Cognitive, behavioural and psychosocial factors associated with successful and maintained quit smoking status among patients who received smoking cessation intervention with nurses’ counselling
Corresponding Author
Chie Taniguchi RN
Assistant Professor/Student of Doctor Course/Visiting Scholar
Department of Nursing, Sugiyama Jogakuen University, Nagoya, Japan
Department of Nursing, Nagoya University Graduate School of Medicine, Nagoya, Japan
Nagoya Medical Center, Clinical Research Center, Nagoya, Japan
Correspondence to C.Taniguchi:
e-mail: [email protected]
Search for more papers by this authorHideo Tanaka MD PhD
Chief/Professor
Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
Department of Epidemiology, Nagoya University Graduate School of Medicine, Japan
Search for more papers by this authorHideo Saka MD
Chair
Department of Respiratory Medicine and Medical Oncology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan
Search for more papers by this authorIsao Oze MD PhD
Senior Researcher
Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
Search for more papers by this authorKazunobu Tachibana MD PhD
Director
Department of Education and Training, Department of Respiratory Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Japan
Search for more papers by this authorYasuhiro Nozaki MD PhD
Chief
Department of Respiratory Medicine, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, Japan
Search for more papers by this authorYukio Suzuki MD PhD
Professor
Department of Respiratory Medicine, Kitasato University Kitasato Institute Hospital, Tokyo, Japan
Search for more papers by this authorHisataka Sakakibara MD PhD
Professor
Department of Nursing, Nagoya University Graduate School of Medicine, Nagoya, Japan
Search for more papers by this authorCorresponding Author
Chie Taniguchi RN
Assistant Professor/Student of Doctor Course/Visiting Scholar
Department of Nursing, Sugiyama Jogakuen University, Nagoya, Japan
Department of Nursing, Nagoya University Graduate School of Medicine, Nagoya, Japan
Nagoya Medical Center, Clinical Research Center, Nagoya, Japan
Correspondence to C.Taniguchi:
e-mail: [email protected]
Search for more papers by this authorHideo Tanaka MD PhD
Chief/Professor
Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
Department of Epidemiology, Nagoya University Graduate School of Medicine, Japan
Search for more papers by this authorHideo Saka MD
Chair
Department of Respiratory Medicine and Medical Oncology, National Hospital Organization Nagoya Medical Center, Nagoya, Japan
Search for more papers by this authorIsao Oze MD PhD
Senior Researcher
Division of Epidemiology and Prevention, Aichi Cancer Center Research Institute, Nagoya, Japan
Search for more papers by this authorKazunobu Tachibana MD PhD
Director
Department of Education and Training, Department of Respiratory Medicine, National Hospital Organization Kinki-Chuo Chest Medical Center, Sakai, Japan
Search for more papers by this authorYasuhiro Nozaki MD PhD
Chief
Department of Respiratory Medicine, Japan Community Healthcare Organization Chukyo Hospital, Nagoya, Japan
Search for more papers by this authorYukio Suzuki MD PhD
Professor
Department of Respiratory Medicine, Kitasato University Kitasato Institute Hospital, Tokyo, Japan
Search for more papers by this authorHisataka Sakakibara MD PhD
Professor
Department of Nursing, Nagoya University Graduate School of Medicine, Nagoya, Japan
Search for more papers by this authorAbstract
Aim
To identify cognitive, behavioural and psychosocial factors associated with successful and maintained quit smoking status after patients received smoking cessation intervention with nurses’ counselling.
Background
Although nurses’ intervention for smoking cessation is effective for patients, few studies have been conducted to identify cognitive, behavioural and psychosocial factors associated with the success of quitting smoking.
Design
Prospective cohort study
Methods
In a multi-institutional study between October 2008 - October 2014, we administered the Japanese smoking cessation therapy, which consists of smoking cessation intervention five times with nurses’ counselling over 12 weeks. Log-binomial regression analysis was performed in 1,320 participants using the following independent variables: age, gender, having a present illness, prescription, Fagerström test for nicotine dependence, strength of desire to quit, age at smoking initiation, previous abstinence, motivation of quit smoking, self-efficacy of quit smoking and Center for Epidemiologic Studies Depression Scale. Factors associated with maintained cessation for 12 months were identified in the 541 abstainers at the end of the intervention.
Results
Having higher self-efficacy to quit smoking as assessed before the intervention was significantly associated with the success of quitting smoking at the end of the intervention. Strong desire to smoke as assessed at the end of the intervention was associated with significantly increased risk of discontinuing cessation during the 12 months after the end of the intervention.
Conclusion
It is important for nurses who provide smoking cessation intervention to reinforce patients’ self-efficacy and to control the strength of the patients’ desire to smoke by behavioural counselling.
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