A qualitative study of facilitators and hindrances of smoking cessation in patients with chronic obstructive pulmonary disease
10.3760/cma.j.cn211501-20240320-00637
- VernacularTitle:慢性阻塞性肺疾病患者戒烟的促进和阻碍因素的质性研究
- Author:
Zheng TIAN
1
;
Jingchun HE
;
Dajun LIU
;
Yimiao LI
;
Xinyi LIU
;
Zhijun ZHANG
;
Nan ZHANG
;
Lan WANG
Author Information
1. 天津医科大学护理学院，天津 300070
- Keywords:
Qualitative research;
Pulmonary disease, chronic obstructive;
Smoking cessation;
Facilitators;
Hindrances
- From:
Chinese Journal of Practical Nursing
2024;40(26):2034-2040
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the facilitators and hindrances of smoking cessation in patients with chronic obstructive pulmonary disease (COPD), and to provide a basis for developing individualized smoking cessation intervention strategies for COPD patients.Methods:Based on the health ecology theory and using a phenomenological approach in qualitative research, purposive sampling was used to select 15 COPD patients with smoking history who were admitted to Tianjin Fourth Central Hospital from March to May 2023 and face-to-face semi-structured interviews were conducted. Colaizzi seven-step analysis was used to analyze the interview content.Results:A total of 15 COPD patients were interviewed, including 13 males and 2 females, aged 61-75 years old. The facilitators of smoking cessation in COPD patients included complications, sequelae of novel coronavirus infection, fear of death, smoking cessation counseling by medical staff, heavy family financial burden, and smoke-free environment. The hindrances of smoking cessation in COPD patients included milder disease symptoms of COPD, higher levels of nicotine dependence, false disease-related perceptions, family supervision and control, and occupational experience.Conclusions:Smoking cessation in COPD patients is influenced by five factors: personal characteristics, behavioral characteristics, interpersonal network, living and working conditions, and policy environment. Medical staff and relevant national institutions should formulate corresponding smoking cessation strategies according to address the facilitators and hindrances of smoking cessation in COPD patients, so as to further reduce the smoking prevalence of COPD patients, promote the health of patients and reduce the burden of disease.
