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Sauerbeck Laura R.; Khoury, Jane C.; Woo, Daniel; Kissela, Brett M.; Moomaw, Charles J.; Broderick, Joseph P.
Journal of Neuroscience Nursing: December 2005
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Abstract:

Smoking is an independent risk factor for stroke. The purpose of this prospective study was to determine whether significant changes in smoking behavior occurred in a cohort of stroke patients who were educated about risk reduction during their initial recovery period. Participants or their proxies were then contacted at 3 months for a follow-up interview, during which their current location, smoking status, and functional outcome were recorded. Of 405 participants interviewed, 112 were current smokers at the time of stroke. Participants younger than 65 years and Blacks were more likely to be smokers. At 3 months, 48 (43%) of the baseline smokers had quit smoking compared with an estimated rate of 28% previously reported in the literature. The number of participants who smoked >20 cigarettes per day was 31 at baseline versus 7 at 3 months. This change of behavior was independent of baseline characteristics and the level of post-stroke disability. Risk-reduction education provides stroke survivors with the information needed to change their lifestyles. Further research is needed to determine whether this behavior continues beyond 3 months and to determine why some stroke survivors continue to smoke.

Questions about this article may be directed to Laura R. Sauerbeck, BSN MS RN CCRC FAHS, by telephone at 513/558-1742 or by e-mail message at laura.sauerbeck@uc.edu. She is an assistant professor of research at the University of Cincinnati and a member of the Greater Cincinnati/Northern Kentucky Stroke Team, Cincinnati, OH.

Jane C. Khoury, MS, is a senior research associate in the department of environmental health at the University of Cincinnati and a member of the Greater Cincinnati/Northern Kentucky Stroke Team, Cincinnati, OH.

Daniel Woo, MD MS, is an associate professor of neurology in the department of neurology at the University of Cincinnati, and a member of the Greater Cincinnati/Northern Kentucky Stroke Team, Cincinnati, OH.

Brett M. Kissela, MD, is an associate professor of neurology in the department of neurology at the University of Cincinnati, and a member of the Greater Cincinnati/Northern Kentucky Stroke Team, Cincinnati, OH.

Charles J. Moomaw, PhD, is a data manger in the department of neurology at the University of Cincinnati, and a member of the Greater Cincinnati/Northern Kentucky Stroke Team, Cincinnati, OH.

Joseph P. Broderick, MD, is a professor of neurology and chair of the department of neurology at the University of Cincinnati and the director of the Greater Cincinnati/Northern Kentucky Stroke Team, Cincinnati, OH.

© 2005 American Association of Neuroscience Nurses