Nursing interventions for smoking cessation

Rice, Virginia Hill; Heath, Laura; Livingstone‐Banks, Jonathan; Hartmann‐Boyce, Jamie

doi:10.1002/14651858.cd001188.pub5

Cited by 95 publications

(75 citation statements)

References 157 publications

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“…Our intervention could be too brief and inadequate to make an impact on such smokers. The results are also in-line with some previous reviews indicating that comprehensive intervention might be more effective than brief advice to promote smoking cessation 34 – 37 . However, providing comprehensive smoking cessation to cancer patients is not feasible in Hong Kong busy clinical settings, as in general, it takes more than 30 minutes to implement.…”

Section: Discussionsupporting

confidence: 90%

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Wang

Lam

et al. 2018

Sci Rep

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This randomized controlled trial aimed to examine the effectiveness of a smoking cessation intervention using a risk communication approach. A total of 528 smoking cancer patients were randomly allocated either into an intervention group (n = 268) to receive brief advice based on risk communication by a nurse counselor or a control group (n = 260) to receive standard care. Subjects in both groups received a smoking cessation booklet. Patient follow-ups were at 1 week and at 1, 3, 6, 9 and 12 months. No significant differences were found in self-reported point-prevalence 7-day abstinence between the intervention and control groups at 6 months (15.7% vs 16.5%; OR 0.94, 95% CI 0.59–1.50). The rate of at least 50% self-reported reduction of smoking at 6 months, was higher in the intervention group than in the control group (16.8% vs 12.3%; OR 1.43, 95% CI 0.88–2.35). The biochemically validated quit rate at the 6-month follow-up was higher in the intervention group than in the control group (5.2% vs 3.8%; OR 1.38, 95% CI 0.60–3.16). These data suggest that advice based on risk communication was not effective for quitting but improved the rate of smoking reduction among smoking cancer patients.

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Section: Discussionsupporting

confidence: 90%

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Wang

Lam

et al. 2018

Sci Rep

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“…Similarly, antihypertensive and statin medications are associated with improvements in secondary prevention (Collins 2016; Ettehad 2016; Logue 2015; Preiss 2015; Sundström 2014;). Metaanalyses report that moderate to high physical activity (Bennett 2017; Fan 2017), moderate alcohol consumption (Holmes 2014; Reynolds 2003), reduction of salt intake (Aburto 2013; He 2013), and specific dietary changes (He 2004; He 2006) can also facilitate stroke prevention and cardiovascular risk reduction. An international case-control study identified five modifiable risk factors accounting for 83% of the population attributable risk (PAR) for stroke (O'Donnell 2010; Perk 2012).…”

Section: How the Intervention Might Workmentioning

confidence: 99%

Interventions for Improving Modifiable Risk Factor Control in the Secondary Prevention of Stroke

Bridgwood

Lager

Mistri

et al. 2018

Stroke

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“…Staff education is an essential component of smoking cessation programmes and results in active engagement with smokers attending health care services [21,23], and should be fundamental in maternity care [27,31]. Campbell's study reiterates the importance of staff training in managing queries and engaging with pregnant women [40].…”

Section: Discussionmentioning

confidence: 99%

“…Smoking cessation practices are fundamental for all health care professionals' interactions, as unequivocal evidence acknowledges that smoking cessation improves life expectancy and reduces the risk of chronic illness [1,[21][22][23]. The year 2015 overlapped with a 10-year review of the FCTC and an introduction of UN Sustainable Development Goals (SDGs) targets for 2030 [24].…”

Section: Introductionmentioning

confidence: 99%

Smoking Prevalence and Secondhand Smoke Exposure during Pregnancy and Postpartum—Establishing Risks to Health and Human Rights before Developing a Tailored Programme for Smoking Cessation

Frazer¹,

Fitzpatrick

Brosnan

et al. 2020

IJERPH

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Both smoking during pregnancy and secondhand smoke exposure are associated with reduced health outcomes. However, limited consistent evidence exists of risks of secondhand smoke exposure in pregnancy. Currently, inadequate smoking cessation services exist in Irish maternity hospitals. To identify the number of pregnant women smoking during pregnancy and to identify their exposure to secondhand smoke, we conducted a cross-sectional observational pilot study in one regional maternity hospital in Ireland in July/August 2018. Respondents were (1) women attending antenatal clinics and (2) postpartum women before discharge. Variables measured included smoking status of pregnant women and partner status, demographic variables, secondhand smoke exposure, and support for hospital smoke-free policy and development of smoking cessation services. The overall response rate was 42.2% in this study. The response rate was 56.5% (111/196) from postnatal wards and 37.3% (215/577) from antenatal clinics. Over 40% of respondents reported they had smoked during their lifetime. The majority of women (70%) reported quitting smoking before their pregnancy. Few women were active smokers. Almost 40% reported exposure to tobacco smoke in the previous week (38.5%); 16.9% reported living with a smoker, a critical factor in increased risk (Odds Ratio (OR) 3.89, 95% CI = 1.86–8.15, p < 0.001). Approximately 10% of postnatal mothers reported that their newborn would travel home with a smoker. Support for a no-smoking hospital policy was very high as was support for the development of cessation services. No documentation of secondhand smoke exposure for pregnant women or newborns is sought or recorded routinely in the hospital. A systems approach to develop smoking cessation programmes in maternity care should include screening and documenting of secondhand smoke exposure risks for women during pregnancy, and for their newborns at discharge, to improve health outcomes and protect human rights.

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Nursing interventions for smoking cessation

Abstract: Editorial group: Cochrane Tobacco Addiction Group. Publication status and date: New search for studies and content updated (no change to conclusions), published in Issue 12, 2017.

Cited by 95 publications

References 157 publications

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Helping cancer patients quit smoking using brief advice based on risk communication: A randomized controlled trial

Interventions for Improving Modifiable Risk Factor Control in the Secondary Prevention of Stroke

Smoking Prevalence and Secondhand Smoke Exposure during Pregnancy and Postpartum—Establishing Risks to Health and Human Rights before Developing a Tailored Programme for Smoking Cessation

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