Efficacy of a smoking-cessation intervention for elective-surgical patients
Corresponding Author
Pamela A. Ratner
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Associate Professor.
Nursing & Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.Search for more papers by this authorJoy L. Johnson
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Professor.
Search for more papers by this authorChris G. Richardson
Department of Health Care & Epidemiology, University of British Columbia, Vancouver, British Columbia
Doctoral Candidate.
Search for more papers by this authorJoan L. Bottorff
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Professor.
Distinguished University Scholar.
Search for more papers by this authorBarbara Moffat
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Project Director.
Search for more papers by this authorMartha Mackay
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Cardiology & Interventional Cardiology, St. Paul's Hospital, Vancouver, British Columbia
Adjunct Professor.
Clinical Nurse Specialist.
Search for more papers by this authorDoreen Fofonoff
Adult Congenital Heart, St. Paul's Hospital, Vancouver, British Columbia
Clinical Nurse Specialist.
Search for more papers by this authorKori Kingsbury
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Adjunct Professor.
Search for more papers by this authorClara Miller
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Adjunct Professor.
Search for more papers by this authorBernice Budz
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Cardiovascular Services, St. Joseph's Hospital, Bellingham, Washington
Adjunct Professor.
Clinical Nurse Specialist.
Search for more papers by this authorCorresponding Author
Pamela A. Ratner
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Associate Professor.
Nursing & Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.Search for more papers by this authorJoy L. Johnson
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Professor.
Search for more papers by this authorChris G. Richardson
Department of Health Care & Epidemiology, University of British Columbia, Vancouver, British Columbia
Doctoral Candidate.
Search for more papers by this authorJoan L. Bottorff
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Professor.
Distinguished University Scholar.
Search for more papers by this authorBarbara Moffat
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Project Director.
Search for more papers by this authorMartha Mackay
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Cardiology & Interventional Cardiology, St. Paul's Hospital, Vancouver, British Columbia
Adjunct Professor.
Clinical Nurse Specialist.
Search for more papers by this authorDoreen Fofonoff
Adult Congenital Heart, St. Paul's Hospital, Vancouver, British Columbia
Clinical Nurse Specialist.
Search for more papers by this authorKori Kingsbury
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Adjunct Professor.
Search for more papers by this authorClara Miller
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Adjunct Professor.
Search for more papers by this authorBernice Budz
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, British Columbia
Cardiovascular Services, St. Joseph's Hospital, Bellingham, Washington
Adjunct Professor.
Clinical Nurse Specialist.
Search for more papers by this authorDistinguished University Scholar.
Abstract
We tested an intervention to help smokers abstain (fast) from smoking before surgery, maintain abstinence postoperatively, and achieve long-term cessation. A randomized experiment included 237 patients admitted for presurgical assessment who smoked. The intervention included counseling and nicotine replacement therapy. Treatment group participants (73.0%) were more likely to fast than were controls (53.0%): χ2(1, N = 228) = 8.89, p = .003, and more likely to be abstinent 6 months after surgery (31.2% vs. 20.2%). There was no significant difference in the abstinence rates at 12 months after surgery, χ2(1, N = 169) <.001, p = 1.00. Encouraging patients to fast from smoking before surgery and postoperative support are efficacious ways to reduce preoperative and immediate post-operative tobacco use. © 2004 Wiley Periodicals, Inc. Res Nurs Health 27:148–161, 2004
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