Counselling for smoking cessation needed in
one third of hospitalised respiratory patients
Daniel Schuermans
Aim: To investigate the necessity of a health care professional
dedicated to the support of smoking cessation programs
By estimating the prevalence of patients eligible for such a
counselling.
Study design
AZ Charleroi
AZ Hasselt
AZ Middelheim
AZ VU Brussel
CHU Brussel
KUL Leuven
UZ Antwerpen
UL Brussel
UZ Gent
ZO Limburg
Study protocol
•10 University or major Hospitals in Belgium
• Only respiratory wards (n=14) were participating
• All centres started on Monday 17 Oct. and stopped 31 Oct. 2005
• All admitted patients on 17 Oct were included
• All new admitted patients during this period were included without
exception
• The nurse at admitting filled out the questionnaire
The “CREW”
Smoking behaviour questionnaire
No smoker
Smoker Number of cigarettes a day…….
How many years…….
I don’t want to quit smoking within the next 6 months
I want to quit smoking within the next 6 months
Ex smoker
0 - 6 days
7 - 30 days
1- 6 months
6 months – 1 year
…….Years
Results 1
No smoker 140
Smoker 94
Number of cigarettes a day 20
How many years 22
I don’t want to quit smoking within the next 6 months 48
I want to quit smoking within the next 6 months 46
Ex smoker 191
0 - 6 days 9
7 - 30 days 9
1- 6 months 21
6 months – 1 year 10
…12….Years
Results 2
n=
age
non smokers
smokers
quit
not quit
ex-smokers
0 - 6 days
7 - 30 days
1 - 6 months
6 - 12 months
1 < years
All
425
61 +16(SD)
140
94
46
48
191
9
9
21
10
142
%
33
22
49
51
45
5
5
11
6
74
Men
247
62 +15(SD)
53
61
28
33
133
6
7
12
5
104
%
21
25
46
54
54
5
5
9
4
78
W omen
178
59 +18(SD)
87
33
18
15
58
3
2
11
5
38
%
49
19
55
45
33
5
3
19
9
66
Results 3
n=
smokers
0 - 6 days
7 - 30 days
1 - 6 months
COUNSELING
All
425
94
9
9
23
135
%
22
5
5
11
32
Men
247
61
6
7
12
86
%
25
5
5
9
35
Women
178
33
3
2
11
49
%
19
5
3
19
28
Conclusion
1. Of all admitted patients in a respiratory ward, one out of three could
benefit from support to sustain or start smoking cessation
2. It should be considered in every hospital to engage a dedicated
trained health care profesional willing to give smoking cessation
……to be continued
1.We did a proposal in Belgium to fill out a short smoking cessacion
questionnaire by the nurses at any admission for every patient
2.We developed a extended questionnaire about the patients smoking
status and the willingness to quit smoking, to fill out by the smoking
counselor
WEBSITE of the
Belgium association of Respiratory nurses
WWW.BVPV-SBIP.BE