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INTRODUCTION: The smoker's narrative during smoking quitting provides insight into aspects not fully explored in daily clinical practice. The aim of the study was to analyze the smoker narrative using two types of methodologies: content analysis and grounded theory, before and after smoking cessation intervention, provided to the smoker in a specialized Smoking Cessation Unit accredited by the Spanish Society of Pneumology and Thoracic Surgery. METHODS: A prospective observational study of current smokers included in a tobacco cessation program between 2017 and 2020 was conducted at the Smoking Cessation Unit of Santiago de Compostela Health Area, Spain. Routine clinical variables and patient narrative data were collected. A descriptive analysis of the sample, the content of the textual corpus, and a grounded theory were performed in semi-structured interviews at baseline and at follow-up at 6 months. RESULTS: A total of 116 patients were included (mean age 55.6 ± 10.6 years; 56.9% male; mean nicotine dependence score 5.7 ± 1.6). Quantitative analysis of the narrative shows that the most frequent phrases and words are associated with smoking, nicotine craving, and predisposition for smoking cessation. After the intervention, phrases related to the manifestation of abstinence, response to pharmacological treatment, and self-perception of smoking cessation were predominant. In the qualitative analysis, the most frequent categories in the smoker's textual corpus were dependence, motivation, and emotionality, which decreased after the intervention (11.4%, 21.4%, and 9.9%, respectively) accompanied by increased satisfaction (19.2%) and the manifestation of abstinence (21.5%). CONCLUSIONS: Motivation, nicotine dependence, and sensitivity to emotions are all closely intertwined in the current smoker narrative and can be modified as a consequence of treatment.
RESUMO
Introducción y objetivoAnalizar la frecuencia, las características y la supervivencia de los pacientes con cáncer de pulmón (CP) y enfermedad pulmonar obstructiva crónica (EPOC), comparándolas con las de pacientes sin EPOC.Material y métodosSe ha realizado un estudio retrospectivo de pacientes diagnosticados de CP mediante citohistología. Se estimó la supervivencia por el método de Kaplan-Meier. El análisis estadístico se realizó con el programa SPSS 15.0.ResultadosSe diagnosticó de CP a 996 pacientes, el 39,8% con EPOC. La edad media (± desviación estándar) de estos últimos era de 70±9,19 años. En cuanto a los estadios GOLD, el 18,2% se encontraba en estadio I, el 53,6% en estadio II, el 24% en estadio III y el 4,2% en estadio IV. Según la citohistología, el 48,2% de los CP eran escamosos, el 22% adenocarcinomas y el 22,5% microcíticos. La supervivencia fue mayor en el grupo con EPOC.ConclusionesEl CP y la EPOC se asocian en un 39,8% de los casos. La estirpe más frecuente del CP es la escamosa y la supervivencia es mayor en el grupo con EPOC(AU)
Background and objectiveTo analyse frequency, characteristics and patient survival with lung cancer (LC) and COPD, comparing them with patients without COPD.Material and methodsA retrospective study, of patients diagnosed by means of cytohistology. Survival was estimated by the Kaplan-Meier method. The statistical analysis was carried out using SPSS 15.0.ResultsA total of 996 patients were diagnosed, 39.8% COPD. Mean age70±9.19 years. GOLD stages: I 18.2%, II 53.6%, III 24%, IV 4.2%. The histological types: squamous cell carcinoma 48.2%, adenocarcinoma 22%, small cell carcinoma 22.5%. Survival was longer in the COPD group.ConclusionsLC and COPD are combined in 39.8%. Squamous cell type is more frequent and survival was longer in the COPD group(AU)