The Influences of Smoking Cognition, Attitude, and Environment on Inpatients' Smoking Behavior

Wednesday, 24 July 2013

Hsing-Wen Chen, RN, MS
Nursing Department, Cardinal Tien Hospital, Taipei,Taiwan, Taiwan
Mei-Ling Yeh, RN, PhD
Department of Nursing, National Taipei University of Nursing and Health Sciences, Taipei,Taiwan, Taiwan

Learning Objective 1: To explore the smoking cognition, attitude, and environment on smoking behavior in patients of Taiwan.

Learning Objective 2: What was difference between the smoking and non smoking groups?

Purpose: To explore the influences of smoking cognition, attitude, and environment on smoking behavior in patients who hospitalized at the medical and surgical wards of a regional hospital in Taiwan.

Methods: A total of 220 cases were recruited, with smoking and non smoking groups. Data was collected by using the structured questionnaires, including demographic characteristics, secondhand smoke exposure status, smoking status, nicotine dependence, smoking cognition, anti-smoking attitudes, refused smoking self-efficacy, and smoking cessation experience/willingness. The chi-square test, independent t-test and Spearman correlation analysis were used to analyze data.

Results: There was a significant difference between the smoking and non smoking groups in the harmful effects of tobacco attitudes (F=7.156, P=0.008) and environment factors (P<0.05), but not in the smoking cognition (F=0.102, P=0.750). The smoking group had long length of smoking duration, large amount of cigarette smoking, nicotine dependence, and low self-efficacy in refusing smoking. Smoking behavior was positively associated with those who were male, employment, living with smokers, and workplace secondhand smoke exposure, and negatively associated with those who persuaded to quit smoking (P< 0.05). 88.18% of inpatients agreed with the value of discourage smoking effect on the sign that smoking is harmful during pregnancy.

Conclusion: As interventions for inpatients smoking cessation is focus on smoking cognition and nicotine withdrawal symptom, the effect of smoking cessation is limited. To promote health, medical personnel not only actively intervene to help smokers quit, but encourage non smokers around smokers to control tobacco exposure.