Efficacy of a smoking-cessation intervention for elective-surgical patients.
We tested an intervention to help smokers abstain (fast) from smoking before surgery, maintain abstinence postoperatively, and achieve long-term cessation. A randomized experiment included 237 patients admitted for presurgical assessment who smoked. The intervention included counseling and nicotine replacement therapy. Treatment group participants (73.0%) were more likely to fast than were controls (53.0%): chi(2)(1, N = 228) = 8.89, p =.003, and more likely to be abstinent 6 months after surgery (31.2% vs. 20.2%). There was no significant difference in the abstinence rates at 12 months after surgery, chi(2)(1, N = 169) <.001, p = 1.00. Encouraging patients to fast from smoking before surgery and postoperative support are efficacious ways to reduce preoperative and immediate post-operative tobacco use.
Ratner
Pamela A
PA
Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
Johnson
Joy L
JL
Richardson
Chris G
CG
Bottorff
Joan L
JL
Moffat
Barbara
B
Mackay
Martha
M
Fofonoff
Doreen
D
Kingsbury
Kori
K
Miller
Clara
C
Budz
Bernice
B
D002170:Canada; D003376:Counseling; D004522:Educational Status; D017558:Elective Surgical Procedures; D005260:Female; D006760:Hospitalization; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D011184:Postoperative Period; D016540:Smoking Cessation / Q000379:methods*; D016896:Treatment Outcome