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BACKGROUND:

Smoking cessation interventions in hospitalised respiratory patients

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BACKGROUND:

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  1. Smoking cessation interventions in hospitalisedrespiratory patients C. Lodewijckx, MSN, RN, G. Celis, RN, A. Schoonis, RN, J. De Bent, RN, M. Peys, RN, L. Vandeput, Psychologist, V. Lemaigre, MA, PhD, K. Nackaerts, MD, PhD. Pneumology Division, University Hospitals Leuven, Katholieke Universiteit Leuven, Belgium. • Willingness to quit was explored in 51 smokers: 31 smokers (58,0%) wanted to quit immediately, and 14 patients (27,5%) were not motivated to quit. • 48 patients (12,9%) asked smoking cessation advice: 37 smokers (77,1%) and 11 ex- smokers (22,9%). • After 6 months we reached 25 patients (52,1%) who recieved smoking cessation advice during hospitalisation. 48,0 % (12/25) of patients was abstinent longer than 1 week after discharge. After 6 months 28,0% (7/25) of patients was still smoke free. CONCLUSION: • There is a strong need to smoking cessation interventions on respiratory wards. • Smoking cessation advice delivered by nurses seems to be effective. CHALLENGE: To implement a hospital-broad smoking cessation program that includes: • A guideline that can be used by nurses and other care providers. • Education of care providers among smoking cessation. • A nurse specialised in smoking cessation. • Follow-up and outcome measuring compared to a control group. BACKGROUND: Hospitalisation may enhance receptivity to smoking cessation messages due to increasing percieved vulnerability. Literature suggests that smoking cessation interventions delivered during hospitalisation, with follow-up support after discharge, increase smoking cessation. OBJECTIVES: • To explore smoking behaviour and the need of smoking cessation interventions in hospitalised respiratory patients. • To assess the efficacy of smoking cessation interventions during hospitalisation. METHODS: Structured interviews were taken during hospitalisation on three respiratory wards, and by phone six months after discharge. Smoking cessation advice was delivered by nurses specialised in smoking cessation. RESULTS: • 372 patients were interviewed: 54 patients (14,5%) were current smokers, 199 patients (53,5%) were former smokers and 119 patients (32,0%) never smoked.

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