山东省癌症患者烟草使用情况及影响因素分析  

Tobacco use status and influencing factors of cancer patients in shandong province

作　　者：侯茹男 邵頔 秦廷廷 尚美美 申玉珍[5] 孙晓杰 HOU Runan;SHAO Di;QIN Tingting;SHANG Meimei;SHEN Yuzhen;SUN Xiaojie(Centre for Health Management and Policy Research,School of Public Health,Cheeloo College of Medicine,Shandong University,Jinan 250012,Shandong,China;NHC Key Laboratory of Health Economics and Policy Research(Shandong University),Jinan 250012,Shandong,China;School of Public Health,Capital Medical University,Beijing 100069,China;Shandong Cancer Hospital and Institute,Shandong First Medical University and Shandong Academy of Medical Sciences,Jinan 250117,Shandong,China;Oncology Department,Taian City Central Hospital,Taian 271099,Shandong,China)

机构地区：[1]山东大学齐鲁医学院公共卫生学院卫生管理与政策研究中心,山东济南250012 [2]国家卫生健康委员会卫生经济与政策研究重点实验室(山东大学),山东济南250012 [3]首都医科大学公共卫生学院,北京100069 [4]山东省肿瘤防治研究院(山东省肿瘤医院),山东第一医科大学(山东省医学科学院),山东济南250117 [5]泰安市中心医院癌症中心,山东泰安271099

出　　处：《山东大学学报（医学版）》2022年第6期102-106,共5页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(31900785);山东省自然科学基金(21540005201901)

摘　　要：目的探讨癌症患者确诊后的烟草使用情况并分析其影响因素,为制定癌症患者戒烟干预措施及改善患者预后状况提供科学依据。方法于2020年7~8月,从山东省A医院和B医院选取符合纳入标准研究对象405例,其中男296例,女109例,18~92岁,平均(60.43±11.52)岁,采取整群抽样的方法,进行问卷调查。采用t检验、χ^(2)检验和二元Logistic回归分析调查对象的烟草使用情况及影响因素。结果从不吸烟者197例,吸烟者208例;其中当前吸烟者87例,确诊后已戒烟者121例。当前吸烟者占全部调查对象的21.5%,占吸烟或曾吸烟者的41.8%。年龄、确诊距今时间、病理分期、吸烟年限和抑郁状况是影响确诊后吸烟行为的主要因素。结论山东省样本机构癌症患者确诊后吸烟率相对较高,应采取针对性措施帮助癌症患者戒烟,改善患者预后,提高其生活质量。Objective To analyze the tobacco use status in cancer patients after diagnosis and the influencing factors so as to provide scientific evidence for smoking cessation intervention and prognosis.Methods From July to August 2020,a total of 405 subjects meeting the inclusion criteria were selected from two hospitals in Shandong Province,including 296 males and 109 females aged 18 to 92 years,with an average age of(60.43±11.52)years.Cluster sampling method was adopted to conduct a questionnaire survey.The tobacco use status and influencing factors were analyzed with t-test,Chi-square test and binary Logistic regression analysis.Results Of the 405 subjects,197 were non-smokers,208 were smokers,121 were quitters after diagnosis,and 87 were smokers after diagnosis.The smokers after diagnosis accounted for 21.5%of all respondents and 41.8%of the smokers or ever smokers.The significant influencing factors of smoking after cancer diagnosis included age,time since diagnosis,pathological stage,years of smoking and depression.Conclusion The smoking rate of cancer patients after diagnosis is relatively high.Targeted measures should be taken to help cancer patients quit smoking,so as to improve their prognosis and quality of life.

关 键 词：癌症患者 确诊 烟草使用 吸烟率 影响因素 

分 类 号：R73-31[医药卫生—肿瘤] R163[医药卫生—临床医学]