恶性肿瘤住院患者戒烟失败的质性研究  

Qualitative Research on the Smoking Cessation Failure Among Cancer Patients

作　　者：韩林俐 王卫光 蔡立柏[2] 陈江芸 李腾 张娜 程彦如 左艳艳 王宇鹰[3] HAN Linli;WANG Weiguang;CAI Libai;CHEN Jiangyun;LI Teng;ZHANG Na;CHENG Yanru;ZUO Yanyan;WANG Yuying(Department of Neurosurgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Orthopedic,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Ophthalmology,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;School of Health Management,Southern Medical University,Guangzhou 510515,China;Department of Obstetric,Tongzhou Maternal and Child Health Hospital of Beijing,Beijing 101100,China)

机构地区：[1]郑州大学第一附属医院神经外科,河南郑州450052 [2]郑州大学第一附属医院骨科,河南郑州450052 [3]郑州大学第一附属医院眼科,河南郑州450052 [4]南方医科大学卫生管理学院,广东广州510515 [5]北京市通州区妇幼保健院产科,北京101100

出　　处：《河南医学研究》2024年第10期1885-1890,共6页Henan Medical Research

基　　金：国家自然科学基金项目(72204107)。

摘　　要：目的 深入了解恶性肿瘤患者戒烟失败的原因及心理,为住院患者戒烟干预提供参考依据。方法 采用质性研究中的现象学研究方法,使用半结构式访谈方式对13例戒烟失败的恶性肿瘤住院患者进行深入访谈,运用Colaizzi内容分析法,分析其戒烟失败的原因及心理体验。结果 导致患者戒烟失败的原因包括:对自身疾病认知不足、对吸烟危害认知不足、烟草依赖、社交需要、工作和生活的压力、缺乏戒烟的支持和帮助;患者在戒烟失败后存在侥幸、及时行乐、盲目从众、寻求慰藉、愧疚等心理。结论 恶性肿瘤患者戒烟失败受个人、家庭和社会等诸多因素的影响,因此,在帮助患者戒烟过程中,需要医院、家庭和社会共同协作,达到帮助患者戒烟的目的。Objective To explore the results of smoking cessation failures and psychological experience among cancer patients,in order to provide guiding basis for patients smoking cessation intervention.Methods This study adopted the phenomenological approach of qualitative research with a sample of 13 cancer patients who relapse after smoking cessation in a way of semi-structured depth interview,and applied Colaizzi analysis program for analysis the reasons of relapse after smoking cessation and psychological experience.Results The causes of smoking cessation failures include:insufficient knowledge of disease,insufficient understanding of the dangers of smoking,tobacco dependence,social needs,the pressure of work and life,lack of support and help to quit smoking.Psychological experience after smoking cessation failures:fluke,timely entertainment,blind conformity,seeking comfort,guilt and so on.Conclusion Cancer patients smoking cessation failures are affected by many reasons,such as individuals,families and society.Therefore,hospitals,families and society need to cooperate together to help patients quit smoking.

关 键 词：恶性肿瘤患者 戒烟失败 心理体验 质性研究 

分 类 号：R473.73[医药卫生—护理学]