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Smoking Cessation Rates After a Nurse-Led Inpatient Smoking Cessation Intervention

Published online by Cambridge University Press:  21 February 2012

Marc Meysman ,
Hedwig Boudrez ,
Kris Nackaerts ,
Björn Dieriks ,
Rudy Indemans  and
Paul Vermeire
Marc Meysman*
Affiliation:
Resp. Division, Dept. Of Medicine, Universitair Ziekenhuis Brussel, University Hospital Vrije Universiteit Brussel, Brussels, Belgium. marc.meysman@uzbrussel.be
Hedwig Boudrez
Affiliation:
Cardiac Rehabilitation, Stop-Smoking Clinic, University Hospital Ghent, University Ghent, Ghent, Belgium.
Kris Nackaerts
Affiliation:
Dept Pulmonology, University Hospital Gasthuisberg, Katholieke Universiteit Leuven, Leuven, Belgium.
Björn Dieriks
Affiliation:
Dept Pulmonology, Antwerp University Hospital UZA, University of Antwerp, Edegem, Belgium.
Rudy Indemans
Affiliation:
Vlaamse Respiratoire Gezondheidszorg, VRGT, Brussels, Belgium.
Paul Vermeire
Affiliation:
Professor Emeritus University Antwerp and Vlaamse Respiratoire Gezondheidszorg, VRGT, Brussels, Belgium.
*
*Address for correspondence: Dr M. Meysman, Resp. Division, Universitair Ziekenhuis Brussel, Laarbeeklaan 101, 1090 Brussels, Belgium.
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Abstract

Objective: To evaluate the effectiveness of inpatient brief counselling by a smoking cessation nurse compared to usual care (no advice). Methods: The subjects (n = 381, 245 men and 136 women) studied were in-patients, in four Flemish University Hospitals, who were daily smokers. Patients were randomised between 2005 and June 2006. Patients were allocated to an experimental group (EG) or to a control group (CG). Allocation and smoking cessation interventions of patients were stage-matched according to their stage of change as defined by Prochaska and Diclemente. Smoking cessation advice was administered by a qualified smoking cessation nurse. Results: The six-month self-reported continuous abstinence in the EG in 28/178 patients (15.7%) compared to the CG where 14/180 patients were abstinent (7.7%) was significantly better. The effect was most pronounced in the subgroup over 40 years old in the preparation and action stage. In this cohort in the EG, 44% of patients were abstinent at six months compared to 18%in the CG. All patients tended to smoke less after a hospitalisation. Conclusion: The intervention by a smoking cessation nurse during hospitalisation seems effective and is most rewarding in the smokers > 40 years old, and who were well motivated to stop.

Keywords

smoking cessationintegrated carebrief interventionhospital
Type
Articles
Information
Journal of Smoking Cessation , Volume 5 , Issue 1 , 01 June 2010 , pp. 69 - 76
Copyright
Copyright © Cambridge University Press 2010

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