肺癌一级亲属禁烟态度调查以及影响因素与干预措施分析  

Investigation on the attitude to smoking prohibition in first degree relatives of lung cancer patients and analysis of influencing factors and intervention measures

作　　者：朱婷[1] 龚芬芳 ZHU Ting;GONG Fenfang(Department of Preventive Health Care,Cancer Hospital Affiliated to Fujian Medical University,Fujian Province,Fuzhou 350014,China)

机构地区：[1]福建医科大学附属肿瘤医院预防保健科,福建福州350014

出　　处：《中国当代医药》2023年第11期173-176,共4页China Modern Medicine

摘　　要：目的对肺癌一级亲属的禁烟态度进行调查,总结影响其禁烟态度的影响因素并据此制订干预措施。方法选取2019年1月至2021年12月陪同肺癌患者前往福建医科大学附属肿瘤医院预防保健科接受治疗的80名肺癌一级亲属为研究对象,利用自制《关于禁烟态度的调查问卷》对其禁烟态度进行调查并依据调查结果分为赞成组50名,反对组30名,对比两组基本资料后采用logistic回归分析法总结其影响因素,围绕独立影响因素制订针对性的干预措施。结果80名肺癌一级亲属中赞成禁烟者50名,赞成率为62.50%。单因素分析结果显示,赞成组与反对组一级亲属的学历水平、吸烟史、对香烟的依赖程度比较,差异有统计学意义(P<0.05)。多因素分析结果显示,初中及以下学历(β=1.789,OR=5.983,95%CI=2.571~13.296)、重度烟草依赖(β=1.859,OR=6.411,95%CI=2.314~17.764)是肺癌一级亲属禁烟态度的危险因素。结论肺癌一级亲属中普遍赞成禁烟,初中及以下学历、重度烟草依赖为肺癌一级亲属禁烟态度的危险因素,开展烟草危害性宣教、指导正确戒烟方法对于改善肺癌一级亲属禁烟态度具有重要意义。Objective To investigate the smoking prohibition attitude of first degree relatives of lung cancer patients,summarize the influencing factors of their smoking prohibition attitude and formulate intervention measures accordingly.Methods A total of 80 first degree relatives of lung cancer patients who accompanied lung cancer patients to the Department of Preventive Health Care of Cancer Hospital Affiliated to Fujian Medical University from January 2019 to December 2021 were selected as the research objects.Their attitudes to smoking prohibition were investigated using the self-made Questionnaire on Attitudes to Smoking Prohibition.According to the survey results,they were divided into affirmative group(n=50)and negative group(n=30).After comparing the basic data of the two groups,logistic regression analysis was used to summarize the influencing factors,targeted interventions around independent influencing factors was developed.Results Among the 80 first degree relatives of lung cancer,50 were in favor of smoking prohibition,with the approval rate of 62.50%.The results of univariate analysis showed that there were significant differences between the affirmative group and negative group in terms of educational level,smoking history and dependence on cigarettes(P<0.05).The results of multifactor analysis suggest that junior high school education and below(β=1.789,OR=5.983,95%CI=2.571-13.296),heavy tobacco dependence(β=1.859,OR=6.411,95%CI=2.314-17.764)were risk factors forsmoking prohibition attitude of first degree relatives of lung cancer patients.Conclusion The first degree relatives of lung cancer generally approve of smoking prohibition.The junior high school education and below and heavy tobacco dependence are the risk factors for the attitude of smoking prohibition of the first degree relatives of lung cancer.It is of great significance to carry out tobacco hazard education and guide correct smoking cessation methods to improve the attitude of smoking prohibition of the first degree relatives of lung cancer.

关 键 词：肺癌 一级亲属 禁烟态度 吸烟史 烟草依赖 烟草危害性宣教 正确戒烟方法 

分 类 号：R734.2[医药卫生—肿瘤]