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Multicomponent individualized smoking cessation intervention for patients with lung disease
Helga Jonsdottir1, Rosa Jonsdottir, Thora Geirsdottir
1Faculty of Nursing, University of Iceland, National University Hospital, Reykjavik, Iceland. helgaj@hi.is
Journal of Advanced Nursing
|November 19, 2004
Summary
A 1-year smoking cessation program for hospitalized lung disease patients significantly increased quit rates. This comprehensive intervention, tailored to individual needs, demonstrated high abstinence success.
Area of Science:
- Pulmonary Medicine
- Addiction Research
- Behavioral Science
Background:
- Smoking cessation is critical for patients with lung disease.
- Hospitalization offers a unique opportunity to motivate patients to quit.
- Personalized interventions show promise for improving cessation outcomes.
Purpose of the Study:
- To evaluate a long-term, multicomponent smoking cessation intervention for hospitalized lung disease patients.
- To assess the intervention's process and outcomes over one year post-discharge.
Main Methods:
- A quasi-experimental study involving 69 participants over two years.
- Intervention based on the TransTheoretical Model, including nicotine replacement therapy and counseling.
- Provided during hospitalization and via telephone follow-up for 12 months.
Main Results:
- At 12 months, 39% reported continuous abstinence and 52% were not smoking.
- Readiness to quit increased, and nicotine dependency decreased significantly.
- No correlation found between abstinence and quit attempts, nicotine dependency, or hospital stay length.
Conclusions:
- A comprehensive, individualized smoking cessation program for hospitalized lung disease patients is effective.
- The intervention achieved high abstinence rates, potentially due to enhanced patient motivation.
- Long-term follow-up is crucial for sustained smoking cessation in this population.