Perceptions and Practices of Japanese Nurses Regarding Tobacco Intervention for Cancer Patients

  • Taniguchi Chie
    Department of Nursing, National Hospital Organization, Nagoya Medical Center
  • Hibino Fukuyo
    Department of Nursing, National Hospital Organization, Nagoya Medical Center
  • Kawaguchi Etsuko
    Department of Nursing, National Hospital Organization, Nagoya Medical Center
  • Maruguchi Misae
    Department of Nursing, National Cancer Center Central Hospital
  • Tokunaga Naomi
    Department of Nursing, National Hospital Organization, Osaka Medical Center Hospital
  • Saka Hideo
    Department of Respiratory Medicine, National Hospital Organization, Nagoya Medical Center
  • Oze Isao
    Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute
  • Ito Hidemi
    Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute
  • Hiraki Akio
    Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute
  • Nakamura Sumie
    Department of Nursery, Aichi Cancer Center Central Hospital
  • Tanaka Hideo
    Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute

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Background: We investigated the perceptions and practices regarding tobacco intervention among nurses, as improvement of such practices is important for the management of patients who smoke.<BR>Methods: Self-administered questionnaires were delivered by hospital administrative sections for nursing staff to 2676 nurses who were working in 3 cancer hospitals and 3 general hospitals. Of these, 2215 (82.8%) responded.<BR>Results: Most nurses strongly agreed that cancer patients who had preoperative or early-clinical-stage cancer but continued to smoke should be offered a tobacco use intervention. In contrast, they felt less need to provide tobacco use intervention to patients with incurable cancer who smoked. Most nurses felt that although they assessed and documented the tobacco status of cancer patients, they were not successful in providing cessation advice, assessing patient readiness to quit, and providing individualized information on the harmful effects of tobacco use. In multivariate analysis, nurses who received instruction on smoking cessation programs during nursing school were more likely to give cessation advice (odds ratio, 1.61; 95% confidence interval, 1.15–2.26), assess readiness to quit (1.73, 1.09–2.75), and offer individualized explanations of the harmful effects of tobacco (1.94, 1.39–2.69), as compared with nurses who had not received such instruction.<BR>Conclusions: The perceptions of Japanese nurses regarding tobacco intervention for cancer patients differed greatly by patient treatment status and prognosis. The findings highlight the importance of offering appropriate instruction on smoking cessation to students in nursing schools in Japan.

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