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首页> 外文期刊>Sociology of health & illness >Now or never: smoking cessation discussions in the face of serious illness
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Now or never: smoking cessation discussions in the face of serious illness

机译：现在或从未：在严重疾病的情况下吸烟戒烟讨论

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Abstract Sociological research on medical discussions of lifestyle suggests that smoking patients may be seen as knowingly causing their medical problems. Therefore, it may be interactionally problematic for doctors to raise the issue of smoking cessation in relation to patients’ serious health problems. While a serious illness can be expected to bring to the fore the relevance of smoking cessation advice, it may also give rise to questions about patients’ right to treatment. This study uses conversation analysis to explicate how patients and doctors manage issues of responsibility in smoking cessation discussions in the face of a serious medical problem that strongly correlates with smoking. The findings show that whilst ill health can be referred to in a confrontational manner, it can also give smoking cessation a ‘now or never’ status that downplays patients’ responsibility for not having quit before. Based on these findings, the paper concludes that for warranting further smoking cessation advice, how doctors and patients verbalise the link between smoking and a serious medical problem matters more than whether they do so.
机译：抽象的生活方式医学讨论的社会学研究表明，吸烟患者可能被视为已知造成其医疗问题。因此，对于医生在患者严重的健康问题中提出吸烟停止问题可能是相互作用的。虽然预计严重疾病将带来吸烟戒烟建议的相关性，但也可能引起关于患者治疗权的问题。本研究采用对话分析来阐明患者和医生在面对吸烟的严重医疗问题面前对吸烟讨论的责任问题进行责任。调查结果表明，虽然健康状况不佳，但也可以以对抗的方式提及，它也可以吸烟停止“现在或从未”的地位，使得揭示患者对之前没有退出的责任。基于这些调查结果，本文得出结论，为了保证进一步吸烟的戒烟建议，医生和患者如何言语，吸烟和严重的医疗问题之间的联系不仅仅是他们的方式。

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