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A nurse-managed smoking cessation program for hospitalized smokers
C B Taylor1, N H Miller, S Herman
1Department of Psychiatry, Stanford University School of Medicine, CA 94305-5542, USA.
American Journal of Public Health
|November 1, 1996
Summary
A nurse-managed smoking cessation program for hospitalized smokers significantly increased quit rates. The intervention group achieved a 31% cessation rate compared to 21% in the usual-care group after 12 months.
Area of Science:
- Clinical Nursing
- Public Health
- Tobacco Control
Background:
- Smoking remains a significant public health issue, particularly among hospitalized patients.
- Hospitalization presents a critical opportunity to intervene with smoking cessation efforts.
Purpose of the Study:
- To evaluate the effectiveness of a nurse-managed smoking cessation program for hospitalized smokers.
- To determine if the intervention improves 12-month confirmed smoking cessation rates.
Main Methods:
- A randomized controlled trial involving 660 hospitalized smokers motivated to quit.
- Intervention group received comprehensive support including nurse counseling, educational materials, nicotine replacement therapy, and post-discharge follow-up.
- Control group received usual care.
Main Results:
- The 12-month confirmed smoking cessation rate was 31% in the intervention group versus 21% in the usual-care group.
- The intervention demonstrated a statistically significant increase in cessation rates (odds ratio = 1.7; 95% CI = 1.1, 2.3).
Conclusions:
- Nurse-managed smoking cessation interventions are effective in increasing quit rates among hospitalized patients.
- This program offers a scalable model for improving smoking cessation outcomes in clinical settings.