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首页> 外文期刊>BMC Family Practice >Experiences of tobacco smoking and quitting in smokers with and without chronic obstructive pulmonary disease-a qualitative analysis
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Experiences of tobacco smoking and quitting in smokers with and without chronic obstructive pulmonary disease-a qualitative analysis

机译：有无慢性阻塞性肺疾病的吸烟者吸烟和戒烟的经验-定性分析

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Background Smokers with chronic obstructive pulmonary disease (COPD) seem to be a special subgroup of smokers that have a more urgent need to quit smoking but might find it more difficult to do so. This study aimed to explore which justifications for tobacco smoking and experiences of quitting were commonly shared in smokers with and without COPD, and which, if any, were specific to smokers with COPD. Methods In ten primary healthcare centres in the Netherlands, we conducted semi-structured, in-depth interviews in 10 smokers with and 10 smokers without COPD. Results Three themes were generated: ‘balancing the impact on health of smoking’, ‘challenging of autonomy by social interference’, ‘prerequisites for quitting’. All participants trivialized health consequences of smoking; those with COPD seemed to be less knowledgeable about smoking and health. Both groups of smokers found autonomy very important. Smokers with COPD were indignant about a perceived lack of empathy in their communication with doctors. Furthermore, smokers with COPD in particular had little faith in the efficacy of smoking cessation aids. Lastly, motivation for quitting was dominated by fluctuation and smokers with COPD specifically maintained that their vision of life was linked with quitting. Conclusions The participants showed many similarities in their reasoning about smoking and quitting. The corresponding themes argue for a less paternalistic regime in the communication with smokers with attention required for the motivational stage and room made for smokers’ own views, and with clear information and education. Furthermore, addressing social interactions, health perceptions and moral agendas in the communication with smokers with COPD may help to make smoking cessation interventions more suitable for them.
机译：背景技术患有慢性阻塞性肺疾病（COPD）的吸烟者似乎是吸烟者中的特殊人群，他们迫切需要戒烟，但可能会发现这样做更加困难。这项研究旨在探讨在有和没有COPD的吸烟者中常见的吸烟理由和戒烟经验是什么，以及如果有COPD的吸烟者特有的吸烟理由和戒烟经验。方法在荷兰的10个主要医疗中心，我们对10名有COPD的吸烟者和10名无COPD的吸烟者进行了半结构化的深入访谈。结果产生了三个主题：“平衡对吸烟健康的影响”，“通过社会干预挑战自主权”，“戒烟的先决条件”。所有参与者都轻视吸烟对健康的影响;患有COPD的人似乎对吸烟和健康知识较少。两组吸烟者都认为自治非常重要。患有COPD的吸烟者对与医生的沟通缺乏同情心感到愤慨。此外，特别是患有COPD的吸烟者对戒烟辅助工具的功效几乎没有信心。最后，戒烟的动机主要由波动决定，而患有COPD的吸烟者明确认为他们的生活愿景与戒烟有关。结论参与者在吸烟和戒烟的推理中显示出许多相似之处。相应的主题主张在与吸烟者的交流中减少家长式的管理，注意动机阶段和为吸烟者自己的观点提供空间，并提供清晰的信息和教育。此外，在与COPD烟民的沟通中解决社交互动，健康观念和道德议题，可能有助于使戒烟干预措施更适合他们。

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