Changes in psychiatric patients' thoughts about quitting smoking during a smoke-free hospitalization
Changes in psychiatric patients' thoughts about quitting smoking during a smoke-free hospitalization
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DOI：
10.1080/14622200802027198
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发表时间：
2008-05-01
影响因子：
4.7
通讯作者：
Prochaska, Judith J.
中科院分区：
文献类型：
--
作者：
Shmueli, Dikla;Fletcher, Lindsay;Prochaska, Judith J.
虽然不受国家禁止在医院吸烟的限制，但一些精神病院已经自愿实现100%无烟，几乎没有报道在临床管理方面遇到困难。然而，限制吸烟对精神病患者戒烟想法的影响尚不清楚。本研究调查了在无烟精神病院住院的病人对戒烟的想法的变化。参与者是从一所大学成人住院精神科招募的100名吸烟者。本研究的重点是参与者报告的戒烟愿望，他们对戒烟成功和戒烟困难的预期，以及他们的戒烟目标。评估在入院时和出院前不久进行。在住院后1周、1个月和3个月通过电话进行随访评估，以测量吸烟行为。虽然在这项观察性研究中没有提供戒烟治疗，但从入院到出院，参与者报告戒烟成功的预期增加，保持戒烟困难的预期降低。他们也更有可能支持与吸烟有关的目标。精神诊断与禁欲的想法无关。此外，参与者在出院时关于戒烟的想法与他们随后的吸烟行为显著相关。在无烟环境中住院与患者对戒烟和保持无烟的期望增加有关。
Though exempted from national bans of tobacco smoking in hospitals, some psychiatric facilities have voluntarily gone 100% smoke free with little reported difficulty in clinical management. The impact of smoking restrictions on psychiatric patients' thoughts about quitting smoking, however, is not known. This study investigates changes in thoughts about quitting smoking for patients hospitalized in a smoke-free psychiatric inpatient facility. Participants were 100 smokers recruited from a university-based adult inpatient psychiatry unit. The present study focused on participants' reported desire to quit smoking, their expectancy of success and anticipated difficulty with quitting, and their smoking abstinence goal. Assessments were conducted at hospital intake and shortly before hospital discharge. Follow-up assessments were conducted by phone at I week, I month, and 3 months posthospitalization to measure smoking behavior. Although no cessation treatment was provided in this observational study, from admission to discharge, participants reported an increased expectancy of success with quitting and a decreased expectancy of difficulty with staying quit. They also were more likely to endorse a smoking-related goal. Psychiatric diagnosis was not related to thoughts about abstinence. Furthermore, participants' thoughts about abstinence at discharge were significantly related to their subsequent smoking behavior. Hospitalization in a smoke-free environment is associated with increases in patients' expectancies about quitting and staying smoke free.