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Master Thesis

Favoriser l’intégration de l’aide au sevrage tabagique dans le parcours de soins en cancérologie selon une approche de Promotion de la Santé : exemple d’un centre de lutte contre le cancer de Nouvelle-Aquitaine

Abstract : Introduction: Considered a major public health issue for many years, tobacco use affects 32% of the population in France in 2018 despite the deployment of numerous preventive measures. In addition to its proven involvement in the occurrence of certain types of cancer, continued smoking has harmful consequences on many levels during the treatment of a disease. However, despite the importance that health professionals seem to give to smoking cessation in this context, despite the demonstrated benefits for all health professionals involved in the care pathway in addressing the issue of cessation, and despite the receptiveness of patients at the time of their cancer diagnoses, in practice, assistance in smoking cessation is little used in the cancerology care pathway. Objectives: Encouraging the integration of smoking cessation support into the cancerology care pathway seems to be with this in mind essential and health promotion can provide interesting ways of improving the current situation. Method: Taking the contextualised example of a cancer control centre in Nouvelle-Aquitaine (France), a qualitative survey was carried out through semi-directive interviews with 6 health professionals in the establishment and 3 patients who were smokers at the time of their cancer diagnosis. A review of existing literature on the subject supplemented the data from these interviews. Results: The results of the study highlighted organisational and individual obstacles and levers for health professionals in proposing and monitoring smoking cessation aid in the context of cancer patient care. Systemic, social and individual determinants of smoking cessation from the patients' point of view were highlighted. Recommendations and lines of thought were drawn up at the end of interview with the aim of promoting smoking cessation in a systematic, personalised and monitored way during the care of cancer patients, in accordance with a health promotion approach. Discussion: Developing a global and positive approach to health within the establishment, opening up the current conception of the carers’ health, the organisation and care practices towards a culture of health promotion by deploying a health-promoting hospital model within the establishment may ultimately make it possible to optimally encourage the integration of smoking cessation assistance for patients who smoke on a regular basis. More specifically, structural recommendations focusing on the development of patients' individual skills are suggested to develop smoking cessation aid in an cancerology context.
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Master Thesis
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Emma Martel. Favoriser l’intégration de l’aide au sevrage tabagique dans le parcours de soins en cancérologie selon une approche de Promotion de la Santé : exemple d’un centre de lutte contre le cancer de Nouvelle-Aquitaine. Santé publique et épidémiologie. 2020. ⟨dumas-03160586⟩

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