Prevalência de tabagismo ativo e passivo em uma população de asmáticos

Dias-Júnior, Sérvulo Azevedo; Pinto, Rodrigo Ambar; Angelini, Luciene; Fernandes, Frederico Leon Arrabal; Cukier, Alberto; Stelmach, Rafaël

doi:10.1590/s1806-37132009000300011

Cited by 10 publications

(7 citation statements)

References 18 publications

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“…The prevalence of current smoking was found to be higher in individuals without asthma than in patients with asthma, being lower in severe asthma patients than in mild-to-moderate asthma patients. The low rates of self-reported smoking among asthma patients in the present study are similar to those found in the literature 9 and might be due to the fact that smoking has a negative impact on the clinical status and quality of life of asthma patients, who therefore avoid cigarettes. Because of their disease, patients with asthma are less likely to continue smoking.…”

Section: Discussionsupporting

confidence: 88%

“…However, the possibility of patient nondisclosure of smoking status should be taken into account. 9 , 11 …”

Section: Discussionmentioning

confidence: 99%

“…In a study conducted in the city of São Paulo, Brazil, the prevalence of self-reported smoking among asthma patients was 3%, and the prevalence of self-reported former smoking was 33%. 9 …”

Section: Introductionmentioning

confidence: 99%

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Self-reported smoking status and urinary cotinine levels in patients with asthma

et al. 2018

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Objective: To determine the frequency of active smoking among patients with asthma and individuals without asthma by self-report and urinary cotinine measurement. Methods: This was a cross-sectional study conducted in the city of Salvador, Brazil, and involving 1,341 individuals: 498 patients with severe asthma, 417 patients with mild-to-moderate asthma, and 426 individuals without asthma. Smoking status was determined by self-report (with the use of standardized questionnaires) and urinary cotinine measurement. The study variables were compared with the chi-square test and the Kruskal-Wallis test. Results: Of the sample as a whole, 55 (4.1%) reported being current smokers. Of those, 5 had severe asthma, 17 had mild-to-moderate asthma, and 33 had no asthma diagnosis. Of the 55 smokers, 32 (58.2%) were daily smokers and 23 (41.8%) were occasional smokers. Urinary cotinine levels were found to be high in self-reported nonsmokers and former smokers, especially among severe asthma patients, a finding that suggests patient nondisclosure of smoking status. Among smokers, a longer smoking history was found in patients with severe asthma when compared with those with mild-to-moderate asthma. In addition, the proportion of former smokers was higher among patients with severe asthma than among those with mild-to-moderate asthma. Conclusions: Former smoking is associated with severe asthma. Current smoking is observed in patients with severe asthma, and patient nondisclosure of smoking status occurs in some cases. Patients with severe asthma should be thoroughly screened for smoking, and findings should be complemented by objective testing.

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Section: Discussionsupporting

confidence: 88%

“…However, the possibility of patient nondisclosure of smoking status should be taken into account. 9 , 11 …”

Section: Discussionmentioning

confidence: 99%

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Self-reported smoking status and urinary cotinine levels in patients with asthma

et al. 2018

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“…An association between smoking status and anxiety/depression was also observed in the present study, since these comorbidities were more frequent in smokers than in nonsmokers and abstinent smokers (p=0.05). Smoking is known to have several harmful effects, such as ventilatory disorders that include sleep obstructive sleep apnea-hypopnea syndrome, which are frequent in individuals with class III obesity (13)(14) . Therefore, the prevention of smoking initiation and smoking cessation are beneficial in the reduction of comorbidities, complications, and mortality, and health care professionals are responsible for detecting, guiding, and treating patients at risk for smoking-related diseases.…”

Section: Discussionmentioning

confidence: 99%

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Steyer

Oliveira

Gouvêa

et al. 2016

Rev. Gaúcha Enferm.

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Objective:To analyze the clinical profi le, nursing diagnoses, and nursing care established for postoperative bariatric surgery patients. Method: Cross-sectional study carried out in a hospital in southern Brazil with a sample of 143 patients. Data were collected retrospectively from electronic medical records between 2011 and 2012 and analyzed statistically. Results:We found a predominance of adult female patients (84%) with class III obesity (59.4%) and hypertension (72%). Thirty-fi ve nursing diagnoses were reported, among which the most frequent were: Acute Pain (99.3%), Risk for perioperative positioning injury (98.6%), and Impaired tissue integrity (93%). The most frequently prescribed nursing care were: to use protection mechanisms in the surgical patient positioning, to record pain as 5th vital sign, and to take vital signs. There was an association between age and comorbidities. Conclusion:The nursing diagnoses supported the nursing care prescription, which enables the qualifi cation of nursing assistance. Keywords: Bariatric surgery. Nursing diagnosis. Nursing care. RESUMO RESUMEN Objetivo:Analizar el perfi l clínico, diagnósticos de enfermería y cuidados de enfermería establecidos para los pacientes en postoperatorio de cirugía bariátrica. Método: Estudio transversal con la muestra de 143 pacientes. El estudio se realizó entre 2011-2012, en un hospital en el sur de Brasil. Los datos fueron recolectados retrospectivamente de los registros médicos electrónicos y analizados estadísticamente. Resultados: Se identifi caron pacientes femeninas adultas (84%), con obesidad clase III (59,4%), hipertensión (72%) y con 35 diagnósticos de enfermería, siendo los más frecuentes: el Dolor agudo (99,3%), Riesgo de lesión perioperatoria de posicionamiento (98,6%) y la Integridad del tejido deteriorado (93%). Entre los cuidados de enfermería prescritos los más utilizados fueron: utilizar los mecanismos de protección en el posicionamiento quirúrgico del paciente, registrar el dolor como quinto signo vital y verifi car los signos vitales. Se observó una asociación entre la edad y las comorbilidades. Conclusión: Los diagnósticos de enfermería apoyaron la prescripción de los cuidados de enfermería, lo que permite califi car la asistencia de enfermería. Palabras clave: Cirugía bariátrica. Diagnóstico de enfermería. Atención de enfermería. How to cite this article:Steyer NH, Oliveira MC, Gouvêa MRF, Echer IC, Lucena AF. Clinical profi le, nursing diagnoses and nursing care for postoperative bariatric surgery patients. Rev Gaúcha Enferm. 2016 mar;37(1):e50170.

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“…This suggests that the cut-off level should vary among populations, and that borderline results should be evaluated with care in clinical practice, especially because the level of environmental exposure to tobacco smoke is likely to be high among asthma patients. ( 26 )…”

Section: Discussionmentioning

confidence: 99%

Comparison between objective measures of smoking and self-reported smoking status in patients with asthma or COPD: are our patients telling us the truth?

et al. 2015

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OBJECTIVE: Smoking prevalence is frequently estimated on the basis of self-reported smoking status. That can lead to an underestimation of smoking rates. The aim of this study was to evaluate the difference between self-reported smoking status and that determined through the use of objective measures of smoking at a pulmonary outpatient clinic. METHODS: This was a cross-sectional study involving 144 individuals: 51 asthma patients, 53 COPD patients, 20 current smokers, and 20 never-smokers. Smoking status was determined on the basis of self-reports obtained in interviews, as well as through tests of exhaled carbon monoxide (eCO) and urinary cotinine. RESULTS: All of the asthma patients and COPD patients declared they were not current smokers. In the COPD and asthma patients, the median urinary cotinine concentration was 167 ng/mL (range, 2-5,348 ng/mL) and 47 ng/mL (range, 5-2,735 ng/mL), respectively (p < 0.0001), whereas the median eCO level was 8 ppm (range, 0-31 ppm) and 5 ppm (range, 2-45 ppm), respectively (p < 0.05). In 40 (38%) of the patients with asthma or COPD (n = 104), there was disagreement between the self-reported smoking status and that determined on the basis of the urinary cotinine concentration, a concentration > 200 ng/mL being considered indicative of current smoking. In 48 (46%) of those 104 patients, the self-reported non-smoking status was refuted by an eCO level > 6 ppm, which is also considered indicative of current smoking. In 30 (29%) of the patients with asthma or COPD, the urinary cotinine concentration and the eCO level both belied the patient claims of not being current smokers. CONCLUSIONS: Our findings suggest that high proportions of smoking pulmonary patients with lung disease falsely declare themselves to be nonsmokers. The accurate classification of smoking status is pivotal to the treatment of lung diseases. Objective measures of smoking could be helpful in improving clinical management and counseling.

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Prevalência de tabagismo ativo e passivo em uma população de asmáticos

Cited by 10 publications

References 18 publications

Self-reported smoking status and urinary cotinine levels in patients with asthma

Self-reported smoking status and urinary cotinine levels in patients with asthma

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

Comparison between objective measures of smoking and self-reported smoking status in patients with asthma or COPD: are our patients telling us the truth?

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