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KMID : 1231220160070020066
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Journal of the Korean Society for Research on Nicotine and Tobacco
2016 Volume.7 No. 2 p.66 ~ p.73
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Factors Associated with Six Month Quit Rate of in-hospital Smoking Program
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Shin Hye-Young
Lee Yun-Joo
Kim Sun-Hee
Cho Hong-Jun
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Abstract
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Background: Hospitalization provides an important opportunity to encourage smokers to quit. This study was to examine 6-month abstinence rates and factors related to smoking cessation with intensive counseling and telephone counseling after discharge for inpatients.
Methods: Study participants were 125 inpatients (118 men, 7 women) who admitted to pulmonology, cardiology and neurology department at a university hospital in Seoul, Korea, between September 2011 and February 2013. Patients were given 30 minute one to one smoking cessation counseling from the family medicine residents and were followed-up by telephone by trained-nurses at 1 week, 4 weeks, 3 months, and 6 months after discharge. Smoking cessation was verified by self-reported sustained abstinence at 6 months by nurses.
Results: The 6-month abstinence rate was 33.6%. With bivariate analysis frequent counseling after discharge (P＜0.001) and smoke-free home (P=0.012) were more common in abstinence group than failure group. With multivariate analysis, quit smoking rate at 6 months was greater with more counseling after discharge (3-4 visits, OR 52.639, [95% CI, 6.529-424.392]; ≥5 visits, OR 256.617, [95% CI, 25.362-2596.504]), smoke-free home (OR 4.595, [95% CI, 11.290-16.364]), absence of comorbidity (OR 5.677, [95% CI, 1.140-28.281]) and it was lower with increased number of cigarette per day (OR 0.932, [95% CI, 0.880-0.987]) and higher Fargestrom Nicotine Dependence Score (FTND≥7, OR 0.038, [95% CI, 0.015-0.885]).
Conclusion: Inpatient smoking cessation and follow-up counseling seems to be effective in quitting smoking.
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KEYWORD
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Smoking cessation, Inpatient, Counseling
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