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Timely Interventions can Increase Smoking Cessation Rate in Men with Ischemic Stroke
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Min Jeong Lee, Eunjeong Park, Hyeon Chang Kim, Hye Sun Lee, Myoung-Jin Cha, Young Dae Kim, Ji Hoe Heo, Hyo Suk Nam
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J Korean Acad Nurs 2016;46(4):610-617. Published online August 31, 2016
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DOI: https://doi.org/10.4040/jkan.2016.46.4.610
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 Abstract
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Purpose
Smoking cessation is strongly recommended for every smoker after ischemic stroke, but many patients fail to quit smoking. An improved smoking cessation rate has been reported with intensive behavioral therapy during hospitalization and supportive contact after discharge. The aim of this study was to demonstrate the usefulness of the timely interventions for smoking cessation in men with acute ischemic stroke.
Methods
Patients who participated in the timely interventions strategy (TI group) were compared with those who received conventional counseling (CC group). In the TI group, a certified nurse provided comprehensive education during admission and additional counseling after discharge. Outcome was measured by point smoking success rate and sustained smoking cessation rate for 12 months.
Results
Participants, 157 men (86 of the TI group and 71 of the CC group), were enrolled. Mean age was 58.25 ± 11.23 years and mean initial National Institutes of Health Stroke Scale score was 4.68 ± 5.46. The TI group showed a higher point smoking success rate compared with the CC group (p= .003). Multiple logistic regression analysis showed that the TI group was 2.96-fold (95% CI, 1.43~6.13) more likely to sustain smoking cessation for 12 months than the CC group.
Conclusion
Findings indicate that multiple interventions initiated during hospital stay and regular follow-up after discharge are more effective than conventional smoking cessation counseling in men with acute ischemic stroke.
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Citations
Citations to this article as recorded by  - Analysis of Factors Affecting the Intention to Quit Smoking in Stroke Patients
Junghee Youn, Mee Kyung Shin
The Korean Journal of Rehabilitation Nursing.2021; 24(1): 78. CrossRef - The experience of continued smoking after stroke in Korean males: A qualitative study
Jung Hee Youn, Sujin Shin
Nursing Open.2021; 8(5): 2750. CrossRef - Rates, Predictors, and Impact of Smoking Cessation after Stroke or Transient Ischemic Attack: A Systematic Review and Meta-Analysis
Jean Jacques Noubiap, John L. Fitzgerald, Celine Gallagher, Gijo Thomas, Melissa E. Middeldorp, Prashanthan Sanders
Journal of Stroke and Cerebrovascular Diseases.2021; 30(10): 106012. CrossRef - Smoking-cessation pharmacotherapy for patients with stroke and TIA: Systematic review
Neal S. Parikh, Setareh Salehi Omran, Hooman Kamel, Mitchell S.V. Elkind, Joshua Z. Willey
Journal of Clinical Neuroscience.2020; 78: 236. CrossRef - Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke
William J. Powers, Alejandro A. Rabinstein, Teri Ackerson, Opeolu M. Adeoye, Nicholas C. Bambakidis, Kyra Becker, José Biller, Michael Brown, Bart M. Demaerschalk, Brian Hoh, Edward C. Jauch, Chelsea S. Kidwell, Thabele M. Leslie-Mazwi, Bruce Ovbiagele, P
Stroke.2019;[Epub] CrossRef - Effects of a Nurse-Led, Stage-Matched, Tailored Program for Smoking Cessation in Health Education Centers: A Prospective, Randomized, Controlled Trial
Chia-Chen Lu, Yu-Chuan Hsiao, Hui-Wen Huang, Jhen-Yi Lin, Chih-Ling Huang
Clinical Nursing Research.2019; 28(7): 812. CrossRef - Assessment of factors associated with smoking cessation at diagnosis or during follow‐up of Crohn's disease
Eun Mi Song, Gwang‐Un Kim, Myeongsook Seo, Sung Wook Hwang, Sang Hyoung Park, Eunja Kwon, Ho‐Su Lee, Dong‐Hoon Yang, Kyung‐Jo Kim, Byong Duk Ye, Jeong‐Sik Byeon, Seung‐Jae Myung, Suk‐Kyun Yang
Journal of Gastroenterology and Hepatology.2018; 33(1): 180. CrossRef
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