Mid-term outcomes of a smoking cessation program in hospitalized patients in Türkiye.

IF 2.2 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Tobacco Induced Diseases Pub Date : 2024-07-30 eCollection Date: 2024-01-01 DOI:10.18332/tid/191239

Esin B Konyalıhatipoğlu, Dilek Karadoğan, Tahsin Gökhan Telatar, Ünal Şahin

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Abstract

Introduction: 'Teachable moments', such as inpatient treatment periods, can be turned into opportunities for smokers to acquire healthy living behaviors. This study was conducted to evaluate the outcomes of smoking cessation interventions in an inpatient hospital setting.

Methods: Data were collected for this single-arm prospective intervention cohort study between October 2021 and March 2022 from hospitalized patients at Recep Tayyip Erdoğan University Training and Research Hospital in Türkiye. Smoker patients received smoking cessation counseling and brief smoking cessation interventions during their hospitalization and were informed about how to apply to our hospital's smoking cessation outpatient clinic after discharge. They were followed via phone on the 3rd, 5th, and 7th day and the 1st, 3rd, 6th, and 12th month after their discharge, regarding their quit status as well as admissions to smoking cessation clinics. Quitters were confirmed by exhaled air carbon monoxide testing. Logistic regression analysis was performed to evaluate the presence of admission to the emergency department and family physicians at follow-up at 1st year. The model was adjusted in terms of age, sex, presence of malignancy, and education level.

Results: Of the 183 patients included in the study, 163 participants completed periodic follow-up during one year, with quit rate of 47.2%. The rate of anxiety was higher among non-quitters compared to quitters (9.4% vs 1.2%) (p=0.024). Non-quitters were 19 times more likely to have emergency department admissions (AOR=19.64; 95% CI: 8.08-47.68) and eight times more likely to have family doctor visits (AOR=8.43; 95% CI: 4.05-17.53) than quitters.

Conclusions: This cessation program evaluated the quit rates of hospitalized patients in the first year and revealed that the rate of anxiety was higher in non-quitters compared to quitters. It would be an important approach to include psychiatric support in this practice.

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土耳其住院病人戒烟计划的中期效果。

导言：住院治疗期等 "可教时刻 "可以成为吸烟者获得健康生活行为的机会。本研究旨在评估医院住院环境中的戒烟干预效果：这项单臂前瞻性干预队列研究收集了 2021 年 10 月至 2022 年 3 月期间土耳其雷杰普-塔伊普-埃尔多安大学培训与研究医院住院患者的数据。吸烟患者在住院期间接受了戒烟咨询和简短的戒烟干预，并被告知出院后如何申请本医院的戒烟门诊。在患者出院后的第 3、5、7 天和第 1、3、6、12 个月，通过电话对他们的戒烟情况和戒烟门诊的入院情况进行随访。通过呼出气体一氧化碳检测确认戒烟者。我们进行了逻辑回归分析，以评估是否有患者在出院一年后到急诊科和家庭医生处就诊。该模型根据年龄、性别、是否患有恶性肿瘤和教育程度进行了调整：在纳入研究的 183 名患者中，163 人完成了一年的定期随访，退出率为 47.2%。与戒烟者相比，未戒烟者的焦虑率更高（9.4% 对 1.2%）（P=0.024）。与戒烟者相比，未戒烟者到急诊室就诊的几率是戒烟者的 19 倍（AOR=19.64；95% CI：8.08-47.68），到家庭医生处就诊的几率是戒烟者的 8 倍（AOR=8.43；95% CI：4.05-17.53）：该戒烟计划对住院患者第一年的戒烟率进行了评估，结果显示，与戒烟者相比，未戒烟者的焦虑率更高。在这一实践中加入精神支持将是一个重要的方法。

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来源期刊

Tobacco Induced Diseases SUBSTANCE ABUSE-PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

CiteScore

5.30

自引率

5.40%

发文量

审稿时长

12 weeks

期刊介绍： Tobacco Induced Diseases encompasses all aspects of research related to the prevention and control of tobacco use at a global level. Preventing diseases attributable to tobacco is only one aspect of the journal, whose overall scope is to provide a forum for the publication of research articles that can contribute to reducing the burden of tobacco induced diseases globally. To address this epidemic we believe that there must be an avenue for the publication of research/policy activities on tobacco control initiatives that may be very important at a regional and national level. This approach provides a very important "hands on" service to the tobacco control community at a global scale - as common problems have common solutions. Hence, we see ourselves as "connectors" within this global community. The journal hence encourages the submission of articles from all medical, biological and psychosocial disciplines, ranging from medical and dental clinicians, through health professionals to basic biomedical and clinical scientists.