A retrospective analysis of the association between providing nicotine replacement therapy at admission and motivation to quit and nicotine withdrawal symptoms during an inpatient psychiatric hospitalization

Okoli, Chizimuzo T.C.; Al-Mrayat, Yazan D.; Shelton, Charles; Khara, Milan

doi:10.1016/j.addbeh.2018.06.005

Cited by 8 publications

(11 citation statements)

References 44 publications

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“…Yoğun sigara içme isteği ile kişi yoksunluk semptomları ile mücadale etmede başarısız olabilmektedir. 7,16,20,21 Okoli ve arkadaşlarının yaptığı çalışmada, %65,1 ile sigara içme arzusu en sık izlenen yoksunluk semptomudur. Aynı çalışmada sinirlilik ve öfke hali %14,9 ile ikinci sırada, anksiyete %14,1 ile üçüncü sırada bildirilmiştir.…”

Section: Discussionunclassified

“…Aynı çalışmada sinirlilik ve öfke hali %14,9 ile ikinci sırada, anksiyete %14,1 ile üçüncü sırada bildirilmiştir. 21 Ülkemizde yapılan bir çalışmada da sigara içme arzusu %32,5, sinirlilik %29,2 ve iştah artışı %9,2 ile sigara bırakma deneyimlerinde nükse neden olan en etkili yoksunluk semptomları olarak belirtilmiştir. 22 Aşırı sigara içme arzusu nikotinin hem fiziksel hem de psikolojik etkileri ile ilişkili olarak ortaya çıkar.…”

Section: Discussionunclassified

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The Effect of Psychological Dependence on Smoking Urge and Nicotine Withdrawal Symptoms

Hezer

Karalezli

2019

Ankara Medical Journal

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Bu çalışmanın amacı, nikotine psikolojik bağımlılığın sigara içme arzusu ve nikotin yoksunluk semptomları üzerine etkisini araştırmaktır. Materyal ve Metot: Bu kesitsel çalışmaya, Nisan 2018-Ağustos 2018 tarihleri arasında Göğüs Hastalıkları Kliniği Sigara Bırakma Polikliniği'ne başvuran olgular alındı. Çalışmaya katılmayı kabul eden nikotin bağımlılarına sosyodemografik veri formu, Sigaranın Psikolojik Bağımlılığının Değerlendirilmesi Testi (SPBDT), Fagerström Nikotin Bağımlılık Testi (FNBT) yönlendirildi. Olguların ekspiryum havasında karbonmonoksit ölçümü yapıldı ve sigara bırakma girişimleri esnasında yaşadıkları nikotin yoksunluk semptomları sorgulandı. Başvuru günü üç saatlik nikotin yoksunluğu sonrası Sigara İçme Arzusu Ölçeği (SİAÖ) uygulandı. Bulgular: Çalışmaya dahil edilen 130 olgunun 48'i kadın (%37,69), 82 'si erkekti (%63,07). Tüm olguların yaş ortalaması 38,91±11,30 olup, cinsiyete göre gruplandırıldıklarında sigarayı ilk deneyimleme yaş dağılımları benzer bulundu (p=0.405). En sık karşılaşılan iki nikotin yoksunluk semptomu ise %66,15 ile aşırı sigara içme isteği ve %58,46 ile sinirlilik, öfke hali idi. SPBDT ile SİAÖ arasında da pozitif, orta doğrusal ilişki bulundu (r= 0,545, p<0,001). Nikotin yoksunluk semptomlarından aşırı sigara içme isteği ile SİAÖ arasında ise orta düzeyde korelasyon saptandı (r= 0,466, p<0,001). Sonuç: Sigara içme arzusu nedeniyle zararları bilinmesine rağmen; sigarayı bırakabilmek oldukça zor bir süreçtir. SPBDT ve SİAÖ'nün sigara bırakma polikliniklerinde kullanılması ile sigara içme arzusu yüksek olan hastalar erken aşamada belirlenip, bu olgulara yönelik ek farmakolojik ve davranışsal tedavi yöntemleri seçilerek tedavi başarısı artırılabilir.

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Section: Discussionunclassified

The Effect of Psychological Dependence on Smoking Urge and Nicotine Withdrawal Symptoms

Hezer

Karalezli

2019

Ankara Medical Journal

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“…We included data from the records of tobacco-using psychiatric patients, 18 years of age and older, who engaged in the TT services during the specified time period. The original study examined the relationships among the provision of NRT at admission, patients’ motivation to quit smoking, and NW severity (Okoli, Al-Mrayat, Shelton, & Khara, 2018). The University of Kentucky’s Medical Institutional Review Board approved this study (exemption certification for Protocol No.…”

Section: Methodsmentioning

confidence: 99%

“…We included these covariates for control in the regression model due to previous reports in the literature of their association with NW. Specifically, the duration of hospitalization is a significant correlate of tobacco use in this population (Okoli & Seng, 2019), the administration of NRT is associated with lower NW severity scores among patients with SMI during hospitalization (Okoli et al, 2018), and African American patients with SMI have higher NW severity compared to their Caucasian counterparts (Soyster et al, 2016). Lastly, patients with different SMI diagnoses have varying probabilities of being diagnosed with NW syndrome (Smith, Homish, et al, 2014).…”

Section: Methodsmentioning

confidence: 99%

The Psychometric Properties of the Minnesota Tobacco Withdrawal Scale Among Patients With Mental Illness

Al-Mrayat

Okoli

Studts

et al. 2019

Biological Research For Nursing

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Background and Objectives: Approximately 65% of psychiatric inpatients experience moderate-to-severe nicotine withdrawal (NW), a set of symptoms appearing within 24 hr after an abrupt cessation or reduction of use of tobacco-containing products in those using nicotine daily for at least a couple of weeks. The Minnesota Tobacco Withdrawal Scale (MTWS) is a widely used instrument for detecting NW. However, the psychometric properties of the MTWS have not previously been examined among patients with serious mental illness (SMI) undergoing tobacco-free hospitalization. The objective of this study was to examine the validity and reliability of the MTWS among patients with SMI during tobacco-free psychiatric hospitalization. Methods: Reliability was tested by examining Cronbach’s α and item analysis. Validity was examined through hypothesis testing and exploratory factor analysis ( N = 255). Results: The reliability analysis yielded a Cronbach’s α coefficient of .763, an inter-item correlations coefficient of .393, and item-total correlations between .291 and .691. Hypothesis testing confirmed the construct validity of the MTWS, and an exploratory factor analysis yielded a unidimensional scale. Conclusion: The MTWS demonstrated adequate reliable and valid psychometric properties for measuring NW among patients with SMI. Nurses and other health-care professionals may use this instrument in clinical practice to identify patients with SMI experiencing NW. The MTWS is psychometrically sound for capturing NW during tobacco-free psychiatric hospitalization. Future research should examine the efficacy of the MTWS in measuring NW in this population over an extended period of hospitalization.

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“…12,13 Some studies have reported that smoking desire and negative affect increase the risk of relapse. 13,14 In addition, it has been shown that sensory perception is effective in negative effects such as anxiety, depression, and hopelessness. 15 Fatigue of individuals in the cessation process causes stress and increased anxiety.…”

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confidence: 99%

Identification of the relationship between nicotine dependence levels and cessation fatigue

Bakan

Aktaş

Aslan

2020

Perspect Psychiatr Care

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Purpose: This study aims to identify the relationship between nicotine dependence levels and cessation fatigue. Design and Methods: This descriptive study was conducted in a city located in the eastern part of Turkey between December 2019 and March 2020. The sample consisted of 107 students who met the research criteria. Data were collected using the sociodemographic form, the Fagerstrom test for nicotine dependence test, and the cessation fatigue scale (CFS).Findings: The CFS mean score was found to be significantly higher in women and in those who had high and very high nicotine dependence levels (p < 0.05). A positive and statistically significant relationship was found between cessation fatigue and nicotine dependence (p < 0.001). In addition, relationships were also found between cessation fatigue and variables, such as age, age of starting to smoke regularly, age of trying smoking for the first time, and the number of cigarettes smoked daily (p < 0.05).Practice Implications: This study detected a relationship between smoking cessation fatigue, and nicotine dependence. Studies have revealed that nursing practices on the struggle against smoking are effective. A better understanding of these processes could support nursing practices development.

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A retrospective analysis of the association between providing nicotine replacement therapy at admission and motivation to quit and nicotine withdrawal symptoms during an inpatient psychiatric hospitalization

Cited by 8 publications

References 44 publications

The Effect of Psychological Dependence on Smoking Urge and Nicotine Withdrawal Symptoms

The Effect of Psychological Dependence on Smoking Urge and Nicotine Withdrawal Symptoms

The Psychometric Properties of the Minnesota Tobacco Withdrawal Scale Among Patients With Mental Illness

Identification of the relationship between nicotine dependence levels and cessation fatigue

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