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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Smoking by patients in a smoke-free hospital: prevalence, predictors, and implications.
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Smoking by patients in a smoke-free hospital: prevalence, predictors, and implications.

机译：无烟医院患者吸烟：患病率，预测因素和影响。

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BACKGROUND: No-smoking policies are now mandated in all U.S. hospitals. They require hospitalized smokers to abstain temporarily from tobacco. Little is known about patients' compliance with these policies or about their effects on patients' comfort and subsequent smoking behavior. Hospitalization in a smoke-free hospital might precipitate nicotine withdrawal in smokers, but it might also offer smokers an opportunity to stop smoking. METHODS: To assess the prevalence, predictors, and implications of smoking during hospitalization, we analyzed data from a cohort of 650 adult smokers who were admitted to an urban teaching hospital and participating in a smoking intervention trial. We measured nicotine withdrawal symptoms at study entry (24-48 h after admission) and patients' self-reports of smoking while hospitalized, compliance with the hospital no-smoking policy (smoking prohibited indoors but permitted outdoors), and smoking status 1 and 6 months after discharge. RESULTS: One-quarter of smokers admitted to a smoke-free hospital reported smoking during their hospital stay, although only 4% of smokers admitted violating policy by smoking indoors. Within 48 h of admission, 55% of smokers reported cigarette cravings and 29% of smokers reported difficulty refraining from smoking. Smokers with cigarette cravings were more likely to smoke while hospitalized (OR 3.6; 95% CI: 1.9-6.7). Those with nicotine withdrawal symptoms were more likely to violate the hospital no-smoking policy (OR 6.8; 95% CI: 5.3-8.3). Abstaining from tobacco use while hospitalized was a strong independent predictor of continued abstinence after discharge (OR 3.8; 95% CI: 1.4-10.3). CONCLUSIONS: Smoking by patients in a smoke-free hospital was common. Craving for cigarettes and symptoms consistent with nicotine withdrawal occurred frequently in hospitalized smokers and were associated with smoking during hospitalization, which was itself strongly linked with continuing to smoke after discharge. Pharmacologic treatment of cigarette cravings in hospitalized smokers could potentially improve patient comfort, increase compliance with hospital no-smoking policies, and promote smoking cessation after hospital discharge. This approach deserves further study. Copyright 2000 American Health Foundation and Academic Press.
机译：背景：现在，所有美国医院都强制执行禁烟政策。他们要求住院吸烟者暂时戒烟。关于患者遵守这些政策或其对患者舒适度和随后吸烟行为的影响知之甚少。在无烟医院住院可能会导致吸烟者戒烟，但也可能为吸烟者提供戒烟的机会。方法：为了评估住院期间吸烟的患病率，预测因素和影响，我们分析了来自650名成年吸烟者的数据，这些吸烟者已入院并参加了吸烟干预试验。我们在研究进入时（入院后24-48小时）测量了尼古丁戒断症状，​​以及患者住院期间的自我吸烟情况，是否遵守医院的禁止吸烟政策（在室内禁止吸烟但在室外允许吸烟）以及吸烟状况1和6出院后几个月。结果：入住无烟医院的吸烟者中有四分之一在住院期间报告吸烟，尽管只有4％的吸烟者承认在室内吸烟违反了政策。入院后48小时内，有55％的吸烟者表示渴望吸烟，而29％的吸烟者表示难以戒烟。渴望吸烟的吸烟者在住院期间更容易吸烟（OR 3.6; 95％CI：1.9-6.7）。具有尼古丁戒断症状的人更有可能违反医院的禁烟政策（OR 6.8; 95％CI：5.3-8.3）。住院期间戒烟是出院后继续戒酒的有力独立预测因素（OR 3.8; 95％CI：1.4-10.3）。结论：无烟医院患者吸烟是很普遍的。对吸烟的渴望和与尼古丁戒断相符的症状在住院吸烟者中经常发生，并且与住院期间吸烟有关，这本身与出院后继续吸烟密切相关。住院吸烟者对烟瘾的药物治疗可能会改善患者的舒适度，增强对医院禁止吸烟政策的依从性，并促进出院后戒烟。这种方法值得进一步研究。版权所有2000美国健康基金会和学术出版社。

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