Evaluation of smoking cessation treatment initiated during hospitalization in patients with heart disease or respiratory disease

Abstract

Objective:To evaluate the effectiveness of a smoking cessation program, delivered by trained health care professionals, in patients hospitalized for acute respiratory disease (RD) or heart disease (HD). Methods:Of a total of 393 patients evaluated, we included 227 (146 and 81 active smokers hospitalized for HD and RD, respectively). All participants received smoking cessation treatment during hospitalization and were followed in a cognitive-behavioral smoking cessation program for six months after hospital discharge. Results:There were significant differences between the HD group and the RD group regarding participation in the cognitive-behavioral program after hospital discharge (13.0% vs. 35.8%; p = 0.003); smoking cessation at the end of follow-up (29% vs. 31%; p < 0.001); and the use of nicotine replacement therapy (3.4% vs. 33.3%; p < 0.001). No differences were found between the HD group and the RD group regarding the use of bupropion (11.0% vs. 12.3%; p = 0.92). Varenicline was used by only 0.7% of the patients in the HD group. Conclusions:In our sample, smoking cessation rates at six months after hospital discharge were higher among the patients with RD than among those with HD, as were treatment adherence rates. The implementation of smoking cessation programs for hospitalized patients with different diseases, delivered by the health care teams that treat these patients, is necessary for greater effectiveness in smoking cessation.

Nursing in front of the hospitalized smoking patient: diagnosis and interventions established in clinical practice / A enfermagem frente ao paciente tabagista hospitalizado: Diagnósticos e intervenções estabelecidos na prática clínica

“…Thus, it is reiterated that the performance of educational actions in health has a strong impact on hospitalized smokers, since they are usually more sensitive to their clinical condition, which is in line with studies that point out the importance of approaching patients in relation to smoking behavior during hospitalization. [17][18][19] In the sample studied, a median of four DEs per patient was listed, with only four patients presenting DEs with smoking related etiologies. This finding may be related to the fact that other clinical and psychosocial comorbidities were probably considered a priority at the time of patient evaluation.…”

Intervenção para cessação do tabagismo em pacientes internados por AVC

“…Com relação a sexo, idade e fatores de risco, o perfil dos pacientes é semelhante ao da literatura (Epstein et al, 2017). A baixa escolaridade foi encontrada também no estudo brasileiro, e a renda mensal familiar foi um pouco maior nos pacientes com AVC (Garcia, Aline, & Biral, 2018). Comparativamente com o estudo de Papadakis et al (2011), o número de cigarros fumados por dia foi maior, com tempo para o primeiro cigarro semelhante, tendo sido prescrito apoio farmacológico para todos os pacientes, sugerindo maior grau de dependência.…”

Fatores associados ao grau de dependência à nicotina em pacientes tabagistas internados no Hospital Universitário da UFJF

“…Universidade Federal de Juiz de Fora Pró-Reitoria de Pós-Graduação e Pesquisa (PROPP) www.ufjf.br/propp um momento de reflexão do paciente sobre seus hábitos de vida. Portanto a expansão de serviços estruturados para acompanhamento do paciente tabagista após a alta hospitalar deve ser implementada para apoiar o paciente e a cessação (GARCIA et al, 2018).…”