Multicomponent individualized smoking cessation intervention for patients with lung disease.

2.50
Hdl Handle:
http://hdl.handle.net/2336/21213
Title:
Multicomponent individualized smoking cessation intervention for patients with lung disease.
Authors:
Jonsdottir, Helga; Jonsdottir, Rosa; Geirsdottir, Thora; Sveinsdottir, K Sigridur; Sigurdardottir, Thorunn
Citation:
J Adv Nurs. 2004, 48(6):594-604
Issue Date:
1-Dec-2004
Abstract:
AIMS: This paper reports a study examining the process and outcomes of a long-term, multicomponent smoking cessation intervention for patients with lung disease initiated while hospitalized and provided over 1-year postdischarge. BACKGROUND: Successful smoking cessation interventions are of primary importance for people with lung disease. Initiation of such an intervention in hospital settings is particularly important as patients may be especially motivated to quit as a result of strong perceptions of vulnerability while hospitalized for a smoking-related disease. Tailoring the intervention to each person's needs is a promising approach to practice. METHODS: All patients who smoked and were admitted to a pulmonary unit over 2 years were invited to participate in this quasi-experimental study (n = 85), and 69 continued beyond the first month. The intervention was shaped by the TransTheoretical Model and used nicotine replacement therapy, along with individual and group counselling and support grounded in the nurse-patient relationship. The intervention was provided during hospitalization and by telephone after discharge at 1 week, and 1, 3, 6 and 12 months. RESULTS: At 12-months postdischarge, 39% of the patients reported continuous abstinence from smoking from the time they joined the programme and 52% were not smoking at that time. No relationship was found between abstinence and the number of quit attempts, readiness to quit, nicotine dependency and length of hospital stay. Readiness to quit had increased and nicotine dependency decreased significantly by the end of the programme. No gender differences were found for the main variables. CONCLUSIONS: Comprehensive, individualized smoking cessation interventions for hospitalized patients having lung disease, with a 1-year follow-up, was successful. Abstinence was high in comparison with other studies. This may in part be explained by significantly enhanced motivation to quit during the smoking cessation programme.
Description:
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field
Additional Links:
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2648.2004.03248.x

Full metadata record

DC FieldValue Language
dc.contributor.authorJonsdottir, Helga-
dc.contributor.authorJonsdottir, Rosa-
dc.contributor.authorGeirsdottir, Thora-
dc.contributor.authorSveinsdottir, K Sigridur-
dc.contributor.authorSigurdardottir, Thorunn-
dc.date.accessioned2008-03-19T15:24:00Z-
dc.date.available2008-03-19T15:24:00Z-
dc.date.issued2004-12-01-
dc.date.submitted2008-03-19-
dc.identifier.citationJ Adv Nurs. 2004, 48(6):594-604en
dc.identifier.issn0309-2402-
dc.identifier.pmid15548250-
dc.identifier.doi10.1111/j.1365-2648.2004.03248.x-
dc.identifier.urihttp://hdl.handle.net/2336/21213-
dc.descriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractAIMS: This paper reports a study examining the process and outcomes of a long-term, multicomponent smoking cessation intervention for patients with lung disease initiated while hospitalized and provided over 1-year postdischarge. BACKGROUND: Successful smoking cessation interventions are of primary importance for people with lung disease. Initiation of such an intervention in hospital settings is particularly important as patients may be especially motivated to quit as a result of strong perceptions of vulnerability while hospitalized for a smoking-related disease. Tailoring the intervention to each person's needs is a promising approach to practice. METHODS: All patients who smoked and were admitted to a pulmonary unit over 2 years were invited to participate in this quasi-experimental study (n = 85), and 69 continued beyond the first month. The intervention was shaped by the TransTheoretical Model and used nicotine replacement therapy, along with individual and group counselling and support grounded in the nurse-patient relationship. The intervention was provided during hospitalization and by telephone after discharge at 1 week, and 1, 3, 6 and 12 months. RESULTS: At 12-months postdischarge, 39% of the patients reported continuous abstinence from smoking from the time they joined the programme and 52% were not smoking at that time. No relationship was found between abstinence and the number of quit attempts, readiness to quit, nicotine dependency and length of hospital stay. Readiness to quit had increased and nicotine dependency decreased significantly by the end of the programme. No gender differences were found for the main variables. CONCLUSIONS: Comprehensive, individualized smoking cessation interventions for hospitalized patients having lung disease, with a 1-year follow-up, was successful. Abstinence was high in comparison with other studies. This may in part be explained by significantly enhanced motivation to quit during the smoking cessation programme.en
dc.language.isoenen
dc.publisherBlackwell Scientific Publicationsen
dc.relation.urlhttp://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2648.2004.03248.xen
dc.subject.meshAgeden
dc.subject.meshAsthmaen
dc.subject.meshCounselingen
dc.subject.meshFemaleen
dc.subject.meshFollow-Up Studiesen
dc.subject.meshHumansen
dc.subject.meshLength of Stayen
dc.subject.meshLung Diseasesen
dc.subject.meshMaleen
dc.subject.meshMiddle Ageden
dc.subject.meshMotivationen
dc.subject.meshNurse-Patient Relationsen
dc.subject.meshPatient Complianceen
dc.subject.meshPatient Education as Topicen
dc.subject.meshPatient-Centered Careen
dc.subject.meshPulmonary Disease, Chronic Obstructiveen
dc.subject.meshSmoking Cessationen
dc.subject.meshTobacco Use Disorderen
dc.subject.meshTreatment Outcomeen
dc.titleMulticomponent individualized smoking cessation intervention for patients with lung disease.en
dc.typeArticleen
dc.contributor.departmentFaculty of Nursing, University of Iceland, National University Hospital, Reykjavik, Iceland. helgaj@hi.isen
dc.identifier.journalJournal of advanced nursingen

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