Is there difference between smokers and non-smokers admitted to a psychiatric hospital?
DOI:
https://doi.org/10.11606/issn.1806-6976.smad.2024.217682Keywords:
Tobacco Use Disorder, Psychiatric Hospitals, Mental Health, Psychiatric NursingAbstract
Objective: comparing the clinical profile, hospital indicators and psychiatric complications between smokers and non-smokers admitted to a psychiatric hospital. Methodology: this was a cross-sectional epidemiological study of the medical records of 573 patients admitted to a psychiatric hospital that complied with the smokefree law. Descriptive statistics, Fisher’s exact test and Mann-Whitney test was used. Results: of the 573 participants, 48% were smokers. The average age was 42.7 years. Smoking was more prevalent among those diagnosed with psychotic disorders (48.4%), those who used only first-generation antipsychotics (49.4%) and higher dosages of psychotropic drugs. The highest proportions of involuntary or court-ordered admissions occurred among smokers. The average number of attempted escapes, episodes of aggression and procedures to manage them was not high (ranging from 0.2 to 1.3 among smokers and from 0.1 to 0.9 among non-smokers). Conclusion: the data showed that smokers were more resistant to being hospitalized in a smoke-free environment. Although smoking cessation in this population is a challenge, neglecting it means devaluing the lives of people with mental disorders. Nurses and other professionals should be encouraged to discuss the scientific evidence about smoking in the psychiatric population.
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