[Effectiveness of therapeutic education against "nicotinophobia" in smokers hospitalized for cardiovascular and pulmonary rehabilitation]

Rev Pneumol Clin. 2018 Sep;74(4):221-225. doi: 10.1016/j.pneumo.2017.11.001. Epub 2018 Mar 2.
[Article in French]

Abstract

Introduction: Nicotine replacement therapies remain the main validated treatment to stop smoking. Nevertheless, treatment acceptance deals with patients negative representations. This "nicotinophobia" could be the main barrier to treatment acceptance and as a consequence would be at the origin of numerous failures of smoking cessation.

Materials and methods: We estimated the efficiency of an educational collective workshop to fight against nicotinophobia in patients smokers hospitalized for cardiovascular and pulmonary rehabilitation.

Results: Smoking cessation was significantly improved in patients who participated at the workshop (81 vs. 48 %), associated with a significant decrease of anxiety-depression scores, and without significant weight gain (average loss of 2.8kg).

Conclusion: Educational approaches seem to help a majority of patient smokers to stop smoking, without anxiety and without weight gain. These results encourage the creation of a real therapeutic educational program dedicated to smoking cessation.

Keywords: Follow-up and rehabilitation; Nicotinophobia; Nicotinophobie; Sevrage tabagique; Smoking cessation; Soins de suite et réadaptation; Therapeutic education; Éducation thérapeutique.

Publication types

  • Clinical Trial

MeSH terms

  • Anxiety Disorders / etiology
  • Anxiety Disorders / prevention & control*
  • Cardiac Rehabilitation*
  • Cardiovascular Diseases / etiology
  • Depression / etiology
  • Female
  • Hospitalization
  • Humans
  • Lung Diseases / etiology
  • Lung Diseases / rehabilitation*
  • Male
  • Middle Aged
  • Patient Education as Topic*
  • Phobic Disorders / etiology
  • Phobic Disorders / prevention & control*
  • Smokers / education*
  • Smoking / adverse effects
  • Smoking / psychology
  • Smoking Cessation / psychology
  • Treatment Outcome