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. 1996 Nov;86(11):1557–1560. doi: 10.2105/ajph.86.11.1557

A nurse-managed smoking cessation program for hospitalized smokers.

C B Taylor 1, N H Miller 1, S Herman 1, P M Smith 1, D Sobel 1, L Fisher 1, R F DeBusk 1
PMCID: PMC1380689  PMID: 8916520

Abstract

OBJECTIVES: This study evaluated a nurse-managed smoking cessation program for smokers hospitalized for a variety of conditions. METHODS: Hospitalized patients who smoked prior to hospitalization and who were motivated to quit (n = 660) were randomized to intervention or usual-care groups and followed for the next year. The intervention included a meeting with the nurse-case manager; the use of a videotape, workbook, relaxation audiotape, and nicotine replacement therapy; and nurse-initiated phone contacts after discharge. RESULTS: The 12-month confirmed cessation rates were 21% and 31% for, respectively, the usual-care and intervention groups (odds ratio = 1.7; 95% confidence interval = 1.1, 2.3). CONCLUSIONS: A nurse-managed smoking cessation intervention can significantly increase cessation rates for hospitalized patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977 Mar;84(2):191–215. doi: 10.1037//0033-295x.84.2.191. [DOI] [PubMed] [Google Scholar]
  2. Condiotte M. M., Lichtenstein E. Self-efficacy and relapse in smoking cessation programs. J Consult Clin Psychol. 1981 Oct;49(5):648–658. doi: 10.1037//0022-006x.49.5.648. [DOI] [PubMed] [Google Scholar]
  3. Gulliver S. B., Hughes J. R., Solomon L. J., Dey A. N. An investigation of self-efficacy, partner support and daily stresses as predictors of relapse to smoking in self-quitters. Addiction. 1995 Jun;90(6):767–772. doi: 10.1046/j.1360-0443.1995.9067673.x. [DOI] [PubMed] [Google Scholar]
  4. Hymowitz N., Sexton M., Ockene J., Grandits G. Baseline factors associated with smoking cessation and relapse. MRFIT Research Group. Prev Med. 1991 Sep;20(5):590–601. doi: 10.1016/0091-7435(91)90057-b. [DOI] [PubMed] [Google Scholar]
  5. Jacob P., 3rd, Wilson M., Benowitz N. L. Improved gas chromatographic method for the determination of nicotine and cotinine in biologic fluids. J Chromatogr. 1981 Jan 2;222(1):61–70. doi: 10.1016/s0378-4347(00)81033-6. [DOI] [PubMed] [Google Scholar]
  6. Killen J. D., Fortmann S. P., Kraemer H. C., Varady A., Newman B. Who will relapse? Symptoms of nicotine dependence predict long-term relapse after smoking cessation. J Consult Clin Psychol. 1992 Oct;60(5):797–801. doi: 10.1037//0022-006x.60.5.797. [DOI] [PubMed] [Google Scholar]
  7. Krumholz H. M., Cohen B. J., Tsevat J., Pasternak R. C., Weinstein M. C. Cost-effectiveness of a smoking cessation program after myocardial infarction. J Am Coll Cardiol. 1993 Nov 15;22(6):1697–1702. doi: 10.1016/0735-1097(93)90598-u. [DOI] [PubMed] [Google Scholar]
  8. Lando H. A., Hellerstedt W. L., Pirie P. L., McGovern P. G. Brief supportive telephone outreach as a recruitment and intervention strategy for smoking cessation. Am J Public Health. 1992 Jan;82(1):41–46. doi: 10.2105/ajph.82.1.41. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Orleans C. T., Kristeller J. L., Gritz E. R. Helping hospitalized smokers quit: new directions for treatment and research. J Consult Clin Psychol. 1993 Oct;61(5):778–789. doi: 10.1037//0022-006x.61.5.778. [DOI] [PubMed] [Google Scholar]
  10. Orleans C. T., Ockene J. K. Routine hospital-based quit-smoking treatment for the postmyocardial infarction patient: an idea whose time has come. J Am Coll Cardiol. 1993 Nov 15;22(6):1703–1705. doi: 10.1016/0735-1097(93)90599-v. [DOI] [PubMed] [Google Scholar]
  11. Pierce J., Giovino G., Hatziandreu E., Shopland D. National age and sex differences in quitting smoking. J Psychoactive Drugs. 1989 Jul-Sep;21(3):293–298. doi: 10.1080/02791072.1989.10472170. [DOI] [PubMed] [Google Scholar]
  12. Stevens V. J., Glasgow R. E., Hollis J. F., Lichtenstein E., Vogt T. M. A smoking-cessation intervention for hospital patients. Med Care. 1993 Jan;31(1):65–72. doi: 10.1097/00005650-199301000-00005. [DOI] [PubMed] [Google Scholar]
  13. Strecher V. J., Becker M. H., Kirscht J. P., Eraker S. A., Graham-Tomasi R. P. Psychosocial aspects of changes in cigarette-smoking behavior. Patient Educ Couns. 1985 Sep;7(3):249–262. doi: 10.1016/0738-3991(85)90033-3. [DOI] [PubMed] [Google Scholar]
  14. Taylor C. B., Houston-Miller N., Killen J. D., DeBusk R. F. Smoking cessation after acute myocardial infarction: effects of a nurse-managed intervention. Ann Intern Med. 1990 Jul 15;113(2):118–123. doi: 10.7326/0003-4819-113-2-118. [DOI] [PubMed] [Google Scholar]

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