Tobacco Induced Diseases (Jul 2024)
Mid-term outcomes of a smoking cessation program in hospitalized patients in Türkiye
Abstract
Introduction 'Teachable moments', such as inpatient treatment periods, can be turned into opportunities for smokers to acquire healthy living behaviors. This study was conducted to evaluate outcomes of smoking cessation interventions at an inpatient hospital setting. Methods Data was collected for this single arm prospective intervention cohort study between October 2021 and March 2022 from hospitalized patients at Recep Tayyip Erdoğan University Training and Research Hospital in Türkiye. Smoker patients received smoking cessation counseling and brief smoking cessation interventions during their hospitalization and were informed about how to apply to our hospital's smoking cessation outpatient clinic after discharge. They were followed via phone at 3rd, 5th,7th days and 1st, 3rd, 6th, 12th months after their discharge regarding their quit status as well as admissions to smoking cessation clinics. Quitters were confirmed by exhaled air carbon monoxide testing. Logistic regression analysis was performad to evaluate the presence of admission to emergency department and family physicians at 1st year follow up, model was adjusted regarding age, sex, presence of malignancy and education level. Results Totally data of 183 patients included to the study, there were 163 participants who completed periodic follow-ups during 1 year and among them the quit rate was 47.2%. Rate of anxiety was higher among non-quitters, compared to quitters (9.4% vs 1.2%) (p:0.024). Non-quittters were 19 times more likely to have emergency department admissions (aOR: 19.64, 95% CI: 8.08-47.68) and 8 times more likely have family doctor admissions (aOR: 8.43, 95% CI: 4.05-17.53) than quitters. Conclusions This cessation program evaluated the quit rates of hospitalized patients at first year and revealed that rate of anxiety was higher in non-quitters compared to quitters. It would be an important approach to include psychiatric support in this practice.
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