Effectiveness of Brief Pre-discharge Smoking Cessation Counselling in Medical and Surgical Ward Hospital Universiti Sains Malaysia
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Abstract
Introduction: Cigarettes smoking is leading preventable cause of death worldwide and the main cause of hospitalization due to related illness. Hospitalisation provides a good environment for smoking cessation. The purpose of this study is to determine the effectiveness of brief pre-discharge smoking cessation counselling for hospitalised patient at HUSM. Materials and methods: Cross sectional study was done on 94 patients admitted to medical and surgical ward HUSM. Sociodemographic data was obtained and nicotine dependence for each patient was calculated using Malay version of Fagerstrom score form. Data was analyzed using simple and multiple linear regression for nicotine dependence factors association whereas simple and multiple logistic confirmatory tests was done to determine the association between nicotine dependence and smoking related illness. Intervention group (n = 46) received brief intervention and pamphlet regarding to stop smoking whereas control group (n = 48) just receive usual care. All patients were given one month follow up using Proscha’s transtheoretical model of change. Results: Response rate of the study was 98%. Sociodemographic data (age, job, income and duration of hospital stay) are not significant associated factor for nicotine dependence. There are no significant association between nicotine dependence and smoking related illness. 65% patient from intervention group had change their motivation towards smoking cessation. Result from Chi square analysis was not significant (P=0.065). Conclusion: More variables are needed to the study associated factors of nicotine dependence. Brief counselling module may motivate precontemplation hospitalised smokers to stop smoking. However different approach is needed to get a better result.
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