{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:33:43Z","timestamp":1747186423108,"version":"3.40.5"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,7]],"date-time":"2021-11-07T00:00:00Z","timestamp":1636243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 105\u20102628\u2010B\u2010255\u2010001\u2010MY3"],"award-info":[{"award-number":["MOST 105\u20102628\u2010B\u2010255\u2010001\u2010MY3"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["sigmapubs.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Nursing Scholarship"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>After suddenly stopping smoking after an initial oral cancer (OC) diagnosis, patients may restart smoking and nicotine dependence. This study sought to identify factors associated with high nicotine dependence in OC patients who restarted smoking post\u2010treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A group of 220 OC patients who restarted smoking post\u2010treatment were recruited from the outpatient radiation department of a single cancer center in northern Taiwan. Demographic and clinical characteristics were recorded, and patients were assessed for nicotine and smoking dependence, physical activity and function, socio\u2010emotional function, social support, and depression.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among patients who restarted smoking after treatment for OC, 75.9% reported low\u2010to\u2010moderate dependence on smoking, while 24.1% reported high nicotine dependence. Factors associated with high nicotine dependence included higher incidence of smoking per day, greater dependence on smoking, less physical activity per week, and poorer social\u2013emotional function. Those highly dependent on nicotine were younger, unmarried, had less education, and had begun smoking earlier than those with low\u2010to\u2010moderate nicotine dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The amount of smoking per day, greater smoking behavioral dependence, less physical activity per week, and worse social\u2013emotional function affected high nicotine dependence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical relevance<\/jats:title><jats:p>Smoking cessation training and counseling for OC patients may help them better control their use of tobacco after treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jnu.12719","type":"journal-article","created":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T05:57:42Z","timestamp":1636351062000},"page":"152-160","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Comparison of physical and psychosocial function post\u2010treatment among oral cancer patients with low\u2010to\u2010moderate and high nicotine dependence"],"prefix":"10.1111","volume":"54","author":[{"given":"Hsi\u2010Ling","family":"Peng","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Healthcare and Management Asia Eastern University of Science and Technology  Taipei Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Yun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Nursing and Health Sciences DA\u2010YEH University  Changhua Taiwan, Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bing\u2010Shen","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology and Proton and Radiation Therapy Center Linkou Chang Gung Memorial Hospital  Taoyuan Taiwan, Republic of China"},{"name":"Department of Medical Imaging and Radiological Sciences 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