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Long-term effects of a preoperative smoking cessation programme
Nete M Villebro1, Tom Pedersen, Ann M Møller
1Quality and Education Department, Bispebjerg Hospital, University of Copenhagen, DK-2400 Copenhagen, Denmark.
The Clinical Respiratory Journal
|March 20, 2010
Summary
Preoperative smoking intervention significantly increases long-term smoking cessation rates in surgical patients. Key factors for quitting include improved health and financial savings, highlighting the program
Area of Science:
- Surgical patient care
- Public health interventions
- Addiction research
Background:
- Preoperative smoking intervention programs are known to reduce post-operative complications.
- However, the long-term impact of these programs on smoking cessation remains largely unexamined.
Purpose of the Study:
- To determine the long-term smoking cessation rates in patients undergoing hip and knee surgery.
- To identify the primary motivations and factors contributing to successful smoking cessation post-intervention.
Main Methods:
- A randomized controlled trial involving 120 smokers scheduled for hip or knee surgery.
- Participants were assigned to either a smoking intervention group or a control group.
- One hundred and one patients completed 1-year follow-up questionnaires, with subsequent focus group interviews for qualitative insights.
Main Results:
- A significantly higher proportion of patients in the intervention group (22%) remained abstinent from smoking at 1 year compared to the control group (3%) (P < 0.01).
- Factors associated with successful cessation included male sex, low nicotine dependence, having a non-smoking spouse, and receiving the preoperative intervention.
- The primary reported reasons for quitting were improved health and financial savings.
Conclusions:
- Preoperative smoking cessation programs demonstrate a significant and sustained positive effect on long-term smoking cessation rates in surgical patients.
- The findings underscore the effectiveness of targeted interventions in promoting lasting behavioral change for improved patient outcomes.
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