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Cancer Nursing:
doi: 10.1097/NCC.0b013e3182321389

Smoking Cessation in Hospital Workers: Effectiveness of a Coordinated Program in 33 Hospitals in Catalonia (Spain)

Martínez, Cristina PhD, BA, RN; Martínez-Sánchez, Jose M. PhD; Ballbè, Montse BA; Nieva, Gemma BA; Fu, Marcela PhD, BA; Puig, Montse PhD; Carabasa, Esther BA; Sánchez-García, Josep Maria MD; Saltó, Esteve MD; Fernández, Esteve MD, PhD; The Tobacco Cessation Program Project Coordinators

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Background: The Catalan Network of Smoke-free Hospitals coordinates a smoking cessation program addressed to hospital workers. The program included training in tobacco cessation, a common software, and free access to pharmacological treatments.

Objective: This study aimed to evaluate the effectiveness of the Catalan Network of Smoke-free Hospitals smoking cessation program for abstinence among workers of the 33 participating hospitals.

Methods: A total of 930 hospital workers (in 33 hospitals) attended the cessation units between July 2005 and December 2007. The program included active follow-up during 6 months after quitting. We calculated 6-month abstinence probabilities by means of Kaplan-Meier curves according to gender, age, years of tobacco consumption, profession, Fagerström Test for Nicotine Dependence (FTND) score, and use of pharmacotherapy.

Results: Overall abstinence probability was 0.504 (95% confidence interval [CI]: 0.431–0.570) at 6 months of follow-up. Abstinence was higher in men (0.526, 95% CI = 0.398–0.651) than in women (0.495, 95% CI = 0.410–0.581). Physicians had higher abstinence (0.659, 95% CI = 0.506–0.811) than nurses (0.463, 95% CI = 0.349–0.576). Workers with high nicotine dependence (FTND > 7) had lower abstinence probability (0.376, 95% CI = 0.256–0.495) than workers, with FTND score equal or below 6 (0.529, 95% CI = 0.458–0.599). We observed the highest abstinence probabilities in workers treated with combined pharmacotherapy (0.761, 95% CI = 0.588–0.933).

Conclusion: Significant predictors of abstinence were smoking 10 to 19 cigarettes/day, having present low or medium FTND score, and using combined treatment (nicotine replacement therapy and bupropion).

Implications for Practice: The results show the feasibility and success of a smoking cessation program for hospital workers coordinated at the regional level.

© 2012 Lippincott Williams & Wilkins, Inc.


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