Timely Interventions can Increase Smoking Cessation Rate in Men with Ischemic Stroke.
OBJECTIVE
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.


CONCLUSIONS
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.
Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.|Division of Nursing, Severance Hospital, Seoul, Korea.
Min Jeong
MJ
Lee
Department of Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea.
Eunjeong
E
Park
Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hyeon Chang
HC
Kim
Biostatistics Collaboration Unit, (Department of Research Affairs) Yonsei University College of Medicine, Seoul, Korea.
Hye Sun
HS
Lee
Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Myoung Jin
MJ
Cha
Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Young Dae
YD
Kim
Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Ji Hoe
JH
Heo
Division of Nursing, Severance Hospital, Seoul, Korea. hsnam@yuhs.ac.
Hyo Suk
HS
Nam
D000328:Adult; D000368:Aged; D003376:Counseling; D005260:Female; D006760:Hospitalization; D006801:Humans; D053208:Kaplan-Meier Estimate; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012737:Sex Factors; D016540:Smoking Cessation / Q000706:statistics & numerical data*; D020521:Stroke / Q000473:pathology*
Behavior control; Cerebral infarction; Sex; Smoking cessation