Journal List > Korean J Health Promot > v.19(3) > 1135153

Park and Cheong: Physicians' Perspectives on the Smoking Cessation Service for Inpatient Smokers

Abstract

Background

Smoking cessation services for inpatients can be provided effectively through interdisciplinary collaborations. Physicians could play a central role in smoking cessation counseling and treatment for recovery from illness and health promotion of the inpatient. This study aimed to investigate the perspectives of physicians on inpatient smoking cessation services.

Methods

We conducted one personal and two focus group interviews with clinical faculties at a university hospital in Seoul and a university hospital in Chungnam using semi-structured questionnaires. Interviews were recorded, and the transcribed verbatim was analyzed qualitatively.

Results

The physicians recognized the need for inpatient smoking cessation services and recognized that smoking cessation was effective when the patient had a smoking-related illness such as respiratory or cardiovascular disease Additionally, the physicians recognized the need for hospital management to support smoking cessation in hospitalized patients and recognized that it was effective to have a dedicated workforce with a smoking cessation coordinator. There was support from four types of physicians in the smoking cessation program: active participant, passive supporter, passive ignorer, and active refuser.

Conclusions

The physician is important for the effective implementation of inpatient smoking cessation services. A dedicated team for the smoking cessation of the inpatient, the establishment of evidence-based data on the effectiveness of the inpatient smoking cessation services, and development of customized smoking cessation services will be necessary to strengthen the role of physicians.

Figures and Tables

Table 1

Characteristics of physicians who participated in individual or focus group interviews

kjhp-19-128-i001

Abbreviations: D, Dankook University Hospital; ENT, ear, nose and throat department; F, female; I, Injae Univesrity Hospital; M, male.

Table 2

Types of physicians' support to the inpatient smoking cessation program

kjhp-19-128-i002

Notes

This study was supported by Korea Health Promotion Institute.

References

1. Stead LF, Buitrago D, Preciado N, Sanchez G, Hartmann-Boyce J, Lancaster T. Physician advice for smoking cessation. Cochrane Database Syst Rev. 2013; (5):CD000165.
crossref
2. Wolfenden L, Campbell E, Walsh R, Wiggers J. Smoking cessation interventions for in-patients: a selective review with recommendations for hospital-based health professionals. Drug Alcohol Rev. 2003; 22(4):437–452.
crossref
3. Rigotti NA, Clair C, Munafò MR, Stead LF. Interventions for smoking cessation in hospitalised patients. Cochrane Database Syst Rev. 2012; (5):CD001837.
crossref
4. Crabtree BF, Miller WL. Doing qualitative research. 2nd ed. Thousand Oaks: Sage Publications, Inc.;1999.
5. McCarty MC, Zander KM, Hennrikus DJ, Lando HA. Barriers among nurses to providing smoking cessation advice to hospitalized smokers. Am J Health Promot. 2001; 16(2):85–87. ii
crossref
6. Ruiz CAJ, de Granda Orive JI, Reina SS, Miranda JAR, de Higes Martinez E, Lledó JFP, et al. Guideline for the treatment of smoking in hospitalized patients. Arch Bronconeumol. 2017; 53(7):387–394.
7. Rice VH, Stead LF. Nursing interventions for smoking cessation. Cochrane Database Syst Rev. 2008; (1):CD001188.
crossref
8. Rigotti NA, Munafo MR, Stead LF. Smoking cessation interventions for hospitalized smokers: a systematic review. Arch Intern Med. 2008; 168(18):1950–1960.
9. Miller NH, Smith PM, DeBusk RF, Sobel DS, Taylor CB. Smoking cessation in hospitalized patients. Results of a randomized trial. Arch Intern Med. 1997; 157(4):409–415.
crossref
10. Mohiuddin SM, Mooss AN, Hunter CB, Grollmes TL, Cloutier DA, Hilleman DE. Intensive smoking cessation intervention reduces mortality in high-risk smokers with cardiovascular disease. Chest. 2007; 131(2):446–452.
crossref
11. Mills EJ, Thorlund K, Eapen S, Wu P, Prochaska JJ. Cardiovascular events associated with smoking cessation pharmacotherapies: a network meta-analysis. Circulation. 2014; 129(1):28–41.
12. Benowitz NL, Pipe A, West R, Hays JT, Tonstad S, McRae T, et al. Cardiovascular safety of varenicline, bupropion, and nicotine patch in smokers: a randomized clinical trial. JAMA Intern Med. 2018; 178(5):622–631.
13. Chehab OM, Dakik HA. Intervention for smoking cessation in patients admitted with acute coronary syndrome: a review. Postgrad Med J. 2018; 94(1108):116–120.
TOOLS
ORCID iDs

Eal Whan Park
https://orcid.org/0000-0003-4421-5655

Yoo-Seock Cheong
https://orcid.org/0000-0002-7119-5429

Similar articles