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Smoking-Cessation Interventions for Hospitalized Patients with Mental Disorder: Systemic Review and Meta-Analysis
Korean J Stress Res 2019;27:298-303
Published online December 31, 2019
© 2019 Korean Society of Stress Medicine.

Jun Hyung Lee , Eon Sook Lee

Department of Family Medicine, Ilsan-Paik Hospital, College of Medicine, Inje University, Goyang, Korea
Correspondence to: Eon Sook Lee
Department of Family Medicine, Ilsan-Paik Hospital, College of Medicine, Inje University,170 Juhwa-ro, Ilsanseo-gu, Goyang 10380, Korea
Tel: +82-31-910-7115
Fax: +82-31-910-7024
E-mail: leejeny@paik.ac.kr
Received August 19, 2019; Revised December 4, 2019; Accepted December 5, 2019.
Articles published in stress are open-access, distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: 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.
Methods: 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.
Results: 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).
Conclusions: Intensive intervention that began during a hospital stay and post discharge therapy promote smoking cessation among the patients with mental disorders.
Keywords : Smoking cessation, Hospitalization, Mental disorders, Meta-analysis


December 2019, 27 (4)

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