生 (n=3)、放射肿瘤科医生 (n=2) 和护士 (n=5) 在内的医疗服务提供者进行了 14 次半结构化访谈。受访者被问及之前和当前的戒烟工作、他们对成功戒烟障碍的看法以及改进的机会。对回答进行归纳分析，以确定共同主题。结果所有受访者都报告与患者讨论戒烟问题，并认识到戒烟咨询的重要性；然而，戒烟干预措施不一致且常常缺乏。提供者强调了影响其提供戒烟干预措施的五个领域：患者戒烟意愿和动机、临床参与和随访、吸烟史记录、提供者戒烟教育以及额外戒烟资源的可用性。结论提供者认识到需要更有效和一致的戒烟干预措施。因此，满足这一需求的干预措施的开发不仅可以轻松地向提供者传授并交付给患者，而且还可以被诊所欢迎。
BackgroundTobacco use is the greatest preventable cause of death and disease in the United States. Despite recommendations from the Centers for Disease Control and Prevention, United States Preventive Task Force, and major professional societies that all health-care providers provide smoking-cessation counseling, smoking-cessation interventions are not consistently delivered in clinical practice. We sought to identify important barriers and facilitators to the utilization of smoking-cessation interventions in a thoracic oncology program.Materials and methodsWe conducted 14 semistructured interviews with providers including thoracic surgeons (n= 3), interventional pulmonologists (n= 1), medical oncologists (n= 3), radiation oncologists (n= 2), and nurses (n= 5). Interviewees were asked about prior and current smoking-cessation efforts, their perspectives on barriers to successful smoking cessation, and opportunities for improvement. Responses were analyzed inductively to identify common themes.ResultsAll interviewees report discussing smoking cessation with their patients and realize the importance of a smoking-cessation counseling; however, smoking-cessation interventions are inconsistent and often lacking. Providers emphasized five domains that impact their delivery of smoking-cessation interventions: patient willingness and motivation to quit, clinical engagement and follow-up, documentation of smoking history, provider education in smoking cessation, and the availability of additional smoking-cessation resources.ConclusionsProviders recognize the need for more efficient and consistent smoking-cessation interventions. Therefore, the development of interventions that address this need would not only be easily taught to providers and delivered to patients but also be welcomed into clinics.