Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Timely Interventions can Increase Smoking Cessation Rate in Men with Ischemic Stroke

  • Lee, Min Jeong (Department of Neurology, Yonsei University College of Medicine) ;
  • Park, Eunjeong (Department of Cardiovascular Research Institute, Yonsei University College of Medicine) ;
  • Kim, Hyeon Chang (Department of Preventive Medicine, Yonsei University College of Medicine) ;
  • Lee, Hye Sun (Biostatistics Collaboration Unit, (Department of Research Affairs) Yonsei University College of Medicine) ;
  • Cha, Myoung-Jin (Department of Neurology, Yonsei University College of Medicine) ;
  • Kim, Young Dae (Department of Neurology, Yonsei University College of Medicine) ;
  • Heo, Ji Hoe (Department of Neurology, Yonsei University College of Medicine) ;
  • Nam, Hyo Suk (Department of Neurology, Yonsei University College of Medicine)
  • Received : 2016.01.14
  • Accepted : 2016.05.18
  • Published : 2016.08.31
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Abstract

Purpose: Smoking cessation is strongly recommended for every smoker after ischemic stroke, but many patients fail to quit smoking. An improved smoking cessation rate has been reported with intensive behavioral therapy during hospitalization and supportive contact after discharge. The aim of this study was to demonstrate the usefulness of the timely interventions for smoking cessation in men with acute ischemic stroke. Methods: Patients who participated in the timely interventions strategy (TI group) were compared with those who received conventional counseling (CC group). In the TI group, a certified nurse provided comprehensive education during admission and additional counseling after discharge. Outcome was measured by point smoking success rate and sustained smoking cessation rate for 12 months. Results: Participants, 157 men (86 of the TI group and 71 of the CC group), were enrolled. Mean age was $58.25{\pm}11.23$ years and mean initial National Institutes of Health Stroke Scale score was $4.68{\pm}5.46$. The TI group showed a higher point smoking success rate compared with the CC group (p=.003). Multiple logistic regression analysis showed that the TI group was 2.96-fold (95% CI, 1.43~6.13) more likely to sustain smoking cessation for 12 months than the CC group. Conclusion: Findings indicate that multiple interventions initiated during hospital stay and regular follow-up after discharge are more effective than conventional smoking cessation counseling in men with acute ischemic stroke.

Keywords

References

  1. Lee JH, Lee JY, Ahn SH, Jang MU, Oh MS, Kim CH, et al. Smoking is not a good prognostic factor following first-ever acute ischemic stroke. Journal of Stroke. 2015;17(2):177-191. http://dx.doi.org/10.5853/jos.2015.17.2.177
  2. Furie KL, Kasner SE, Adams RJ, Albers GW, Bush RL, Fagan SC, et al. Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42(1):227-276. http://dx.doi.org/10.1161/STR.0b013e3181f7d043
  3. Lancaster T, Stead LF. Individual behavioural counselling for smoking cessation. The Cochrane Database of Systematic Reviews. 2005;2:CD001292. http://dx.doi.org/10.1002/14651858.cd001292
  4. Stead LF, Lancaster T. Group behaviour therapy programmes for smoking cessation. The Cochrane Database of Systematic Reviews. 2005;2:CD001007. http://dx.doi.org/10.1002/14651858.CD001007.pub2
  5. Stead LF, Perera R, Lancaster T. Telephone counselling for smoking cessation. The Cochrane Database of Systematic Reviews. 2006;3:CD002850. http://dx.doi.org/10.1002/14651858.CD002850.pub2
  6. Kim H, Kim O. The lifestyle modification coaching program for secondary stroke prevention. Journal of Korean Academy of Nursing. 2013;43(3):331-340. http://dx.doi.org/10.4040/jkan.2013.43.3.331
  7. Stead LF, Bergson G, Lancaster T. Physician advice for smoking cessation. The Cochrane Database of Systematic Reviews. 2008;2 :CD000165. http://dx.doi.org/10.1002/14651858.CD000165.pub3
  8. Sauerbeck LR, Khoury JC, Woo D, Kissela BM, Moomaw CJ, Broderick JP. Smoking cessation after stroke: Education and its effect on behavior. The Journal of Neuroscience Nursing. 2005;37 (6):316-319, 325. https://doi.org/10.1097/01376517-200512000-00003
  9. Sacco RL, Adams R, Albers G, Alberts MJ, Benavente O, Furie K, et al. Guidelines for prevention of stroke in patients with ischemic stroke or transient ischemic attack: A statement for healthcare professionals from the American Heart Association/American Stroke Association Council on Stroke: Co-sponsored by the Council on Cardiovascular Radiology and Intervention: The American Academy of Neurology affirms the value of this guideline. Stroke. 2006;37(2):577-617. http://dx.doi.org/10.1161/01.str.0000199147.30016.74
  10. Oh SM, Stefani KM, Kim HC. Development and application of chronic disease risk prediction models. Yonsei Medical Journal. 2014;55(4):853-860. http://dx.doi.org/10.3349/ymj.2014.55.4.853
  11. Stringhini S, Spencer B, Marques-Vidal P, Waeber G, Vollenweider P, Paccaud F, et al. Age and gender differences in the social patterning of cardiovascular risk factors in Switzerland: The CoLaus study. PLoS One. 2012;7(11):e49443. http://dx.doi.org/10.1371/journal.pone.0049443
  12. Lee BI, Nam HS, Heo JH, Kim DI. Yonsei stroke registry. Analysis of 1,000 patients with acute cerebral infarctions. Cerebrovascular Diseases. 2001;12(3):145-151. http://dx.doi.org/10.1159/000047697
  13. Kernan WN, Ovbiagele B, Black HR, Bravata DM, Chimowitz MI, Ezekowitz MD, et al. Guidelines for the prevention of stroke in patients with stroke and transient ischemic attack: A guideline for healthcare professionals from the American Heart Association/ American Stroke Association. Stroke. 2014;45(7):2160-2236. http://dx.doi.org/10.1161/str.0000000000000024
  14. Ives SP, Heuschmann PU, Wolfe CD, Redfern J. Patterns of smoking cessation in the first 3 years after stroke: The South London stroke register. European Journal of Cardiovascular Prevention and Rehabilitation. 2008;15(3):329-335. http://dx.doi.org/10.1097/HJR.0b013e3282f37a58
  15. Bruce N, Pope D, Stanistreet D. Quantitative methods for health research: a practical interactive guide to epidemiology and statistics: Wiley; 2013.p. 293.
  16. Redfern J, McKevitt C, Dundas R, Rudd AG, Wolfe CD. Behavioral risk factor prevalence and lifestyle change after stroke: A prospective study. Stroke. 2000;31(8):1877-1881. http://dx.doi.org/10.1161/01.STR.31.8.1877
  17. Bak S, Sindrup SH, Alslev T, Kristensen O, Christensen K, Gaist D. Cessation of smoking after first-ever stroke: A follow-up study. Stroke. 2002;33(9):2263-2269. http://dx.doi.org/10.1161/01.STR.0000027210.50936.D0
  18. Sappok T, Faulstich A, Stuckert E, Kruck H, Marx P, Koennecke HC. Compliance with secondary prevention of ischemic stroke: A prospective evaluation. Stroke. 2001;32(8):1884-1889. http://dx.doi.org/10.1161/01.STR.32.8.1884
  19. Rigotti NA, Munafo MR, Stead LF. Interventions for smoking cessation in hospitalised patients. The Cochrane Database of Systematic Reviews. 2007;3:CD001837. http://dx.doi.org/10.1002/14651858.CD001837.pub2
  20. Fiore MC, Jaen CR, Baker TB, Bailey WC, Benowitz N, Curry SJ, et al. Treating tobacco use and dependence: 2008 update. Quick reference guide for clinicians [Internet]. Rockville, MD: U.S. Department of Health & Human Services; 2008 [cited 2016 January 1]. Available from: http://www.ahrq.gov/professionals/clinicians-providers/guidelinesrecommendations/tobacco/clinicians/references/quickref/index.html.
  21. Ovbiagele B, Kidwell CS, Selco S, Razinia T, Saver JL. Treatment adherence rates one year after initiation of a systematic hospital- based stroke prevention program. Cerebrovascular Diseases. 2005;20(4):280-282. http://dx.doi.org/10.1159/000087711
  22. McBride CM, Emmons KM, Lipkus IM. Understanding the potential of teachable moments: The case of smoking cessation. Health Education Research. 2003;18(2):156-170. https://doi.org/10.1093/her/18.2.156
  23. France EK, Glasgow RE, Marcus AC. Smoking cessation interventions among hospitalized patients: What have we learned? Preventive Medicine. 2001;32(4):376-388. http://dx.doi.org/10.1006/pmed.2000.0824
  24. Rice VH, Stead LF. Nursing interventions for smoking cessation. The Cochrane Database of Systematic Reviews. 2008;1: CD001188. http://dx.doi.org/10.1002/14651858.CD001188.pub3
  25. Schuck K, Otten R, Kleinjan M, Bricker JB, Engels RC. Effectiveness of proactive telephone counselling for smoking cessation in parents: Study protocol of a randomized controlled trial. BMC Public Health. 2011;11:732. http://dx.doi.org/10.1186/1471-2458-11-732
  26. Zhou X, Nonnemaker J, Sherrill B, Gilsenan AW, Coste F, West R. Attempts to quit smoking and relapse: Factors associated with success or failure from the ATTEMPT cohort study. Addictive Behaviors. 2009;34(4):365-373. http://dx.doi.org/10.1016/j.addbeh.2008.11.013
  27. McRobbie H, Hajek P. Nicotine replacement therapy in patients with cardiovascular disease: Guidelines for health professionals. Addiction. 2001;96(11):1547-1551. http://dx.doi.org/10.1080/09652140120080688

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