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Smoking cessation during hospital stay: nursing actions and answers

Smoking cessation during hospital stay: nursing actions and answers C. Lodewijckx LN, G. Celis RN, A. Schoonis RN, J. De Bent RN, M. Peys RN, V. Lemaigre Psychologist, L. Van Houdenhove Psychologist, K. Nackaerts MD,PhD

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Smoking cessation during hospital stay: nursing actions and answers

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  1. Smoking cessation during hospital stay: nursing actions and answers C. Lodewijckx LN, G. Celis RN, A. Schoonis RN, J. De Bent RN, M. Peys RN, V. Lemaigre Psychologist, L. Van Houdenhove Psychologist, K. Nackaerts MD,PhD Pneumology Division, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Belgium BACKGROUND Hospitalisation, especially for tobacco-related illness: • increases perceived vulnerability and boost receptivity to smoking cessation interventions • brings smokers in contact with health carers who can provide a smoking cessation message or intervention RESULTS (3)** Tabel 1: Effectiveness of nurse-delivered smoking cessation interventions n=54 (14,5%) AIMS To explore: • need of smoking cessations intervention on respiratory wards • nurses’ perceptions among smoking cessation interventions • efficacy of nurse-delivered smoking cessation interventions Fig. 2: Nurse-delivered smoking cessation intervention Fig. 3: Nursing smoking cessation congres 03/12/2005 Ostend Belgium n=199 (53,5%) RESULTS (2)** Perceptions among smoking cessation interventions: • hospitalisation is an ideal time for patients to quit smoking • smoking cessation is an important part of the nursing role Mean reasons for NOT providing smoking cessation: • patient-related: lack of motivation, privacy, condition • nurse-related: lack of knowledge, lack of skills and confidence, lack of time Tobacco use among nurses: • prevalence: 7% - 46% • perception of smokers in nurses among smoking cessation intervention: ▪ less enthusiastic ▪ less confidence in skills and efficacy RESULTS (1) Methods:multi-centre descriptive study Sample:n = 548 patients hospitalised on 12 Belgian respiratory wards between 17/10/05 – 31/10/05 Results: • smokers: n = 117 (21,9%); ex-smokers: n = 261 (46,8%); never smokers: n = 170 (31,2%) • 378 patients (68,7%) could use our help to quit smoking or stay abstinent Fig.1: Smoking status in 548 patients hospitalised on 12 respiratory Belgian wards (10 different hospitals) CONCLUSIONS • At least 25% of patients hospitalised on respiratory wards could use help in quitting smoking or staying abstinent • Strong evidence for effectiveness of nurse-led smoking cessation intervention • Nurses perceive smoking cessation as an important part of their role, but need more skills and knowledge CHALLENGES • Integration of tobacco dependence treatment into standard nursing practice • Nursing education among smoking cessation interventions • Support for tobacco dependent nurses • Support (financial, resources) from government and hospital management ** References available by the author: cathy.lodewijckx@uzleuven.be

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