Implementation of a smoke-free Psychiatric Unit in a general hospital (original) (raw)
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Effects of smoking ban in a general hospital psychiatric unit
Actas españolas de psiquiatría
Many psychiatric facilities allow patients to smoke cigarettes even though this habit is especially harmful for mental patients. We studied the untoward effects produced by the smoking ban in 40 consecutive inpatients admitted to a psychiatric ward of a general hospital. A total of 52.2 % out of 40 patients were smokers; the mean Fagerstrom score was 5.9. The most frequent diagnostic groups were: schizophrenia and delusional disorders; mood disorders; and personality disorders. There were only two untoward effects related with the smoking ban during the study period. This study shows that the smoking ban can be successfully implemented in a general hospital psychiatric unit without causing unfavorable effects.
APPROACH AND TREATMENT OF SMOKING IN A BASIC HEALTH UNIT (Atena Editora)
APPROACH AND TREATMENT OF SMOKING IN A BASIC HEALTH UNIT (Atena Editora), 2023
Primary care, as the first access route to the user, is in a strategic position for the development of activities aimed at the care of the smoker, in terms of prevention and treatment. In order to promote health, a screening process was carried out at the unit with anamnesis and application of the Fagerström Tolerance Questionnaire. Subsequently, people who wanted to quit smoking participated in group meeting and then individual follow-up of the user in a shared consultation with medicine and psychology. According to demand, the client could be accompanied by other categories such as physical education, physiotherapy, nutrition and dentistry. The treatment was carried out in a multidisciplinary way, with the support of the Family Health Strategy (ESF) and the Family Health Support Centers (NASF).
Tobacco Induced Diseases, 2018
INTRODUCTION A comprehensive smoking ban was recently enacted for acute-care hospital campuses in Spain. The aim of this study was to assess the prevalence and patterns of smoking among inpatients before and during hospitalization. METHODS Multi-center cross-sectional study was conducted in 13 hospitals in the province of Barcelona, Spain from May 2014 to May 2015. Participants were adults who provided informed consent. The sample size was calculated to be representative of each hospital (prevalence 29.4%, precision ± 5%, error 5%). We approached 1228 subjects, 888 accepted to participate and 170 were replaced (were not available or declined to participate). Final sample comprised 1047 subjects. We used a computer-assisted personal interview system to collect data, including sociodemographic variables and use of tobacco before and during hospitalization. Smoking status was validated with exhaled carbon monoxide. We calculated overall tobacco prevalence and investigated associations with participant and center characteristics. We performed multiple polytomous and multilevel logistic regression analyses to estimate odds ratios (ORs) and 95% confidence intervals (CIs), with adjustments for potential confounders. RESULTS In all, 20.5% (95% CI: 18.1-23.0) of hospitalized patients were smokers. Smoking was most common among men (aOR=7.47; 95% CI: 4.88-11.43), young age groups (18-64 years), and individuals with primary or less than primary education (aOR=2.76; 95% CI: 1.44-5.28). Of the smokers, 97.2% were daily consumers of whom 44.9% had medium nicotine dependence. Of all smokers, three-quarters expressed a wish to quit, and one-quarter admitted to consuming tobacco during hospitalization. CONCLUSIONS Our findings indicate the need to offer smoking cessation interventions among hospitalized patients in all units and service areas, to avoid infringements and increase patient safety, hospital efficiency, and improve clinical outcomes. Hospitalization represents a promising window for initiating smoking interventions addressed to all patients admitted to smoke-free hospitals, specially after applying a smoke-free campus ban.
The feasibility of smoking bans on psychiatric units
General Hospital Psychiatry, 1993
We conducted a prospective study of a smoking ban on a general inpatient psychiatry service in response to staff concerns about the feasibility of a proposed hospital-wide ban. Demographic information, smoking history, and DSM 111-R diagnoses were obtained for consecutively admitted patients during two study cdnditions: smoking and nonsmoking. A log of p.r.n. medication, seclusion, restraint, elopement, incident reports, and smoking-related discharges was kept for each patient. Chi-square analysis of 232 patients for whom demographic, smoking, diagnostic, and log data were complete showed no significant differences between study conditions for demographic or diagnostic variables. Two-tailed t-test analysis of the log data for these 232 patients showed no significant difference in disruptive incidents during smoking and nonsmoking coriditions (p = 0.283). Fifty staff members answered pre-and post-ban questionnaires. Paired t-test analysis demonstrated a significant change in staff attitude toward supporting the ban. These data indicate that smoking can be stopped on inpatient psychiatry units without increases in unit disruption or adverse effects on staff morale.
Smoking control: challenges and achievements ; Comissão de Tabagismo da SBPT
2020
Smoking is the most preventable and controllable health risk. Therefore, all health care professionals should give their utmost attention to and be more focused on the problem of smoking. Tobacco is a highly profitable product, because of its large-scale production and great number of consumers. Smoking control policies and treatment resources for smoking cessation have advanced in recent years, showing highly satisfactory results, particularly in Brazil. However, there is yet a long way to go before smoking can be considered a controlled disease from a public health standpoint. We can already perceive that the behavior of our society regarding smoking is changing, albeit slowly. Therefore, pulmonologists have a very promising area in which to work with their patients and the general population. We must act with greater impetus in support of health care policies and social living standards that directly contribute to improving health and quality of life. In this respect, pulmonologi...
Revista Latino-Americana de Enfermagem
Objective: to compare hospitalization and discharge indicators, medication costs and patient behavior before and after the implementation of the smoking ban in a psychiatric hospital. Method: ecological, longitudinal and retrospective study carried out in a psychiatric hospital. Secondary data referring to 2142 hospitalizations were collected from medical records. The median test was used to compare the variables before and after the ban. Results: after the implementation of the ban, there was a reduction in bed occupancy rate in male units for mental disorders (from 88.8% to 48.4%) and substance dependence (from 94.4% to 42.8%). There was a reduction in the mean length of hospital stay in the male chemical dependency unit (from 13.5 to 12.6) compared to the female unit (from 14.7 to 19.5). There was a reduction in costs of psychotropic drugs and expectorants, episodes of verbal/physical aggressions and physical/chemical restraints. Conclusion: the smoking ban changed hospital indic...
Smoking among hospitalized patients in a general hospital
Jornal Brasileiro de …, 2008
are considered to be smoking-related, including neoplasms, pulmonary diseases and cardiovascular diseases. Presumably, smoking is common among hospitalized patients, although Brazilian national data on the matter are nonexistent. (3) Smoking among hospitalized patients in a general hospital* Tabagismo em pacientes internados em um hospital geral
Barriers to implement a smoke free hospital. What action should be taken?
Objective: Tobacco is leading to increased morbidity and mortality. Hospitals have a key role to play in the effective control of tobacco. The aim of this survey was to identify the barriers in implementing a smoke free hospital. Methods: The tool used was a modified Fagerstrom questionnaire. These questionnaires were distributed to all employees at the main state hospital. The data obtained was analysed using SPSS software using frequency tables, univariate and multivariate analysis. Results: The response rate was 55.1%. The findings showed that 27.1% of male staff and 24.8% of female staff are active smokers. 22.2% of smokers refrain from smoking in hospital. The highest percentage of smokers was in the youngest age group (18-25 years). The highest prevalence of smoking was found in nurses (23.6%), followed by doctors (10.4%). A positive finding was that 25.7% of current non-smokers were exsmokers with the greatest incentive to quit being for health reasons. Most members of staff were aware of the adverse effects of smoking and a number had symptoms suggestive of smoking-related pathology. Conclusion: Hospital staff mirror the general population with respect to smoking prevalence, habits and co morbidities. This indicates that further initiatives are required to decrease the number of health professionals who smoke, as these should ideally be role models for patients, and hence be able to effectively support patients in quitting smoking.