Physical and psychological reasons for cancer patients' decision to decline tobacco treatment: a qualitative study.

IF 1.9 4区医学 Q4 PSYCHOLOGY, SOCIAL

Journal of Psychosocial Oncology Pub Date : 2026-06-01 DOI:10.1080/07347332.2026.2680556

Tia Borger, Marguerite A Webster, Abigayle R Feather, Kathleen E Wakeman, Laurie E McLouth, Jessica L Burris

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引用次数: 0

Abstract

Objective: Despite the benefits of using evidence-based tobacco treatment to quit smoking, many cancer patients continue smoking after diagnosis. Many survivors decline assistance with smoking cessation due to the desire to quit without assistance. This qualitative study sought to describe cancer patients' physical and psychological reasons for their decision to decline assistance with smoking cessation.

Method: Participants were 35 adult cancer patients who were recruited from outpatient oncology clinics. Participants reported tobacco use in the past month and declined referral to an "in-house" tobacco treatment due to the desire to quit without assistance. On average, participants were 54.4 years old, mostly female (68.57%) and White, non-Hispanic (85.7%). The most common cancer site was gynecological (28.6%.

Results: Multiple physical and psychological reasons for declining tobacco treatment emerged, including distress, feeling overwhelmed, cancer treatment intensity and treatment side-effects.

Conclusions: These findings underscore the need to address psychological and physical reasons for cancer patients' decline in tobacco treatment. Psychosocial practitioners can play a role in addressing these factors. Interventions to address these factors should offer flexible, time-limited, and tailored tobacco treatment to increase treatment acceptance.

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癌症患者决定拒绝烟草治疗的生理和心理原因：一项定性研究。

目的：尽管使用循证烟草治疗戒烟有好处，但许多癌症患者在诊断后继续吸烟。许多幸存者拒绝帮助戒烟，因为他们希望在没有帮助的情况下戒烟。这项定性研究试图描述癌症患者决定拒绝帮助戒烟的生理和心理原因。方法：研究对象为35名来自肿瘤门诊的成年癌症患者。参与者报告了过去一个月的烟草使用情况，并拒绝转介到“内部”烟草治疗，因为他们希望在没有帮助的情况下戒烟。参与者的平均年龄为54.4岁，主要是女性（68.57%）和白人，非西班牙裔（85.7%）。最常见的癌症部位是妇科（28.6%）。结果：出现了多种生理和心理原因，包括痛苦、感觉不知所措、癌症治疗强度和治疗副作用。结论：这些发现强调需要解决癌症患者减少烟草治疗的心理和生理原因。心理医生可以在解决这些因素方面发挥作用。针对这些因素的干预措施应提供灵活、有时限和有针对性的烟草治疗，以提高治疗接受度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosocial Oncology PSYCHOLOGY, SOCIAL-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Here is your single source of integrated information on providing the best psychosocial care possible from the knowledge available from many disciplines.The Journal of Psychosocial Oncology is an essential source for up-to-date clinical and research material geared toward health professionals who provide psychosocial services to cancer patients, their families, and their caregivers. The journal—the first interdisciplinary resource of its kind—is in its third decade of examining exploratory and hypothesis testing and presenting program evaluation research on critical areas, including: the stigma of cancer; employment and personal problems facing cancer patients; patient education.