Efficacy of a hospital protocol for post-discharge smoking cessation: a longitudinal study
DOI:
https://doi.org/10.11606/issn.1679-9836.v101i3e-188696Keywords:
Tobacco, Tobacco use cessation, Hospitalization, Counseling, Patient dischargeAbstract
Introduction: In the national literature, studies which evaluates hospital interventions are still shortages to promote smoking cessation. Objective: To evaluate the effectiveness of a hospital smoking cessation program in promoting cessation, according degree of nicotine dependence. Methods: This longitudinal study evaluated 146 hospitalized smokers, divided into two groups according to their degree of nicotine dependence. During hospitalization, patients received motivational/behavioral counseling, printed educational materials, nicotine replacement for 30 days. Post-discharge, patients received weekly telephone calls for one month. Results: Ninety-two participants (63%) had an FTND score ≥ 5 indicating higher levels of nicotine dependence. Depression/anxiety was significantly more prevalent in the high-dependent group (p=0,018). The low-dependent group had higher mean self-efficacy (0-worst to 10-best) compared to the high dependence group (median of 8 and 6 respectively, p=0.008). Cessation one month after discharge was nearly three times higher in the low-dependent group, compared to the high-dependent group (p=0.001). Conclusions: In the sample studied, patients more dependent on nicotine exhibited higher depression/anxiety and lower self-efficacy—elements that negatively influence the achievement of cessation. Quit rates were much lower in the high-dependent group. Strategies that increase self-efficacy and address mental disorders could address underlying risks that hinder cessation among patients with higher nicotine dependence. A structured protocol favors the achievement of cessation in hospitalized patients.
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Copyright (c) 2022 Lígia Menezes do Amaral, Rafaela de Oliveira Andrade, Isabella Oliveira Lanzieri, Kimber Paschoal Richter, Ângela Caroline Dias Albino Destro de Macêdo, Isabel Cristina Gonçalves Leite
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