The Meaning of Smoking for Patients with Mental Disorder

Oliveira, Renata Marques de; Júnior, Antonio Carlos Siqueira; Furegato, Antônia Regina Ferreira

doi:10.3109/01612840.2014.953277

Cited by 6 publications

(3 citation statements)

References 28 publications

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“…10, [13][14][15] A smoking culture has also been reported in institutions that provide mental health services. 10, [13][14][15] Biological, cultural, psychological, and social aspects are involved in this phenomenon.…”

Section: Discussionmentioning

confidence: 99%

“…Tobacco as a form of selfmedication and reliever of adverse reactions from psychotropic drugs are two hypotheses that help explain the higher prevalence of smokers among people with mental health disorders. 10, [13][14][15] A smoking culture has also been reported in institutions that provide mental health services. 10, [13][14][15] Biological, cultural, psychological, and social aspects are involved in this phenomenon.…”

Section: Discussionmentioning

confidence: 99%

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Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Oliveira

Santos²,

Furegato³

2022

Nursing

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Purpose:This study aims to identify the beliefs, attitudes, and opinions of nursing professionals associated with tobacco smoking and its prohibition in a psychiatric hospital in Brazil.Methods:Using a cross-sectional epidemiologic study, a total of 73 nursing professionals in a smoke-free psychiatric hospital were interviewed. The Varimax Rotation and the Fisher's exact test at a 5% significance level were used to analyze the responses.Findings:Most nursing professionals reported observations of patients becoming calmer after smoking (n = 59, 80.8%) and tobacco withdrawal worsening patients' mental health symptoms, suggesting agreement among professionals that some psychiatric patients need to smoke tobacco. Most respondents stated that patients with mental health disorders have more difficulty with smoking cessation (79.4%) and are less interested in quitting smoking than those without disorders (95.9%). While one-third mentioned having used cigarettes as a reward or bribe, the majority (83.6%) was in favor of continuing the smoking ban, with more support observed from those working on a night shift and those who worked in the public psychiatric wards. Over 71% noted improvements in their health after the smoking ban.Conclusion:The nursing professionals were surprised by the effectiveness of the smoking ban and highlighted the improvement in the hospital environment after its implementation.Clinical relevance:As trusted healthcare professionals, nurses are essential in the fight against smoking and can contribute to awareness promotion, supporting patients during nicotine withdrawal, and decision-making processes for health policies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Oliveira

Santos²,

Furegato³

2022

Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…Some patients recognized that relief from these symptoms was temporary, which led them to smoke a larger number of cigarettes. (6,18,22) Even though care for the mentally ill has improved in the last few decades, little progress has been made in relation to smoking in this population. Therefore, it is necessary to consolidate care networks that are able to recognize and offer care to combat tobacco use by people with mental disorders.…”

Section: Discussionmentioning

confidence: 99%

Uso de tabaco em mulheres acompanhadas em um centro de atenção psicossocial

et al. 2019

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Objective: Analyze sociodemographic and clinical factors associated with the use of tobacco-based products among women with mental and behavioral disorders receiving treatment in a psychosocial care center. Methods: This is a prevalence study, with a random sample of 181 women, 18 years of age or older, diagnosed with mental and behavioral disorders according to the International Classifi cation of Diseases. Data were collected between August 2016 and April 2017, via telephone interviews with the study participants. The data underwent statistical treatment using descriptive analysis and measurements of central tendency. Results: Among the 181 women interviewed, 24.9% used tobacco-based products, and the following aspects predominated in the study population: 40 to 49 years of age; brown race/color; one to eight years of study; income ranging from one to less than two minimum wages; does not work outside the home; does not live with a partner, and Catholic religion. Forty-nine of the women (27.1%) reported comorbidities, mainly arterial hypertension, and diabetes mellitus, where there was a relationship with tobacco-based product use (p=0.049). Conclusion: The prevalence of tobacco-based product use among women with mental and behavioral disorders was high, compared to the general female population, and was associated with the presence of clinical comorbidities. ResumoObjetivo: Analisar fatores sociodemográfi cos e clínicos associados ao uso de produtos derivados do tabaco em mulheres com transtornos mentais e comportamentais acompanhadas em um centro de atenção psicossocial. Métodos: Trata-se de estudo de prevalência, com uma amostra aleatória de 181 mulheres com idade igual ou superior a 18 anos, com diagnóstico médico de transtornos mentais e comportamentais segundo a Classifi cação Internacional de Doenças. A coleta de dados foi realizada no período de agosto de 2016 a abril de 2017, por meio de entrevista telefônica com as participantes do estudo. Os dados foram submetidos a tratamento estatístico por meio de análise descritiva e medidas de tendência central. Resultados: Dentre as 181 mulheres entrevistadas, 24,9% faziam uso de produtos derivados do tabaco, predominando as mulheres com: idade entre 40 a 49 anos, raça/cor parda, escolaridade entre um e oito anos estudados, renda entre um e menos que dois salários mínimos, sem trabalho fora de casa, ausência de residência com companheiro, e com religião católica. Quarenta e nove mulheres (27,1%) relataram comorbidades, principalmente Hipertensão Arterial Sistêmica e Diabetes Mellitus, apresentando relação com o uso de produtos derivados de tabaco (p=0,049). Conclusão: A prevalência do uso de produtos derivados de tabaco em mulheres com transtornos mentais e comportamentais é elevada se comparada à população geral feminina, e tem relação com a presença de comorbidades clínicas. ResumenObjetivo: Analizar factores sociodemográfi cos y clínicos asociados con el uso de productos derivados del tabaco en mujeres con trastornos mentales y comportamentales, acompañadas ...

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Reasons for smoking and barriers to cessation among adults with serious mental illness: A qualitative study

Keller‐Hamilton

Moe

Breitborde

et al. 2019

Journal Community Psychology

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AimsMost research into reasons for smoking among adults with serious mental illness (SMI) has focused on reasons related to SMI symptoms. The current study reports reasons for smoking and barriers to cessation that are both related and unrelated to SMI symptoms among adults with SMI.MethodsFour focus groups were conducted among current smokers receiving outpatient care for a psychotic disorder in 2017 (N = 24). Participants were asked why they currently smoke and their barriers to quitting smoking.ResultsSmoking as a coping mechanism and to self‐medicate SMI symptoms were reasons for current smoking and barriers to cessation. Avoidance of other unhealthy behaviors, routine, and enjoyment emerged as reasons for smoking and barriers to cessation that were unrelated to mental illness.ConclusionConsideration of factors that are both related and unrelated to SMI symptoms in smoking cessation interventions and brief cessation counseling may improve cessation success in this population.

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The Meaning of Smoking for Patients with Mental Disorder

Cited by 6 publications

References 28 publications

Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Nurses' beliefs, attitudes, and opinions regarding a smoking ban in a psychiatric hospital

Uso de tabaco em mulheres acompanhadas em um centro de atenção psicossocial

Reasons for smoking and barriers to cessation among adults with serious mental illness: A qualitative study

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