Why the study?
What factors are associated with continued smoking in Lebanese patients hospitalized with acute coronary syndrome?
What factors are associated with continued smoking in Lebanese patients hospitalized with acute coronary syndrome?
Despite high initial intentions to quit, the majority of Lebanese ACS patients continue smoking at 1 year, with persistent smoking driven by low self-efficacy and higher depression.
Persistent smoking common despite quit intentions in Lebanese ACS; hypothesis-generating for targeting self-efficacy and depression.
BACKGROUND: Smoking in patients with acute coronary syndrome (ACS) increases their risk for recurrent events and death. OBJECTIVES: The aim of this study was to describe the smoking trajectory among patients hospitalized with ACS and associated factors. METHODS: Forty patients with ACS who were smokers were interviewed in the hospital about smoking history, nicotine dependence, depression, self-efficacy, and social support. Phone interviews at 1, 3, 6, and 12 months after discharge assessed smoking status and related factors. RESULTS: Most patients (≥80%) were middle-aged married men, with high nicotine dependence (52.5%) and low self-efficacy for smoking cessation (mean [SD], 38.3 [27.19]) at baseline. Although 85% intended to quit after discharge, 62.5% continued smoking after 1 year. Persistent smoking was associated with lower self-efficacy (P < .01) and higher depression (P = .025). CONCLUSION: Smoking cessation intervention must start in the hospital and continue for 6 months. The program must target self-efficacy, manage depression, and involve the patient's family.
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Noureddine et al. (2018) studied this question.
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