Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/s1806-37562017000000026 http://hdl.handle.net/11449/176014 |
Resumo: | Objective: To evaluate the effectiveness of a smoking cessation program, delivered by trained health care professionals, in patients hospitalized for acute respiratory disease (RD) or heart disease (HD). Methods: Of a total of 393 patients evaluated, we included 227 (146 and 81 active smokers hospitalized for HD and RD, respectively). All participants received smoking cessation treatment during hospitalization and were followed in a cognitive-behavioral smoking cessation program for six months after hospital discharge. Results: There were significant differences between the HD group and the RD group regarding participation in the cognitive-behavioral program after hospital discharge (13.0% vs. 35.8%; p = 0.003); smoking cessation at the end of follow-up (29% vs. 31%; p < 0.001); and the use of nicotine replacement therapy (3.4% vs. 33.3%; p < 0.001). No differences were found between the HD group and the RD group regarding the use of bupropion (11.0% vs. 12.3%; p = 0.92). Varenicline was used by only 0.7% of the patients in the HD group. Conclusions: In our sample, smoking cessation rates at six months after hospital discharge were higher among the patients with RD than among those with HD, as were treatment adherence rates. The implementation of smoking cessation programs for hospitalized patients with different diseases, delivered by the health care teams that treat these patients, is necessary for greater effectiveness in smoking cessation. |
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Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratóriaEvaluation of smoking cessation treatment initiated during hospitalization in patients with heart disease or respiratory diseaseHeart diseasesHospitalizationRespiratory tract diseasesSmokingSmoking cessationObjective: To evaluate the effectiveness of a smoking cessation program, delivered by trained health care professionals, in patients hospitalized for acute respiratory disease (RD) or heart disease (HD). Methods: Of a total of 393 patients evaluated, we included 227 (146 and 81 active smokers hospitalized for HD and RD, respectively). All participants received smoking cessation treatment during hospitalization and were followed in a cognitive-behavioral smoking cessation program for six months after hospital discharge. Results: There were significant differences between the HD group and the RD group regarding participation in the cognitive-behavioral program after hospital discharge (13.0% vs. 35.8%; p = 0.003); smoking cessation at the end of follow-up (29% vs. 31%; p < 0.001); and the use of nicotine replacement therapy (3.4% vs. 33.3%; p < 0.001). No differences were found between the HD group and the RD group regarding the use of bupropion (11.0% vs. 12.3%; p = 0.92). Varenicline was used by only 0.7% of the patients in the HD group. Conclusions: In our sample, smoking cessation rates at six months after hospital discharge were higher among the patients with RD than among those with HD, as were treatment adherence rates. The implementation of smoking cessation programs for hospitalized patients with different diseases, delivered by the health care teams that treat these patients, is necessary for greater effectiveness in smoking cessation.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Hospital das Clínicas Faculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPFaculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPDisciplina de Pneumologia Faculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPDisciplina de Clínica Médica Faculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPHospital das Clínicas Faculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPFaculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPDisciplina de Pneumologia Faculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPDisciplina de Clínica Médica Faculdade de Medicina de Botucatu Universidade Estadual Paulista – UNESPFAPESP: 2012/02582-4Universidade Estadual Paulista (Unesp)Garcia, Thaís [UNESP]Andrade, Sílvia Aline dos Santos [UNESP]Biral, Angélica Teresa [UNESP]Bertani, André Luiz [UNESP]Caram, Laura Miranda de Oliveira [UNESP]Cezare, Talita Jacon [UNESP]Godoy, Irma [UNESP]Tanni, Suzana Erico [UNESP]2018-12-11T17:18:33Z2018-12-11T17:18:33Z2018-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article42-48application/pdfhttp://dx.doi.org/10.1590/s1806-37562017000000026Jornal Brasileiro de Pneumologia, v. 44, n. 1, p. 42-48, 2018.1806-37561806-3713http://hdl.handle.net/11449/17601410.1590/s1806-37562017000000026S1806-371320180001000422-s2.0-85043785071S1806-37132018000100042.pdfScopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengporJornal Brasileiro de Pneumologia0,4480,448info:eu-repo/semantics/openAccess2024-09-30T17:35:41Zoai:repositorio.unesp.br:11449/176014Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-30T17:35:41Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória Evaluation of smoking cessation treatment initiated during hospitalization in patients with heart disease or respiratory disease |
title |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória |
spellingShingle |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória Garcia, Thaís [UNESP] Heart diseases Hospitalization Respiratory tract diseases Smoking Smoking cessation |
title_short |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória |
title_full |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória |
title_fullStr |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória |
title_full_unstemmed |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória |
title_sort |
Avaliação de um tratamento para cessação do tabagismo iniciado durante a hospitalização em pacientes com doença cardíaca ou doença respiratória |
author |
Garcia, Thaís [UNESP] |
author_facet |
Garcia, Thaís [UNESP] Andrade, Sílvia Aline dos Santos [UNESP] Biral, Angélica Teresa [UNESP] Bertani, André Luiz [UNESP] Caram, Laura Miranda de Oliveira [UNESP] Cezare, Talita Jacon [UNESP] Godoy, Irma [UNESP] Tanni, Suzana Erico [UNESP] |
author_role |
author |
author2 |
Andrade, Sílvia Aline dos Santos [UNESP] Biral, Angélica Teresa [UNESP] Bertani, André Luiz [UNESP] Caram, Laura Miranda de Oliveira [UNESP] Cezare, Talita Jacon [UNESP] Godoy, Irma [UNESP] Tanni, Suzana Erico [UNESP] |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Garcia, Thaís [UNESP] Andrade, Sílvia Aline dos Santos [UNESP] Biral, Angélica Teresa [UNESP] Bertani, André Luiz [UNESP] Caram, Laura Miranda de Oliveira [UNESP] Cezare, Talita Jacon [UNESP] Godoy, Irma [UNESP] Tanni, Suzana Erico [UNESP] |
dc.subject.por.fl_str_mv |
Heart diseases Hospitalization Respiratory tract diseases Smoking Smoking cessation |
topic |
Heart diseases Hospitalization Respiratory tract diseases Smoking Smoking cessation |
description |
Objective: To evaluate the effectiveness of a smoking cessation program, delivered by trained health care professionals, in patients hospitalized for acute respiratory disease (RD) or heart disease (HD). Methods: Of a total of 393 patients evaluated, we included 227 (146 and 81 active smokers hospitalized for HD and RD, respectively). All participants received smoking cessation treatment during hospitalization and were followed in a cognitive-behavioral smoking cessation program for six months after hospital discharge. Results: There were significant differences between the HD group and the RD group regarding participation in the cognitive-behavioral program after hospital discharge (13.0% vs. 35.8%; p = 0.003); smoking cessation at the end of follow-up (29% vs. 31%; p < 0.001); and the use of nicotine replacement therapy (3.4% vs. 33.3%; p < 0.001). No differences were found between the HD group and the RD group regarding the use of bupropion (11.0% vs. 12.3%; p = 0.92). Varenicline was used by only 0.7% of the patients in the HD group. Conclusions: In our sample, smoking cessation rates at six months after hospital discharge were higher among the patients with RD than among those with HD, as were treatment adherence rates. The implementation of smoking cessation programs for hospitalized patients with different diseases, delivered by the health care teams that treat these patients, is necessary for greater effectiveness in smoking cessation. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-11T17:18:33Z 2018-12-11T17:18:33Z 2018-01-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/s1806-37562017000000026 Jornal Brasileiro de Pneumologia, v. 44, n. 1, p. 42-48, 2018. 1806-3756 1806-3713 http://hdl.handle.net/11449/176014 10.1590/s1806-37562017000000026 S1806-37132018000100042 2-s2.0-85043785071 S1806-37132018000100042.pdf |
url |
http://dx.doi.org/10.1590/s1806-37562017000000026 http://hdl.handle.net/11449/176014 |
identifier_str_mv |
Jornal Brasileiro de Pneumologia, v. 44, n. 1, p. 42-48, 2018. 1806-3756 1806-3713 10.1590/s1806-37562017000000026 S1806-37132018000100042 2-s2.0-85043785071 S1806-37132018000100042.pdf |
dc.language.iso.fl_str_mv |
eng por |
language |
eng por |
dc.relation.none.fl_str_mv |
Jornal Brasileiro de Pneumologia 0,448 0,448 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
42-48 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
repositoriounesp@unesp.br |
_version_ |
1813546495679397888 |