El papel de la enfermería en la revista Prevención del Tabaquismo / The role of the nursing profession in the Prevención del Tabaquismo journal

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El papel de enfermería en los nuevos retos frente al tabaquismo / The role of the nursing profession in the new challenges facing the smoking habit

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Efectividad de una Intervención Breve sobre motivación antitabáquica en usuarios drogodependientes ingresados en una UHD / Effectiviness of a Brief Intervention on anti-smoking motivation in drug addict patients staying in a UHD

Justificación: Existe una asociación entre tabaquismo y TUS, especialmente con alcohol y cannabis. Sin embargo, las intervenciones sanitarias parecen no ir encaminadas a su enfoque.Objetivo: Evaluar el grado de motivación para el abandono tabáquico tras realizar una intervención psicoeducativa breve sobre abordaje del tabaquismo.Metodología: Se trata de una investigación cuantitativa de tipo analítico cuasiexperimental que se lleva a cabo mediante dos cohortes experimentales, del tipo pre- y post-intervención. Se aplica una intervención breve educativa y se evalúan las diferencias en la motivación para el abandono tabáquico en un grupo antes de la intervención y en otro grupo después de la misma. Resultados: Existe una diferencia de 1,27 puntos en el grado de motivación encontrado en los individuos respecto a los grupos experimentales. Conclusiones: Las personas drogodependientes son fumadoras con altos grados de dependencia nicotínica por lo que es preciso diseñar estrategias de cesación adecuadas

Justification: There is a connection between smoking and substances use disorder, especially alcohol and cannabis. Nevertheless, health interventions seem not to be addressed to this approach. Objective: Evaluation of the motivation degree for the smoking quit after developing a brief psycho-educational intervention on smoking.Methodology: It is a quantitative research of analytical type, almost experimental, developed by means of two experimental series, of the types pre- and post- intervention. A brief educational intervention is applied and there is an evaluation of the differences in the motivation for the smoking quit in a group before the intervention and in another one after the intervention. Results: There is a difference of 1,27 points in the degree of motivation found in the individuals regarding the experimental groups. Conclusions: Drug addict people are smokers with a high degree of nicotinic dependence, so it is necessary to design suitable strategies of quitting

Efecto de una intervención estructurada de enfermería en disminución del hábito tabáquico en mujeres fumadoras / Effect of structured nursing intervention on smoking cessation in smoking women

Introducción: El consumo del tabaco está asociado al incremento de la morbilidad y la mortalidad femenina. Este hábito implica además un deterioro en la calidad de vida relacionada con salud. El propósito de esta investigación fue determinar el efecto de una intervención estructurada que motivara a las mujeres a disminuir el consumo diario de cigarrillos y mejorar su calidad de vida. Método: Diseño experimental con preprueba-postprueba y grupo de control con asignación de los grupos al azar. De 120 personas se homologaron los dos grupos con cinco caracteristicas, se homologó nuevamente la muestra porque respondieron la entrevista en domicilio sólo 64 personas. El grupo intervención estuvo constituido por 10 mujeres entre 18 y 65 años de la región del Bio- Bío, y el grupo control por 20 mujeres. Se aplicó un cuestionario semiestructurado de características sociodemográficas, de test, cuestionarios y escalas que midieron las variables asociadas al consumo, y las orientaciones subjetivas y conductuales, previo consentimiento informado. La intervención estructurada estuvo conformada por: métodos activos de aprendizaje, consejería con énfasis en el fortalecimiento de la percepción de autoeficacia. Resultados: La diferencia de medias en el tiempo y la diferencia de medias entre los grupos (grupo tratamiento y grupo control) es de casi 5 cigarrillos (4,8), esta interacción (tiempo-grupo) resulta a un nivel de significación menor al uno por diez mil.Conclusiones: Esta intervención requiere de reforzamiento periódico hasta lograr la deshabituación tabáquica e incidir en la calidad de vida relacionada con salud de las mujeres con hábito tabáquico

Introduction: Tobacco consumption is associated with an increase in female morbidity and mortality. This habit also implies deterioration in the quality of life related to health. The purpose of this research was to determine the effect of a structured intervention that motivated women to reduce their daily consumption of cigarettes and improve their quality of life.Method: Experimental design with pre-test-post-test and control group with allocation of the groups at random. Out of 120 people, the two groups were approved with five characteristics. The sample was homologated again because the home interview was answered by only 64 people. The intervention group consisted of 10 women between 18 and 65 years old from the Bio-Bio region, and the control group by 20 women. A semi-structured questionnaire with sociodemographic characteristics, test, questionnaires and scales that measured the variables associated with consumption, and subjective and behavioral guidelines, with prior informed consent, was applied. The structured intervention consisted of: active learning methods, counseling with emphasis on strengthening the perception of self-efficacy. Results: The difference of means in time and the difference of means between the groups (treatment group and control group) is of almost 5 cigarettes (4,8). This interaction (time-group) results has a level of significance less than one in ten thousand. Conclusions: This intervention requires periodic reinforcement to achieve smoking cessation and affect the quality of life related to health of women with smoking

Targeting Nicotine Addiction.

Smoking cessation remains a high priority in oncology nursing practice. That priority gained additional visibility in 2014 when the Oncology Nursing Society (ONS) endorsed the tobacco position statement of the International Society of Nurses in Cancer Care, emphasizing the potential for nurses to reduce adult and youth tobacco use.

[The role of the nurse in supporting smoking cessation]. / Le rôle de l'infirmière dans l'aide au sevrage tabagique.

A study was carried out in May 2014 of the first 100 patients who came to seek help to stop smoking in 2013 with the first contact led by a nurse. A mail-questionnaire was sent to this group of patients to evaluate their smoking status and the nurse's first contact organization. Among 34% respondents, 40% had not smoked for at least eight months. Three quarters had found this nursing support useful highlighting the added value of a nurse in supporting first contact in the smoking cessation process.

Impact of a webcast on nurses' delivery of tobacco dependence treatment.

AIMS AND OBJECTIVES: To evaluate an educational programme about nurses' role in tobacco dependence treatment, and its webcast component, on the long-term impact of increasing the frequency of nurses' self-reported changes in practice related to delivery of smoking cessation interventions. BACKGROUND: Healthcare professionals' knowledge about evidence-based tobacco dependence treatment using the 5As framework (Ask about tobacco use, Advise users to quit, Assess willingness to quit, Assist in making a quit plan and Arrange for follow-up, including referral to a quitline) is essential to increase smoking cessation rates in the United States. DESIGN: A 6-month pre-post design. METHODS: A convenience sample of nurses (N = 283) from Kentucky and Louisiana was provided access to the webcast and printed toolkit. Responses from those who completed an online survey at baseline, and at 3 or 6 months postimplementation of the educational programme were included in an analysis of changes in the consistent (always/usually) delivery of the 5As plus referral to the quitline. RESULTS: After 3 months, the intervention had a significant impact on increasing nurses' reports of consistently providing the 5As to patients who smoked, which was largely sustained at 6 months. Nurses who viewed the webcast were three times more likely to refer smokers to a quitline at 3 months; and four times more likely at 6 months than those who did not. CONCLUSIONS: An online educational programme, plus printed toolkit about tobacco dependence treatment increased nurses' delivery of smoking cessation interventions over time. This study provided preliminary evidence that including a webcast in a nurse-targeted educational programme could significantly increase the proportion of nurses who referred smokers to a quitline beyond the benefit of access to printed materials and web-based resources. RELEVANCE TO CLINICAL PRACTICE: Distance learning is a feasible mechanism for enhancing nurses' involvement in tobacco dependence treatment and promoting evidence-based clinical practice.

Associação entre a religiosidade e a cessação do tabagismo em usuários atendidos pela Estratégia Saúide da Família / Association between religiosity and cessation of smoking in users served by family health strategy

O presente estudo teve como objetivo geral investigar a participação da religiosidade como fator associado na cessação do tabagismo em pacientes cadastrados no Programa de Tratamento do Tabagismo na Atenção Básica na modalidade Estratégia Saúde da Família. Para tanto, realizou-se um estudo longitudinal, de caráter descritivo, que utilizou dados de dois diferentes momentos da vida dos participantes. A amostra contou com 100 indivíduos residentes em áreas adscritas às duas unidades básicas de saúde na modalidade Estratégia Saúde da Família, no município do Rio de Janeiro, que realizaram a primeira entrevista para ingresso no Programa de Tratamento do Tabagismo das unidades. A coleta de dados aconteceu através de dados secundários e entrevistas face a face em visitas domiciliares, com informações sobre dados sociodemográficos, história tabagística, cessação do tabagismo, meses em abstinência continuada, dados referentes à participação no grupo de tabagismo e a Escala de Religiosidade da Duke (DUREL). A descrição da amostra se baseou em estatísticas descritivas como frequências simples, valores percentuais e medidas de tendência central; as análises bivariadas se basearam no teste qui-quadrado de Pearson, no teste não paramétrico de Mann-Whitney e na correlação; os dados foram digitados e analisados no programa Statistical Package for the Social Sciences (SPSS, versão 19.0). Dentre as características sociodemográficas relacionadas às dimensões da religiosidade, destacou-se que participantes mais velhos apresentaram maior proporção de alta religiosidade organizacional (p = 0,023); indivíduos com menor renda apresentaram maior proporção de alta religiosidade não organizacional (p = 0,030), assim como os mais velhos (p = 0,019); o sexo feminino (p = 0,019) e viver com parceiro (p = 0,015) mostraram maior proporção de alta religiosidade intrínseca. O presente estudo teve como fatores associados à cessação do tabagismo: o sexo masculino (p = 0,028), a participação nas sessões propostas pelo programa de tabagismo (p = 0,005) e o uso de medicações oferecidas pelo SUS (p = 0,049). Verificou-se que não houve associação estatística entre as dimensões da religiosidade estudadas e a cessação do tabagismo; porém, constatou-se que os indivíduos com maior religiosidade organizacional, não organizacional e intrínseca conseguiram ficar, em média, mais meses sem fumar. Com base em tais resultados, evidencia-se a importância do programa no âmbito do SUS e na atenção primária, assim como a elaboração de novas estratégias para maior acesso, adesão e tratamento da população adscrita às atividades propostas pelo Programa Nacional de Controle do Tabagismo. A religiosidade poderia inserir-se como um facilitador do processo motivacional, no qual profissionais de saúde deveriam utilizá-la como mais um mecanismo para fornecer apoio aos tabagistas.(AU)

Lung Cancer and Tobacco: What Is New?

Lung cancer is the leading cause of cancer death worldwide. Tobacco use remains the single most important preventable cause of cancer and is responsible for 80% of all cases of lung cancer. Implementation of tobacco control measures, including preventing initiation and treating dependence, are pivotal to address the lung cancer epidemic. New evidence continues to emerge on the significant positive impact of incorporating tobacco dependence treatment within all lung cancer treatment protocols. Evidence and guidelines on how to implement these strategies exist and present an opportunity for nurses to make a difference in reducing suffering and preventing deaths from lung cancer.

Prevalência do tabagismo e terapêutica da dependência de nicotina: uma revisão integrativa / Smoking prevalence and of nicotine dependence’s therapeutics: anintegrative review / Prevalencia de tabaquismo y tratamiento de la dependencia a la nicotina: una revisión integradora

Objective: To identify available evidence in the literature on the epidemiological aspects, the approach to the smoker, and therapeutic of nicotine addiction in the population. Method: This is an integrative review carried out in the Health Virtual Library using the following combinations of keywords: “prevalence and smoking,” “dependence and nicotine”, “depression and smoking,” and “smoking cessation.” Results: The results from the sixteen selected articles pointed out: incomplete primary education, low income, early teenage smoking, and higher prevalence and recurrence among women than men. Conclusion: Smoking is more prevalent in women,and women have a higher incidence of relapse after treatment than men. The most widely used therapy was the useof drugs in conjunction with a psychosocial approach and/or cognitive behavioral method. It is necessary to train health professionals to understand the smoking habit as a public health problem to refer individuals to treatment.

Objetivo: Identificar evidências disponíveis na literatura sobre os aspectos epidemiológicos, abordagem do tabagista e terapêutica da dependência da nicotina na população. Método: Trata-se de revisão integrativa realizada na Biblioteca Virtual de Saúde, com as seguintes associações de palavras chave:“prevalência e tabagismo”, “dependência e nicotina”, “depressão e tabagismo” e “abandono do hábito de fumar”. Resultados: Os resultados dos dezesseis artigos selecionados apontaram: ensino fundamental incompleto, baixa renda, início do tabagismo na adolescência, maior prevalência e recidiva entre mulheres. Conclusão: O tabagismo é mais prevalente em mulheres e estas apresentam maior recidiva após o tratamento. A terapêutica mais utilizada foi o uso conjunto de fármacos com a abordagem psicossocial e/ou método cognitivo comportamental. É necessário capacitar os profissionais de saúde para compreender o tabagismo como problema de saúde pública e encaminhar o usuário para tratamento.

Objetivo: Identificar evidencias disponibles en la literatura sobre los aspectos epidemiológicos, abordaje del tabaquista y terapéutica de la dependencia de la nicotina en la población. Método: Se trata de una revisión integradora realizada en la Biblioteca Virtual de Salud, con las siguientes asociaciones de palabras-clave: “prevalencia y tabaquismo”, “dependencia y nicotina”, “depresión y tabaquismo”, y “abandono del hábito de fumar”. Resultados: Los resultados de los dieciséis artículos seleccionados señalaron: enseñanza primaria incompleta, baja renta, inicio del tabaquismo en la adolescencia, mayor prevalencia y recurrencia entre mujeres. Conclusión: El tabaquismo es más frecuente entre mujeres y éstas presentan mayor recurrencia después del tratamiento. La terapéutica más utilizada fue el uso conjunto de fármacos con el abordaje psicosocial y/o método cognitivo comportamental. Es necesario capacitar los profesionales de salud para comprender el tabaquismo como problema de salud pública y encaminar el usuario para tratamiento.

Supporting smoking cessation in older patients: a continuing challenge for community nurses.

Tobacco smoking continues to pose negative health consequences for smokers and their families, and is the single greatest cause of health inequalities in the UK. Older people are particularly vulnerable to the negative health impacts of smoking and therefore, supporting older smokers to quit remains an important public health goal. Community nurses are required to help patients to lead healthier lifestyles and have ideal opportunities to encourage smoking cessation in older people who are affected by smoking-related health conditions, or whose existing conditions may be exacerbated by continued smoking. This paper discusses how community nurses can support their older patients to quit smoking by fostering a patient-centred partnership through good communication and empathy. The newly developed 'Very Brief Advice on Smoking' (VBA) interventions can provide a useful tool for community nurses who experience time constraints to advise older people that psychosocial support with treatment is the most effective method of smoking cessation, while respecting the health decisions of patients.

Implementation of Tobacco Dependence Treatment Programs in Oncology Settings.

OBJECTIVES: To discuss strategies for implementing tobacco dependence treatment in cancer care and the role of oncology nurses. DATA SOURCES: Evidence-based clinical practice guidelines for tobacco dependence treatment, published literature and Web sites. CONCLUSION: There are many benefits of quitting smoking after a diagnosis of cancer. Implementation of tobacco dependence treatment can improve patient outcomes but requires system changes. The electronic health care record, access to telephone quit lines for smoking cessation, resources for providers, and changes in insurance coverage all facilitate the delivery of treatment. IMPLICATIONS FOR NURSING PRACTICE: Oncology nurses can play an important role in championing tobacco dependence treatment in cancer care.

Nicotine and Tobacco Use Prevention among Youth and Families.

OBJECTIVE: To review the importance of and evidence-based strategies to prevent tobacco use and promote tobacco cessation in the pediatric setting. DATA SOURCES: Literature review of evidence-based resources on tobacco use and prevention/cessation interventions in the pediatric/adolescent population. CONCLUSION: Knowledge of the impact of tobacco use on cancer risk, second- and third-hand smoke carcinogenesis, and newer methods of tobacco delivery is necessary to select appropriate and effective prevention and cessation strategies. IMPLICATIONS FOR NURSING PRACTICE: Systematic evaluation of both parents and children for tobacco use can identify patients that will benefit from tobacco cessation interventions. Patients and families need education and support so they can make good decisions and adhere to recommendations for prevention and cessation of tobacco use.

Nurses' Attitudes toward Intervening with Smokers: Their Knowledge, Opinion and E-Learning Impact.

BACKGROUND: Numbering about 90,000, nurses represent the largest group of health care providers in the Czech Republic. Therefore, nurses can make a significant impact in the treatment of tobacco dependence, particularly in applying brief interventions to smokers. METHODS: During 2014, 279 nurses from the Czech Republic participated in an e-learning education programme consisting of two Webcasts with additional web-based resources about smoking cessation in relation to health and treatment options in daily clinical practice, particularly regarding brief intervention methods. Before viewing the e-learning programme, and three months after viewing it, the nurses completed a questionnaire documenting their interventions with smokers and their knowledge, attitudes and opinions regarding nurses' roles in smoking cessation. RESULTS: The responses in all of the following categories significantly improved: usually/always asking patients about smoking from 58% to 69% (OR 1.62, CI=1.14-2.29, p=0.007); recommendations to stop smoking from 56% to 66% (OR 1.46, CI=1.03-2.06, p=0.03); assessing willingness to quit from 49% to 63% (OR 1.72, CI=1.23-2.42, p=0.002); assisting with cessation from 21% to 33% (OR 1.85, CI=1.26-2.71, p=0.002); and recommending a smoke-free home from 39% to 58% (OR 2.16, CI=1.54-3.04, p<0.001). The increase in arranging follow-up from 7% to 10% did not constitute a statistically significant improvement, however, this finding is understandable in relation to the status of nurses in the Czech Republic. However, nurses' confidence in helping smokers to quit smoking, their senses of responsibility and determining the appropriateness of these interventions remains inadequate. CONCLUSION: The nurses' brief intervention skills improved significantly after the completion of the e-learning programme, even though reservations remain among this group. The systematic education of nurses aimed at smoking cessation intervention and analyzing their motivation for treatment may contribute to improved nursing care, and thus lead to a reduction of smoking prevalence in the general population.

Trabalho noturno e hipertensão arterial em profissionais de enfermagem do município de Belo Horizonte / Night work and hypertension among professionals nursing of Belo Horizonte city

Trata-se de estudo transversal desenvolvido com amostra probabilística de 297 profissionais de enfermagem da rede municipal de saúde de Belo Horizonte, Minas Gerais, Brasil, entre setembro de 2008 e janeiro de 2009. O objetivo foi analisar a associação entre a exposição ao trabalho noturno e hipertensão arterial (HA). A exposição ao trabalho noturno foi mensurada com base na resposta à pergunta: Você trabalha no turno noturno? Nunca, raramente, às vezes e sempre. Para análise, as categorias foram agrupadas em não (nunca) e sim (raramente, às vezes e sempre). A HA foi identificada pelo autor relato de diagnóstico médico da doença ou uso de medicação anti-hipertensiva. Razões de Prevalência (RP) de HA e seus respectivos Intervalos de Confiança de 95% (IC 95%) foram ajustados pela técnica de regressão multivariada de Poisson. Os participantes foram classificados segundo a exposição ao trabalho noturno em não (75,8%) e sim(24,2%). A HA foi diagnosticada em 21,2%. A exposição ao trabalho noturno se associou independentemente à HA após o ajuste multivariado dos dados (RP = 1,76; IC 95% = 1,01-3,11; p = 0,048). Portanto, nossos resultados devem ser considerados na formulação de políticas públicas que envolvam a promoção da saúde de profissionais de enfermagem

This was a cross-sectional study developed using a probabilistic sample of 297 nursing professionals in the municipal healthcare system of Belo Horizonte, Minas Gerais State, Brazil, between September 2008 and January 2009. The aim was to analyze the association between exposure to night work and hypertension among nursing professionals. Exposure to night work was measured based on responses to the question: Do you work in the night shift? (never, rarely, sometimes, always). For the analysis, the categories were grouped as no (never) and yes (rarely, sometimes, always). Hypertension was identified through self-reporting of medical diagnosis of the disease or use of antihypertensive medication. Prevalence ratios (PR) for hypertension and their respective 95% confidence intervals (95% CI) were adjusted using Poisson's multivariate regression technique. The participants were classified according to exposure to night work as no (75.8%) and yes (24.2%). Hypertension was diagnosed in 21.2%. Exposure to night work was associated independently with hypertension after multivariate adjustment of the data (Prevalence Ratio = 1.76; 95% CI = 1.01-3.11; p = 0.048). Therefore, our results should be taken into consideration in formulating public policies that involve health promotion among nursing professionals.

Fatores de risco para doenças crônicas não transmissíveis em universitários / Risk factors for chronic noncommunicable diseases in university students

Estudo transversal cujo objetivo foi identificar a frequência de fatores de risco para doenças crônicas não transmissíveis em 206 acadêmicos de Enfermagem de uma instituição pública de ensino superior do Piauí. Os dados foram coletados por meio de um formulário, além de medidas antropométricas e de pressão arterial. Realizou-se análise estatística por meio do teste de Pearson Chi-Square, com nível de significância em 5%. Da amostra, 75,2% eram mulheres, média de idade de 21,38 anos; 53,4% se declararam pardos; 95,6% solteiros; e 51% não moravam com a família; 87,4% pertencem às classes econômicas B e C. Verificou-se que 21,8% estavam com excesso de peso; 163 (79,1%) eram sedentários e apenas 3% fumantes. A obesidade central foi encontrada em 23,8% dos universitários, commaior proporção entre as mulheres. A frequência no consumo de bebida alcoólica e os níveis pressóricos elevados foram de 51,9% e9,7%, respectivamente, sendo ambas as variáveis maiores entre os homens. Considerando o conhecimento desses fatores de risco no grupo estudado, ressalta-se a necessidade de ações efetivas, tais como controlar o peso corporal e o uso do álcool, estimular a prática de atividade físicae controlar os níveis pressóricos.

Cross-sectional study aimed to identify the frequency of risk factors for chronic diseases in 206 nursing students of a public institution of higher education in Piauí. Data were collected through a form, as well as anthropometric measurements and blood pressure. Statistical analysis was performed using the Pearson Chi-Square test, with significance level of 5%. Most study individuals were women (75.2%); the mean age was 21.38 years; 53.4% stated they were browns; 95.6% were single; 51% did not live with the family; 87.4% are economically included in classes B and C. It was found that 21.8% were overweight; 163 (79.1%) were inactive; and only 3% were smokers. Central obesity was found in 23.8% of university students, with a higher proportion among women. The frequency of alcohol consumption and high blood pressure was 51.9% and 9.7%, respectively, and both variables were higher for men. Considering the knowledge of these risk factors we emphasize the need for more effective actions to control these factors in the study group, such as, controlling body weight and alcohol use, encouraging physical activity; and controlling blood pressure values.

Fatores associados à internação hospitalar em clientes com doenças crônicas / Factors associated with hospital admission in patients with chronic diseases

Objetivou-se descrever o perfil de clientes adultos e idosos hospitalizados por agravamento de uma DCNT. Estudo descritivo e transversal, com abordagem quantitativa, realizado nos meses de janeiro e março de 2012 com 60 adultos e idosos nas enfermarias de clínica médica feminina e masculina de um Hospital Universitário, no Estado do Rio de Janeiro. Para a coleta de dados, foram utilizados dois instrumentos: um para as variáveis sociodemográficas e outro para avaliar os hábitos de vida considerados inadequados para as DCNT. Os dados foram organizados em tabelas com distribuição de frequências absolutas e relativas. A maioria dos participantes erado sexo masculino (58,33%). A faixa etária predominante era de 61 a 70 anos (25%). Quanto ao perfil antropométrico e os hábitos de vida considerados inadequados, 66,7% estavam com sobrepeso, 50% eram etilistas, 26,7% tabagistas e 78,3% sedentários. A hospitalização constitui um momento importante para o enfermeiro fornecer informações sobre o controle da doença crônica, pois elas apresentam etiologia multifatorial.

The aim is to describe the profile of adult and elderly patients hospitalized for aggravation of NCD. A descriptive and cross sectional study with quantitative approach, carried out in the months of January and March 2012 with 60 adultsand elderly inpatients in the general medical male and female wards of a University Hospital in the State of Rio de Janeiro. Two instruments were used for data collection: one for the socio-demographic variables and other to evaluate the habits of life considered inappropriate to the NCD. The data were organized into tables with absolute and relative frequency distribution. Most of the participants were male (58.33%). The prevailing age group ranges from 61 to 70 years (25%). As for the anthropometric profile and habits of life considered inappropriate, 66.7% were overweight, 50% were drinking, 78.3% smokers and 26.7% sedentary. Hospitalization constitutes an important moment so the nurse may provide information on chronic disease control, since they present multifactorial etiology and improper living habits will be subject to modification.

The meaning of smoking for patients with mental disorder.

When patients smoke cigarettes in psychiatric services, it brings to the forefront current ethical and political dilemmas. This study aims to explore the meaning attributed to smoking by mental health patients who smoke and who are hospitalized in a psychiatric ward of a general hospital. This qualitative descriptive study was conducted with 96 smokers who were hospitalized in a psychiatric ward in Brazil. Semi-structured interviews, test of nicotine dependence, and content thematic analysis were carried out. The results show that tobacco has an important role in the lives of psychiatric patients. The meanings they attribute to tobacco use are related to overcoming difficulties that are consequential of mental disorders and of side effects caused by their treatments.

La visión de enfermería en la intervención del tabaquismo / The view of nursing in smoking cessation intervention

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