Division of Pulmonary Medicine, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Addict Sci Clin Pract. 2022 May 21;17(1):29. doi: 10.1186/s13722-022-00310-9.
A cessation program for hospitalized smokers is an effective strategy to achieve smoking abstinence. The effects of multiple in-hospital counseling sessions on 6-month smoking abstinence require further investigation.
We retrospectively analyzed the data of smokers who participated in hospital-initiated cessation programs at a medical center between 2017 and 2019. Data on age, sex, comorbidities, daily number of cigarettes, cessation motivation, nicotine dependence, cessation medications, discharge diagnosis, length of hospitalization, and intensive care unit admission were collected. We conducted multiple logistic regression analysis to investigate the effect of multiple in-hospital counseling sessions on 6-month sustained smoking abstinence. Sensitivity analyses were carried out excluding participants who underwent post-discharge cessation programs and assuming that the loss to follow-up participants had failure in 6-month smoking abstinence.
A total of 1943 participants aged ≥ 20 years were analyzed. Compared with single in-hospital counseling session, the adjusted odds ratios (ORs) for 2 and ≥ 3 counseling sessions were 1.44 (95% confidence interval [CI] 1.05 to 1.98) and 2.02 (95% CI 1.27 to 3.22), respectively, with a significant trend for increasing the number of counseling sessions (P < 0.001). The results remained significant after excluding participants who underwent a post-discharge cessation program or when assuming that lost to follow-up participants had failure in smoking abstinence.
Multiple in-hospital counseling sessions were associated with a higher 6-month sustained smoking abstinence rate. This strategy could be used to reduce the prevalence of smoking.
住院吸烟者戒烟计划是实现戒烟的有效策略。多次住院咨询对 6 个月戒烟成功率的影响仍需进一步研究。
我们回顾性分析了 2017 年至 2019 年在一家医疗中心参加医院发起的戒烟计划的吸烟者的数据。收集了年龄、性别、合并症、每日吸烟量、戒烟动机、尼古丁依赖、戒烟药物、出院诊断、住院时间和重症监护病房入院等数据。我们进行了多因素逻辑回归分析，以探讨多次住院咨询对 6 个月持续戒烟的影响。我们还进行了敏感性分析，排除了接受出院后戒烟计划的参与者，并假设失访参与者在 6 个月时戒烟失败。
共分析了 1943 名年龄≥20 岁的参与者。与单次住院咨询相比，2 次和≥3 次咨询的调整后比值比（OR）分别为 1.44（95%可信区间[CI] 1.05 至 1.98）和 2.02（95%CI 1.27 至 3.22），且咨询次数增加呈显著趋势（P<0.001）。排除接受出院后戒烟计划的参与者或假设失访参与者在 6 个月时戒烟失败，结果仍然显著。
多次住院咨询与更高的 6 个月持续戒烟率相关。该策略可用于降低吸烟率。
