Comparing the Effects of Different Smoking Cessation Counseling Interventions for Inpatients: A Systematic Review

Friday, 3 August 2012: 10:15 AM

Chiu-Yen Chen, RN, MS
Department and Institute of Nursing, National Yang-Ming University, Taipei, Taiwan
I-Chuan Li, DNS
Institute of Clinical and Community Health Nursing, National Yang-Ming University, Taipei, Taiwan
Yu-Chi Chen, RN, PhD
department and institute of Nursing, National Yang-Ming University, Taipei, Taiwan

Learning Objective 1: The learner will be able to understand the effects of different smoking cessation counseling intervention.

Learning Objective 2: The learner will be able to understand the role of hospital nurses in smoking cessation.

Purpose: The purpose of this systematic review study is to explore the effects of different smoking cessation counseling intervention to patients who are hospitalization.

Method: A systematic research of the literature was undertaken to indentify relevant international research. Five databases (i.e. Cochrane Library, CIHNAL, Medline, Psych Info, JBI report) were utilized. In order to accord with the high level of evidence of paper, in priority, we reviewed the articles which contributed randomized control trials (RCTs).

Result: Two hundred thirty-three intervention type articles were retrieved and 24 met the criteria. Significant findings are as follows: (1) The combined use of multi- counseling intervention strategies including smoking cessation counseling, health education materials, medications, and referred other community smoking cessation resources are effective. (2) The number of follow-up interventions is significantly related to the effect of point abstinence rate (P <.05). (3) Nurses are the most effective service provider of smoking cessation for the inpatients.

Conclusion: Smoking patients who experience hospitalization have undergone health crisis and require retention of the hospital to treat their diseases that is a good moment for quitting cigarettes. Studies found that multiple smoking cessation counseling interventions are beneficial to strengthen inpatient’s motivation on smoking cessation. Furthermore, we can train nurses who work on the first line in the field of a wide range of clinical care to provide smoking cessation services to those inpatients including smoking cessation knowledge, appropriate resources arrangement, follow those inpatient up after they discharge, and enhancement patients’ self-efficacy to coordinate network between family and employee factory.