Helping patients in hospital to quit smoking

West, Robert

doi:10.1136/bmj.324.7329.64

Cited by 15 publications

(5 citation statements)

References 14 publications

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“…With the exception of preoperative telephone counselling, the programme was intentionally designed to be delivered as part of routine care. The findings therefore indicate the feasibility of such care in this setting and challenge suggestions that the delivery of effective interventions requires specialist staff [31].…”

Section: Discussionmentioning

confidence: 89%

A programme for reducing smoking in pre‐operative surgical patients: randomised controlled trial*

et al. 2005

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SummaryWe assessed the efficacy of a comprehensive programme for stopping smoking in 210 smokers scheduled for surgery, before admission and 3 months after attending a pre-operative clinic. Participants were randomly allocated to receive an intervention incorporating nicotine replacement therapy for patients smoking more than 10 cigarettes per day ('dependent smokers'), or to a control group to receive usual care. Dependent smokers allocated to the intervention group were more likely to report abstinence before surgery than those allocated to receive usual-care (63 (73%) vs. 29 (56%), respectively; OR 2.2 (95% CI 1.0-4.8)), and 3 months after attendance (16 (18%) vs. 3 (5%), respectively; OR = 3.9 (95% CI 1.0-21.7).

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Section: Discussionmentioning

confidence: 89%

A programme for reducing smoking in pre‐operative surgical patients: randomised controlled trial*

et al. 2005

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“…Cognitive behavioural therapy (CBT) should also be provided as part of a multicomponent programme to help patients stop smoking [4]. It should be comprehensive and delivered by a clinician employed and trained for the task, rather than a staff member who is trying to fit it into their other duties [64]. Some have suggested that a proportion of the time used by staff to provide cigarettes (up to 4 h a day) should be shifted to the delivery of cessation counselling services [5].…”

Section: Psychological Interventionsmentioning

confidence: 99%

Tobacco Smoking within Psychiatric Inpatient Settings: Biopsychosocial Perspective

Olivier

Lubman

Fraser

2007

Aust N Z J Psychiatry

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Tobacco smoking remains a neglected issue within general psychiatry despite high rates of associated morbidity and mortality. While there has been a coordinated community campaign to reduce tobacco smoking within the general population, mental health facilities have been reluctant to adopt such regulatory controls, and rarely target smoking prevention or treatment. This paper summarizes and discusses evidence relating to the clinical impact of tobacco smoking within inpatient psychiatric settings. A selective review of psychiatric and psychological research on smoking within inpatient settings was conducted, with a particular focus on the influence of smoking on the physical and mental health, pharmacotherapy, and social interactions of patients during their inpatient stay. Patients frequently alter their smoking habits during inpatient treatment, which can affect both their presentation and pharmacotherapeutic management. Smoking also appears to play a central role in social interactions on the ward, with staff frequently using cigarettes to reinforce certain behaviours. Despite current guidelines, mental health professionals rarely address nicotine use among their patients. Nevertheless, programmes that assist patients to quit during an inpatient stay have been shown to be both efficacious and cost-effective. Strategies that address staff concerns and assist in the implementation of effective smoking bans on psychiatric units are also available. Cessation should be a key component of inpatient treatment planning because this setting provides a safe and timely opportunity to help patients quit. A flowchart of interventions that could be incorporated within standard inpatient settings is proposed.

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“…To maximize their effectiveness, more attention needs to be paid to the preparation, expertise and time allocation of staff who provide these interventions (West et al. 2000, West 2002).…”

Section: Introductionmentioning

confidence: 99%

“…However, because of short hospital stays brief interventions (3 minutes or less) may be more feasible for the majority of patients. To maximize their effectiveness, more attention needs to be paid to the preparation, expertise and time allocation of staff who provide these interventions (West et al 2000, West 2002).…”

Section: Introductionmentioning

confidence: 99%

Multicomponent individualized smoking cessation intervention for patients with lung disease

Jónsdóttir¹,

Jónsdóttir²,

Geirsdottir³

et al. 2004

Journal of Advanced Nursing

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Helping patients in hospital to quit smoking

Cited by 15 publications

References 14 publications

A programme for reducing smoking in pre‐operative surgical patients: randomised controlled trial*

A programme for reducing smoking in pre‐operative surgical patients: randomised controlled trial*

Tobacco Smoking within Psychiatric Inpatient Settings: Biopsychosocial Perspective

Multicomponent individualized smoking cessation intervention for patients with lung disease

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