Quitting smoking before surgical interventions and its relationship to health literacy

Yıl 2019, Cilt: 5 Sayı: 2, 244 - 249, 04.03.2019

Seyda Efsun Özgünay , Hakan Demirci , Şermin Eminoğlu Seyhan Dülger , Canan Yılmaz , Derya Karasu , Özlem Şengören Dikiş

https://doi.org/10.18621/eurj.418313

Cited By: 1

Öz

Objectives: The aim of our study was to evaluate the effect of
health literacy (HL) level and smoking dependence of patients on their
compliance with advice given by the physicians in anesthesia polyclinics on
giving up smoking.

Methods: This prospective study included 165 smokers. HL was
evaluated by The European Health Literacy (HLS-EU). Nicotine dependence was
measured by Fagerstrom test for nicotine dependence (FTND). Patients were
advised not to smoke and their carbon monoxide levels in expired air were
measured before on the operation day.

Results: The number of patients
smoking on the day of surgery was significantly higher among females (p = 0.001). While the HL was lower, the
FTND scores (p = 0.006), daily
cigarette consumption (p < 0.001)
and years of cigarette smoking (p = 0.002)
were found to be significantly higher. Fewer number of days between the
polyclinic interview and the surgery date were positively correlated with
compliance with the advice to give up smoking (p = 0.011).

Conclusions: Since the number of
patients continuing to smoke cigarettes was high, it was concluded that verbal
advice on giving up smoking is not enough and that other more effective
measures are needed to ensure patient compliance. The reminder of 'quit
smoking' on the day very close to the surgery may help more patients to stop
smoking on that day. 

Anahtar Kelimeler

Health literacy, anesthesiologist, smoking, verbal advice, Fagerstrom test for nicotine dependence

Kaynakça

• [1] Krzych-Falta E, Modzelewska D, Samolinski B. Levels of carbon monoxide in healty active and passive smokers. Przegl Lek 2015;72:99-102.
• [2] World Health Organization, WHO updates fact sheet on tobacco 2017 May 16. http://www.who.int/mediacentre/factsheets/fs339/en/.
• [3] Lee SM, Landry J, Jones PM, Buhrmann O, Morley-Forster P. The effectiveness of a perioperative smoking cessation program: a randomized clinical trial. Anasth Analg 2013;117:605-13.
• [4] Myers K, Hajek P, Hinds C, McRobbie H. Stopping smoking shortly before surgery and postoperative complications: a systematic review and meta-analysis. Arch Intern Med 2011;171:983-9.
• [5] Ozgunay SE, Karasu D, Dulger S, Yilmaz C, Tabur Z. Relationship between cigarette smoking and the carbon monoxide concentration in the exhaled breath with perioperative respiratory complications. Rev Bras Anestesiol 2018. doi: 10.1016/j.bjane.2018.02.003.
• [6] Meka AP, Okoro U, Jaffe TA, Cron D, Semaan DZ, Hwang C, et al. What should preoperative clinics do to optimize patients for major surgery? Michigan J Med 2016;78-87.
• [7] Zaballos M, Canal MI, Martínez R, Membrillo MJ, Gonzalez FJ, Orozco HD, et al. Preoperative smoking cessation counseling activities of anesthesiologists: a cross-sectional study. BMC Anesthesiology 2015;15:60.
• [8] Okyay P, Abacıgil F. Türkiye sağlık okuryazarlığı ölçekleri güvenilirlik ve geçerlilik çalışması. Avrupa sağlık okuryazarlığı ölçeği Türkçe uyarlaması (ASOY-TR). Mayıs 2016;24-41.
• [9] Goggins K, Wallston KA, Mion L, Cawthon C, Kripalani. What patient characterstics influence nurses' assesment of health literacy? J Health Commun 2016;21:105-8.
• [10] Sorensen K, Van den Brocke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. (HLS EU) Consortium Health Litteracy Project European. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health 2012;25;12-80.
• [11] Inoue M, Miyako Takahashi M, Kai I. Impact of communicative and critical health literacy on understanding of diabetes care and self-efficacy in diabetes management: a cross-sectional study of primary care in Japan. BMC Fam Pract 2013;14:40-8.
• [12] Chu IC, Tseng ACC. A survey of how patient-perceived empathy affects the relationship between health literacy and the understanding of information by orthopedic patients? BMC Public Health 2013;13:155.
• [13] Carrara A, Schulz PJ. The role of health literacy in predicting adherence to nutritional recommendations: A systematic review. Patient Educ Couns 2018;101:16-24.
• [14] Von Wagner C, Steptoe A, Wolf MS, Wardle J. Health literacy and health actions: a review and a framework from health psychology. Health Educ Behav 2009;36:860-77.
• [15] Williams MV, Davis T, Parker RM, Weiss BD. The role of health literacy in patient-physician communication. Fam Med 2002;34:383-9.
• [16] Hoover DS, Wetter DW, Vidrine DJ, Nguyen N, Frank SG, Li Y, et al. Enhancing smoking risk communications: the influence of health literacy and message content. Ann Behav Med 2018;52:204-15.
• [17] Stewart DW, Reitzelb LR, Correa-Fernándeza V, Canoa MÁ, Adamsc CE, Caoa Y, et al. Social support mediates the association of health literacy and depression among racially/ethnically diverse smokers with low socioeconomic status. J Behav Med 2014;37:1169-79.
• [18] Stewart DW, Adams CE, Cano MA, Correa-Fernández V, Li Y, Waters AJ, et al. Associations between health literacy and established predictors of smoking cessation. Am J Public Health 2013;103:e43-9.
• [19] Heatherton T, Kozlowski LT, Frecker RC, Fagerströme KO. The Fagerström test for nicotine dependence: a revision of the Fagerström tolerance questionnaire. Br J Addict 1991;86:1119-27.
• [20] Eckman MH, Wise R, Leonard AC, Dixon E, Burrows C, Khan F, et al. Impact of health literacy on outcomes and effectiveness of an educational intervention in patients with chronic diseases. Patient Educ Couns 2012;87:143-51.
• [21] Garcia-Marcinkiewicz AG, Long TR, Danielson DR, Rose S. Health literacy and anesthesia: patients' knowledge of anesthesiologist roles and information desired in the preoperative visit. J ClinAnesth 2014;26:375-82.
• [22] Johnson VR, Jacobson KL, Gazmararian JA, Blake SC. Does social support help limited-literacy patients with medication adherence? A mixed methods study of patients in the Pharmacy Intervention for Limited Literacy (PILL) Study. Patient Educ Couns 2010;79:14-24.