A Pilot Randomized Trial of a Smoking Cessation Nursing Intervention in Cardiac Patients after Hospital Discharge.
Background: One fifth of Canadians are smokers despite the availability of community-based smoking cessation programs. It was hypothesized that offering a post-discharge smoking cessation program to cardiac patients would decrease smoking rates at six months. Method: This pilot randomized study expl...
| Publicado en: | Canadian Journal of Cardiovascular Nursing Vol. 22; no. 4; pp. 16 - 27 |
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| Autores principales: | , , , , , , , , |
| Formato: | clinical trial research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Canadian Council of Cardiovascular Nurses (CCCN)
2012
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=84301602&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 84301602 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08436096 G3D jtl: Canadian Journal of Cardiovascular Nursing issn: 08436096 maglogo: N pubinfo: dt: 2012 vid: 22 iid: 4 pid: 12082 pub: Canadian Council of Cardiovascular Nurses (CCCN) place: Ottawa, Ontario artinfo: ui: 84301602 84301602 104397437 84301602 ppf: 16 ppct: 11 formats: fmt: @attributes: type: P tig: atl: A Pilot Randomized Trial of a Smoking Cessation Nursing Intervention in Cardiac Patients after Hospital Discharge. aug: au: Cossette, Sylvie Frasure-Smith, Nancy Robert, Martine Chouinard, Maud-Christine Juneau, Martin Guertin, Marie-Claude Cournoyer, Alexis Mailhot, Tanya Kayser, John William affil: Professor, McGill University sug: subj: Smoking Cessation Nursing Interventions Cardiac Patients Patient Discharge Human Quebec Randomized Controlled Trials Pilot Studies Telenursing Research Subject Recruitment Motivational Interviewing Evaluation Research Research Subject Retention Purposive Sample Cotinine Analysis Saliva Analysis Coefficient alpha Questionnaires Scales Psychological Tests Male Female Adult Middle Age Aged Sample Size Determination Analysis of Covariance Physical Activity Evaluation Logistic Regression Odds Ratio Confidence Intervals Chi Square Test Age Factors Employment Status Diet Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: One fifth of Canadians are smokers despite the availability of community-based smoking cessation programs. It was hypothesized that offering a post-discharge smoking cessation program to cardiac patients would decrease smoking rates at six months. Method: This pilot randomized study explored the feasibility, acceptability and preliminary efficacy of a smoking cessation intervention delivered by a Smoking Cessation Nurse Specialist (SCNS) to cardiac patients after hospital discharge. Sample: Participants (N = 40) were randomized to either a postdischarge telephone intervention delivered weekly for the first month and then monthly until the third month (experimental group [EG]), or referral to usual community care (control group [CG]). Findings: The researchers confirmed the feasibility of recruitment and acceptability of the intervention, but difficulty with follow-up. The intention-to-treat analysis showed similar smoking cessation rates in both groups at six months (25% EG versus 30% CG; p = 0.72). Conclusion: An intensified follow-up protocol, or a more intensive, comprehensive and multidisciplinary intervention might be required, given the characteristics of the smokers. Introduction : Un Canadien sur cinq est fumeur malgré l'accessibilité et la disponibilité des interventions visant à favoriser la cessation tabagique au sein de la communauté. Une hypothèse a été émise : l'application d'un programme d'interventions en cessation tabagique chez des patients cardiaques suivant leur congé de l'hôpital aidera à diminuer le taux de fumeurs 6 mois post-intervention. Methodes : Cette étude pilote randomisée a exploré la faisabilité, l'acceptation et l'efficacité préliminaire d'un programme d'interventions en cessation tabagique prodigué par une infirmière spécialisée en cessation tabagique chez des patients cardiaques suivant leur congé de l'hôpital. Échantillon : Lors de leur congé de l'hôpital, les participants (N=40) ont été aléatoirement attribué à une intervention téléphonique à raison d'un appel par semaine durant le premier mois suivant le congé de l'hôpital puis un appel à chaque mois jusqu'au 3e mois (Groupe expérimental [GE]), ou référé aux soins habituellement offerts en communauté (Groupe contrôle [GC]). Résultats : Les chercheurs confirment la faisabilité du recrutement et l'acceptation de l'intervention mais le suivi est difficile. Cette analyse intention-to-treat a démontré des taux de cessation tabagique similaire entre les deux groupes à 6 mois (25 % GE vs 30 % GC; p = 0.72). Conclusion : Un protocole de suivi intensif, ou encore un programme d'interventions multidisciplinaires plus intensif et adapté aux fumeurs semble nécessaire, compte tenue de leurs caractéristiques. pubtype: Academic Journal doctype: clinical trial research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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