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Smoking and alcohol cessation intervention in relation to radical cystectomy : A qualitative study of cancer patients' experiences

Lauridsen, Susanne Vahr; Thomsen, Thordis LU ; Kaldan, Gudrun; Lydom, Line Noes and Tønnesen, Hanne LU (2017) In BMC Cancer 17(1).
Abstract

Background: Despite smoking and risky alcohol drinking being modifiable risk factors for cancer as well as postoperative complications, perioperative cessation counselling is often ignored. Little is known about how cancer patients experience smoking and alcohol interventions in relation to surgery. Therefore the aim of this study was to explore how bladder cancer patients experience a perioperative smoking and alcohol cessation intervention in relation to radical cystectomy. Methods: A qualitative study was conducted in two urology out-patient clinics. We conducted semi-structured in-depth interviews with 11 purposively sampled persons who had received the smoking and alcohol cessation intervention. The analysis followed the steps... (More)

Background: Despite smoking and risky alcohol drinking being modifiable risk factors for cancer as well as postoperative complications, perioperative cessation counselling is often ignored. Little is known about how cancer patients experience smoking and alcohol interventions in relation to surgery. Therefore the aim of this study was to explore how bladder cancer patients experience a perioperative smoking and alcohol cessation intervention in relation to radical cystectomy. Methods: A qualitative study was conducted in two urology out-patient clinics. We conducted semi-structured in-depth interviews with 11 purposively sampled persons who had received the smoking and alcohol cessation intervention. The analysis followed the steps contained in the thematic network analysis. Results: Two global themes emerged: "smoking and alcohol cessation was experienced as an integral part of bladder cancer surgery" and "returning to everyday life was a barrier for continued smoking cessation/alcohol reduction". Participants described that during hospitalization their focus shifted to the operation and they did not experience craving to smoke or drink alcohol. Concurrent with improved well-being or experiencing stressful situations, the risk of relapse increased when returning to everyday life. Conclusions: The smoking and alcohol cessation intervention was well received by the participants. Cancer surgery served as a kind of refuge and was a useful cue for motivating patients to quit smoking and to reconsider the consequences of risky drinking. These results adds to the sparse evidence of what supports smoking and alcohol cessation in relation to bladder cancer patients undergoing major surgery and point to the need to educate healthcare professionals in offering smoking and alcohol cessation interventions in hospitals. The study also provides knowledge about the intervention in the STOP-OP study and will help guide the design of future smoking and alcohol cessation studies aimed at cancer patients undergoing surgery.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alcohol cessation, Bladder cancer, Cancer patient, Qualitative study, Smoking cessation, Surgery
in
BMC Cancer
volume
17
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85034848612
  • wos:000416183200003
ISSN
1471-2407
DOI
10.1186/s12885-017-3792-5
language
English
LU publication?
yes
id
e2743f5b-2c50-41d2-b9f9-f2d08632fe3b
date added to LUP
2017-12-14 14:10:54
date last changed
2018-04-22 04:34:10
@article{e2743f5b-2c50-41d2-b9f9-f2d08632fe3b,
  abstract     = {<p>Background: Despite smoking and risky alcohol drinking being modifiable risk factors for cancer as well as postoperative complications, perioperative cessation counselling is often ignored. Little is known about how cancer patients experience smoking and alcohol interventions in relation to surgery. Therefore the aim of this study was to explore how bladder cancer patients experience a perioperative smoking and alcohol cessation intervention in relation to radical cystectomy. Methods: A qualitative study was conducted in two urology out-patient clinics. We conducted semi-structured in-depth interviews with 11 purposively sampled persons who had received the smoking and alcohol cessation intervention. The analysis followed the steps contained in the thematic network analysis. Results: Two global themes emerged: "smoking and alcohol cessation was experienced as an integral part of bladder cancer surgery" and "returning to everyday life was a barrier for continued smoking cessation/alcohol reduction". Participants described that during hospitalization their focus shifted to the operation and they did not experience craving to smoke or drink alcohol. Concurrent with improved well-being or experiencing stressful situations, the risk of relapse increased when returning to everyday life. Conclusions: The smoking and alcohol cessation intervention was well received by the participants. Cancer surgery served as a kind of refuge and was a useful cue for motivating patients to quit smoking and to reconsider the consequences of risky drinking. These results adds to the sparse evidence of what supports smoking and alcohol cessation in relation to bladder cancer patients undergoing major surgery and point to the need to educate healthcare professionals in offering smoking and alcohol cessation interventions in hospitals. The study also provides knowledge about the intervention in the STOP-OP study and will help guide the design of future smoking and alcohol cessation studies aimed at cancer patients undergoing surgery.</p>},
  articleno    = {793},
  author       = {Lauridsen, Susanne Vahr and Thomsen, Thordis and Kaldan, Gudrun and Lydom, Line Noes and Tønnesen, Hanne},
  issn         = {1471-2407},
  keyword      = {Alcohol cessation,Bladder cancer,Cancer patient,Qualitative study,Smoking cessation,Surgery},
  language     = {eng},
  month        = {11},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {BMC Cancer},
  title        = {Smoking and alcohol cessation intervention in relation to radical cystectomy : A qualitative study of cancer patients' experiences},
  url          = {http://dx.doi.org/10.1186/s12885-017-3792-5},
  volume       = {17},
  year         = {2017},
}