Wewers M E, Bowen J M, Stanislaw A E, Desimone V B
Ohio State University Colleges of Nursing and Medicine, Columbus.
Heart Lung. 1994 Mar-Apr;23(2):151-6.
To examine the effect of a nurse-delivered smoking cessation intervention on short-term smoking abstinence among hospitalized postoperative patients.
Prospective, experimental, random assignment.
Midwestern university-affiliated tertiary medical center.
Postoperative smokers (n = 80) from cardiovascular, oncology, and general surgical units.
Self-reported smoking status and saliva cotinine level at 5 to 6 weeks after hospitalization.
Three structured smoking cessation sessions during hospitalization, followed by phone calls once a week for 5 weeks after discharge.
Of the experimental group patients, 37.8% were abstinent as compared to 25.6% in the usual care group. Abstinence rates of experimental group patients from cardiovascular (40%) and oncology (64.3%) units were higher than that of GS (13.3%) unit patients. Regardless of group assignment, 100% of cardiovascular and oncology patients abstained during hospitalization, compared to only 10.7% of GS patients.
Preliminary results indicate that a nurse-delivered cessation intervention may be effective postoperatively among smokers with an identified smoking-related diagnosis.
探讨护士实施的戒烟干预对住院术后患者短期戒烟的效果。
前瞻性、实验性、随机分组。
中西部大学附属三级医疗中心。
来自心血管、肿瘤和普通外科病房的术后吸烟者（n = 80）。
住院5至6周后的自我报告吸烟状况和唾液可替宁水平。
住院期间进行三次结构化戒烟课程，出院后每周电话随访5周。
实验组患者的戒烟率为37.8%，而常规护理组为25.6%。心血管（40%）和肿瘤（64.3%）病房的实验组患者戒烟率高于普通外科（13.3%）病房的患者。无论分组如何，心血管和肿瘤患者在住院期间的戒烟率为100%，而普通外科患者仅为10.7%。
初步结果表明，护士实施的戒烟干预对有明确吸烟相关诊断的术后吸烟者可能有效。
