Nicotine dependence in the mental disorders, relationship with clinical indicators, and the meaning for the user.

Autor: de Oliveira RM; Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil., Siqueira Júnior AC; Faculdade de Medicina de Marília, Marília, SP, Brazil., Santos JL; Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil., Furegato AR; Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Jazyk: English; Portuguese; Spanish; Castilian
Zdroj: Revista latino-americana de enfermagem [Rev Lat Am Enfermagem] 2014 Jul-Aug; Vol. 22 (4), pp. 685-92.
DOI: 10.1590/0104-1169.3549.2468
Abstrakt: Objective: to identify the degree of nicotine dependence among patients with schizophrenia and other mental disorders hospitalized in a general hospital, correlating these indices with clinical indicators and the meaning for the user.
Method: the study was performed in the psychiatric unit of a general hospital, interviewing 270 patients with mental disorders using a questionnaire and the application of the Fagerstrom test. A descriptive statistical analysis of the data and thematic analysis of the content were performed.
Results: among the 270 patients with mental disorders, 35.6% were smokers; of whom, 53.2% presented high or very high nicotine dependence. Of the 96 smokers, 32 (33.3%) were schizophrenic, among whom, 59.4% presented high or very high dependence. Higher levels of dependence were also found among the 59 elderly people (61.5%) and 60 subjects with somatic comorbidities (62.5%). Meanings of smoking for the subjects: helps to forget problems and face daily conflicts; alleviates side effects of the medications; self-control; distraction; part of life.
Conclusion: more intense tobacco dependence among schizophrenic patients is justified due to it helping them to cope with the difficulties of the disease. Nurses occupy a strategic position in the care.
Databáze: MEDLINE
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