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. 2008 Nov 18;37(5):266–272. [Article in Spanish] doi: 10.1157/13086312

Efectividad de un programa de consejo antitabaco intensivo realizado por profesionales de enfermería

Effectiveness of a programme of intensive tobacco counselling by nursing professionals

B Sanz-Pozo a,⁎, J de Miguel-Díez b, M Anegon-Blanco c, M García-Carballo a, E Gómez-Suárez a, JF Fernández-Domínguez a
PMCID: PMC7676142  PMID: 16595098

Abstract

Objective

To determine the effectiveness of a systematic intensive tobacco counseling programme conducted by nursing professionals.

Design

Randomised clinical trial with control.

Setting

Primary care nursing and medical consultations.

Participants

Smokers requesting help in our centre's medical clinics during the recruitment period, up to the sample size required (125). Inclusion criteria were: aged between 18 and 70, people who smoked during the preceding month any number of cigarettes a day, and a score over 7 on the Richmond test.

Interventions

The patients recruited were randomised, according to the clinic from which they came, to the group that received brief counselling from the doctor (control group) or to the group that received brief counselling plus nursing follow-up (intervention group). Follow-up visits were programmed in this latter group for up to 3 months after giving up smoking.

Main measurements

Abstinence at 12 and 24 months.

Results

The effectiveness of the intervention considered as the rate of abstinence at 12 months was 13.8% (95% CI, 6.5-24.7) in the control group and 6.7% (95% CI, 1.8-16.2) in the intervention group, with no significant differences between the two.

Conclusions

In smokers seen in primary care, the effectiveness of a programme of intensive tobacco counselling by nursing staff is no more effective than the doctor's brief, one-off counselling. Brief counselling has a better cost-effectiveness relationship than intensive counselling.

Key words: Counsellin, Tobacco dependency treatment, Primary care, Nursing

Bibliografía

  • 1.World Health Organization . WHO; Geneve: 2003. Policy recommendations for smoking cessation and treatmente of tobacco dependence. [Google Scholar]
  • 2.Ezzati M., López A.D. Estimates of global mortality attributable to smoking in 2000. Lancet. 2003;362:847–852. doi: 10.1016/S0140-6736(03)14338-3. [DOI] [PubMed] [Google Scholar]
  • 3.Doll R., Peto R., Wheatley K., Gray R., Sutherland I. Mortality in relation to smoking: 40 years’ observations on male British doctors. BMJ. 1994;309:901–911. doi: 10.1136/bmj.309.6959.901. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.González-Enríquez J., Salvador-Llivina T., López-Nicolas A., De las Heras A., Musin A., Fernández E. Morbilidad, mortalidad y costes sanitarios evitables mediantes una estrategia de tabaquismo en España. Gac Sanit. 2002;16:308–317. doi: 10.1016/s0213-9111(02)71929-8. [DOI] [PubMed] [Google Scholar]
  • 5.Russell M.A., Wilson C., Taylor C., Baker C.D. Effect of general practitioners’ advice against smoking. BMJ. 1979;2:231–235. doi: 10.1136/bmj.2.6184.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Torrecilla G.M., Barrueco F.M., Maderuelo F.J., Jiménez-Ruiz C., Plaza M.M., Hernández Mezquita M.A. ¿Se puede predecir el éxito de la intervención mínima en tabaquismo? Prev Tabaq. 2001;3:19. [Google Scholar]
  • 7.Fiore M.C. US public health service clinical practice guideline: treating tobacco use and dependence. Respir Care. 2000;45:1200–1262. [PubMed] [Google Scholar]
  • 8.West R., McNeill A., Raw M. Smoking cessation guidelines for health professionals: an update. Health Education Authority. Thorax. 2000;55:987–999. doi: 10.1136/thorax.55.12.987. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 9.Raw M., McNeill A., West R. Smoking cessation: evidence based recommendations for the healthcare system. BMJ. 1999;318:182–185. doi: 10.1136/bmj.318.7177.182. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.World Health Organization. First WHO European recommendations on treatment of tobacco dependence. Evidence based recommendations for health care systems in Europe, 2000. Geneve: WHO; 2000.
  • 11.Guía para ayudar a la gente a dejar de fumar. Barcelona: Sociedad Española de Medicina Familiar y Comunitaria; 2004.
  • 12.Schwartz J.L. Methods of smoking cessation. Med Clin North Am. 1992;76:451–476. doi: 10.1016/s0025-7125(16)30362-5. [DOI] [PubMed] [Google Scholar]
  • 13.Comas A., Suárez R., López M.L., Cueto A. Efectividad a largo plazo del consejo antitabaco en atención primaria: el proceso de recaída. Rev Esp Salud Pública. 1996;70:283–293. [PubMed] [Google Scholar]
  • 14.Jarvis M.J., Russell M.A., Saloojee Y. Expired air carbon monoxide: a simple breath test of tobacco smoke intake. BMJ. 1980;281:484–485. doi: 10.1136/bmj.281.6238.484. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 15.Córdoba-García R., Nerin I. Niveles de intervención clínica en tabaquismo. ¿Son necesarias las consultas específicas en atención primaria? Med Clin (Barc) 2002;119:541–549. doi: 10.1016/s0025-7753(02)73488-x. [DOI] [PubMed] [Google Scholar]
  • 16.Nebot M., Cabezas C., Oller M., Moreno F., Rodrigo J., Sarda T. Consejo médico, consejo de enfermería y chicle de nicotina para dejar de fumar en atención primaria. Med Clin (Barc) 1990;95:57–61. [PubMed] [Google Scholar]
  • 17.Nebot M., Cabezas C. Does nurse counseling or offer of nicotine gum improve the effectiveness of physician smoking-cessation advice? Fam Pract Res J. 1992;12:263–270. [PubMed] [Google Scholar]
  • 18.Rice V.H., Stead L.F. Nursing interventions for smoking cessation. Cochrane Database Syst Rev. 2001;3 doi: 10.1002/14651858.CD001188. CD001188. [DOI] [PubMed] [Google Scholar]
  • 19.Lancaster T., Dobbie W., Vos K., Yudkin P., Murphy M., Fowler G. Randomized trial of nurse-assisted strategies for smoking cessation in primary care. Br J Gen Pract. 1999;49:191–194. [PMC free article] [PubMed] [Google Scholar]
  • 20.Hollis J.F., Lichtenstein E., Vogt T.M., Stevens V.J., Biglan A. Nurse-assisted counseling for smokers in primary care. Ann Intern Med. 1993;118:521–525. doi: 10.7326/0003-4819-118-7-199304010-00006. [DOI] [PubMed] [Google Scholar]
  • 21.Camarelles F., Asensio A., Jiménez-Ruiz C., Becerril B., Rodero D., Vidaller O. Efectividad de la intervención grupal para la deshabituación tabáquica. Med Clin (Barc) 2002;119:53–57. doi: 10.1016/s0025-7753(02)73312-5. [DOI] [PubMed] [Google Scholar]
  • 22.Cummings S.R., Rubin S.M., Oster G. The cost-effectiveness of counseling smokers to quit. JAMA. 1989;261:75–79. [PubMed] [Google Scholar]
  • 23.Badía X. 1.ª ed. Edimac; Barcelona: 2000. La investigación de resultados en salud. [Google Scholar]

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