Factors associated with changes in inpatients' smoking pattern during hospitalization and one month after discharge: A cohort study
| Autor: | José Precioso, Àngels Ruz, Ariadna Feliu, Lidia Videira, Olga Romero, Judith Saura, Cláudia Rafaela Gomes Correia, Ruth Ripoll, Marta Enriquez, Sofia Ravara, Esteve Fernández, Ivone Pascoal, Sophia Papadakis, Cristina Martínez, Laura Antón, Soraia Ferreira |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Teachable moment media_common.quotation_subject medicine.medical_treatment Aftercare Logistic regression Cohort Studies 03 medical and health sciences 0302 clinical medicine Health care Medicine Humans 030212 general & internal medicine General Nursing media_common Inpatients 030505 public health business.industry Smoking Abstinence After discharge Patient Discharge 3. Good health Hospitalization Emergency medicine Smoking cessation Female Brief intervention 0305 other medical science business Cohort study |
| Zdroj: | Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of NursingREFERENCES. 54(3) |
| ISSN: | 1547-5069 |
| Popis: | INTRODUCTION Smokers are frequent users of healthcare services. Admissions to hospital can serve as a "teachable moment" for quitting smoking. Clinical guidelines recommend initiating smoking cessation services during hospitalization; however, in Southern European countries less than 5% of inpatients receive a brief intervention for smoking cessation. OBJECTIVES The aims of this study were (i) to examine rates of smoking abstinence during and after hospitalization; (ii) to measure changes in smoking patterns among persons who continued smoking after discharge; and (iii) to identify predictors of abstinence during hospitalization and after discharge. METHODS A cohort study of a representative sample of current adult smokers hospitalized in two Spanish and two Portuguese hospitals. We surveyed smokers during hospitalization and recontacted them one month after discharge. We used a 25-item ad hoc questionnaire regarding their smoking pattern, the smoking cessation intervention they have received during hospitalization, and hospital and sociodemographic characteristics. We performed a descriptive analysis using the chi-square test and a multivariate logistic regression to characterize the participant, hospital, and smoking cessation intervention (5As model) characteristics associated with smoking abstinence. RESULTS Smoking patients from both countries presented high abstinence rates during hospitalization (Spain: 76.4%; Portugal: 70.2%); however, after discharge, their abstinence rates decreased to 55.3% and 46.8%, respectively. In Spain, smokers who tried to quit before hospital admission showed higher abstinence rates, and those who continued smoking reduced a mean of five cigarettes the number of cigarettes per day (p ≤ 0.001). In Portugal, abstinence rates were higher among women (p = 0.030), those not living with a smoker (p = 0.008), those admitted to medical-surgical wards (p = 0.035), who consumed their first cigarette within 60 min after waking (p = 0.006), and those who were trying to quit before hospitalization (p = 0.043). CONCLUSIONS Half of the smokers admitted into the Spanish hospitals are abstinent one month after discharge or have reduced their cigarettes per day. Nevertheless, success rates could be increased by implementing evidence-based tobacco cessation programs at the organizational-level, including post-discharge active quitting smoking support. CLINICAL RELEVANCE Three-quarters of the inpatients who smoke remain abstinent during hospitalization and over half achieve to maintain their abstinence or at least reduce their consumption one month after discharge, proving that admission to hospitals is an excellent teachable moment to quit smoking. |
| Databáze: | OpenAIRE |
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