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首页> 外文期刊>Sao Paulo Medical Journal >Cigarette smokers’ views on their habit and the causes of their illness following lung cancer diagnosis: a clinical-qualitative study
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Cigarette smokers’ views on their habit and the causes of their illness following lung cancer diagnosis: a clinical-qualitative study

机译：吸烟者对肺癌诊断后的习惯和病因的看法：一项临床定性研究

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CONTEXT AND OBJECTIVE: Lung cancer is the commonest malignant tumor and is increasing in incidence by 2% a year. In 90% of diagnosed cases, it is associated with tobacco product consumption. It is the greatest cause of mortality among cancer types in Brazil. Knowledge of patients’ psychological representations is needed for evaluating treatments and educating patients. The aim here was to interpret how smokers with lung cancer interpret the possible causes of their illness and to understand their perceptions regarding cigarette use. DESIGN AND SETTING: Clinical-qualitative study (exploratory, non-experimental) at the Pulmonary Disease Service, General Hospital, Universidade Estadual de Campinas. METHODS: An intentional small sample of cancer inpatients was recruited. The group was closed with 11 subjects, following attainment of data saturation from interviews. These interviews were semi-directed, with in-depth open-ended questions on interviewees’ observations, applied in a confidential setting using a tape recorder. Interviewees’ responses were categorized using qualitative content analysis and the results were assessed using interdisciplinary theoretical concepts, particularly from medical psychology. RESULTS: Six males and five females aged between 46 and 68 years who presented diverse clinical conditions were interviewed. CONCLUSIONS: A broader approach towards the psychological comprehension of such patients is needed, considering that cigarette consumption involves conscious and unconscious motivations, sociocultural and educational factors, the glamour of tobacco advertising, and problems with psychophysical dependence. Such an approach would avoid the perception among patients that the healthcare team are "inquisitors". This would lead to better adherence to treatment and better quality of life.
机译：背景与目的：肺癌是最常见的恶性肿瘤，每年以2％的速度增长。在90％的确诊病例中，它与烟草制品的消费有关。它是巴西癌症类型中最大的死亡原因。评估治疗和教育患者需要了解患者的心理表征。此处的目的是解释吸烟者患有肺癌的原因，并解释他们对吸烟的看法。设计与地点：坎皮纳斯大学综合医院肺病科的临床定性研究（探索性，非实验性）。方法：有意收集癌症患者的小样本。在面试获得数据饱和之后，该小组以11名受试者结束。这些采访是半定向的，对被采访者的观察有深入的开放式问题，可以使用录音机在保密的环境下进行。使用定性内容分析对受访者的回答进行分类，并使用跨学科理论概念（尤其是医学心理学方面的理论概念）对结果进行评估。结果：六名男性和五名女性，年龄在46至68岁之间，他们接受了多种临床情况的采访。结论：考虑到吸烟是有意识和无意识的动机，社会文化和教育因素，烟草广告的魅力以及心理生理依赖性问题，因此需要一种更广泛的方法来应对此类患者的心理理解。这样的方法将避免患者之间的医疗团队是“询问者”的感觉。这将导致更好地坚持治疗并改善生活质量。

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