Clinical Outcome of Pharmaceutical Care for Smoking Cessation in Chatturat Hospital
รหัสดีโอไอ
Creator Panee Chaijandee
Title Clinical Outcome of Pharmaceutical Care for Smoking Cessation in Chatturat Hospital
Contributor Sunee Lertsinudom
Publisher Faculty of Pharmaceutical Sciences KKU MSU UBU
Publication Year 2559
Journal Title Isan Journal of Pharmaceutical Sciences
Journal Vol. 12
Journal No. 3
Page no. 24-34
Keyword smoking cessation, pharmacist, hospital, clinical outcomes
URL Website https://tci-thaijo.org/index.php/IJPS
Website title Isan Journal ofPharmaceutical Sciences, IJPS
ISSN 19050852
Abstract Smoking cessation can reduce morbidity and mortality due to the risk of smoking-related diseases.The objective of this study was to investigate on clinical outcome of pharmaceutical care for smoking cessation in Chatturat Hospital. Methods In a prospective, quasi experiment study, smokers were screened for willingness to quit smoking in Chatturat Hospital on September 2015 - March 2016. Data were collected during face-to-face and telephone counseling which continuingly following for a period of at least 6 months. The primary screenings included nicotine dependence and number of cigarettes smoked per day. Level of carbon monoxide (CO) in exhalation, percentage of peak expiratory flow rate (%PEFR) was measured at baseline in week 1, 2, 4, 8, 12 and 24 respectively. Results A total of 72 smokers were recruited in the study. All of these were men, the mean age was 47.38 years (SD=10.85). The result revealed that all subject smoked 20 cigarettes per day (SD=9.70) for 27.15 years (SD=10.15). At week 24, mean number of cigarettes per day was decreased significantly from baseline (from 20(SD=9.70) to 4(SD=6.33); p<0.001). Mean Fagerstrom scores were decreased significantly from baseline (from 6.00(SD=2.00) to 0.00(SD=1.58); p<0.001). At week 24, continuous abstinence rate was 43.06%. The similar declining was observed with CO (from 14.50(SD=9.11), 8(SD=12.45)ppm; p<0.001).Mean % PEFR was increased from 72.09(SD=16.86) to 82.24(SD=17.21); p<0.001. Number of smokers who had %PEFR less than 80% at baseline were significantly improved at the end of study (from 66.67% to 41.67%; p<0.001) and mean Framingham 10 - year risk scores significantly lower than baseline (from 16.80(SD=8.34) to 10.30(SD=5.12); p<0.05). Conclusions Pharmacists can provide stop smoking effectively. The smokers can quit smoking and lung function improves so pharmacists should be having the role with a multidisciplinary team to provide pharmaceutical care in smoking cessation in hospital.
Faculty of Pharmaceutical Sciences, Khon Kaen University

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