Hospitalization is a unique opportunity for smoking cessation, but there is little evidence for hospitalized people with mental disorder. This study aimed to determine the effectiveness of interventions for smoking cessation that are initiated during hospital stay for the patients with mental disorder.
We undertook a meta-analysis to estimate summary effects on smoking cessation intervention during hospitalization with randomized controlled trials for people with mental disorders. Electronic data was searched in May 2019 for randomized controlled trial using term including (hospital and patient*) or hospitali* or inpatient* or admission* or admitted and Intervention of smoking cessation and (psychia* OR mental*). Two authors extracted data independently for each paper, with disagreement resolved by 3rd researcher. Fixed effects model was used for pooling estimate for smoking cessation after 6months because of homogeneity for the extracted studies.
Three studies with 687 for intervention group and 584 for control group were extracted. Intensive intervention that began during the hospitalization and continued after discharge increased smoking cessation rate after 6months (risk ratio (RR) 1.41, 95% confidence interval (CI) 1.06∼1.87).
Intensive intervention that began during a hospital stay and post discharge therapy promote smoking cessation among the patients with mental disorders.
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This study aimed to compare schizophrenic patients’ and nurses’ perceptions of the stress felt by patients during hospitalization, and to present baseline data on patient-centered nursing.
The subjects were 66 schizophrenic patients and 80 nurses in 11 psychiatric wards in the Chungcheong and Gwangju area. Data were collected using self-report questionnaires and analyzed by descriptive statistics.
The results showed that the level of the patients’ perceived stress was between mild and moderate level (1.56±.56), whereas the level of the nurses’ estimation of patients’ stress (2.05±.42) was higher than patients’ perception. The level of the nurses’ perception of the patients’ stress was significantly higher than that of the patients’ perceived stress in terms of a life with no future, a sense of alienation from family, infringement of basic needs, and the inconvenience of collective life, and very wide variations were found. And both the patients and the nurses reported unfair human rights violation as the greatest stressor.
Psychiatric nurses should provide patients with individualized stress management strategies that focus on stressors and the level of stress perceived by each patient.
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