A Brief Intervention For Cardiovascular Inpatients’ Long-term Effects After Discharging On Smoking Cessation And Influence Factors

Background and Object：Social, Family, and Personal suffers a lot from smoking.For cardiovascular inpatients, smoking cessation is not only a effective method ofprimary and secondary prevention, but also can significantly improve the long-termprognosis of patients. Presently, the whole world is exploring smoking cessationinterventions which are brief and effective. The effective of accepting a brief smokingcessation intervention during hospitalization for cardiovascular patients afterdischarging haven’t been ensured. In recent years, the Second Affiliated Hospital ofFujian Medical College is actively developing high quality nursing ward conditions,which provides a smoke-free environment for cardiovascular inpatients. The object ofthis study was to observe the long-term smoking abstinence rate after discharging ofcardiovascular inpatients who had accepted a brief smoking cessation interventionduring hospitalization, and analysis of factors that were related to quittingsuccessfully.Methods：The retrospective study involved209smokers with cardiovascular diseasewho were admitted to Fujian Medical University affiliated second Clinical MedicalCollege from2011July to2012March. During hospitalization, all of them hadaccepted a brief smoking cessation intervention and smoking was forbidden, whichwas strictly enforced with the help of nursing staff. In addiction to, they should alsoaccept smoking cessation counsel from cardiovascular physician which takes about15minutes. Data regarding the continued abstinence of1,6,12months respectively fromsmoking following discharge were collected retrospectively via a telephone interview.And variables such as sex, age at admission, length of hospital stay, diagnosis ondischarge, tobacco use, nicotine dependence, level of education were enter a Logistic regression model to obtain the independent effect factors of quitting successfully.Results: At1month, the abstinence rate was75.5%. At6,12months, the abstinencerate was67.0%, and58.0%respectively, which was declining significantly during thefollowing year(р＜0.001). Discharge diagnosis and Length of hospital stay were theindependent effect factors of quitting. Patients who diagnosed with ACS had asignificantly lower probability of a smoking relapse compared with those whodiagnosed with other cardiovascular disease: OR=0.43，95%CI（0.225～0.820）. Andpatients who stayed in hospital beyond15days had a significantly lower probabilityof a smoking relapse compared with those who had stayed less than15days:OR=0.315，95%CI（0.107～0.924）. And the other variables like sex (р=0.451), ageat admission (р=0.104), tobacco use (р=0.602), nicotine dependence (р=0.701),level of education (р=0.105) were not the independent effect factors of quitting.Conclusion：①The effect of brief smoking for cardiovascular inpatients is obviouslygood, but the following abstinence rate declined progressively.②Discharge diagnosiswas the independent risk factor of relapse，the patients who was diagnosed withdisease associated with smoking had a higher abstinence rate.③Length of hospitalstay was also the independent risk factor of relapse，the patients who had stayedlonger had a higher abstinence rate.④Receiving a brief smoking cessation duringhospitalized and the no-smoking environment of hospital might help to promote theabstinence rate for cardiovascular inpatients.