Summary: | 碩士 === 長庚科技大學 === 護理研究所在職專班 === 103 === Smoking is major carcinogen for oral cavity cancer. Continuing smoking behavior may cause cancer recurrence and impacts on quality of life. The purposes of the study were to (1) explore the levels of smoking behavior, depression, social support, physical activity, and quality of life, and (2) explore the predictive factors of smoking behavior in oral cavity cancer patients during survival. A cross-sectional, correlational study was conducted. Patients were assessed by using Hospital Anxiety and Depression Scale–Depression Subscale (HADS–Depression Subscale), Medical Outcomes Study Social Support Survey (MOS SSS), Seven-day physical activity recall (7d-PAR), University of Washington Quality of Life scale (UW-QOL), the Fagerstrom Test for Nicotine Dependence (FTND), Glove Nilsson Smoking Behavioral Questionnaire (GN-SBQ), and background information form. Patients were recruited from an outpatient department of oral maxillofacial surgery at a teaching hospital in southern Taiwan. Data was analyzed by descriptive analysis, Person’s Product-moment correlation, and multiple regression. A total of 145 oral cavity cancer patients were recruited for this study. The results showed that (1) significantly negative correlation was found among smoking behavior, age, surgery type, depression, social support, and daily physical activity; (2) nicotine dependence was positively correlated to marital status and tumor site; and (3) the stepwise regression showed that social support, adjuvant therapy, age, and marital status, Surgical methods can predict smoking behavior, with 74.9% explained variance. The results of this study can help healthcare providers understand the issues and predictors of smoking behavior in oral cavity cancer patients during the survival period. Clinicians should develop a smoking cessation program to improve smoking behavior and provide a reference for clinical care.
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