]>
IRCT2014071518499N1 IRCT 2014-10-06 Tehran University of Medical sciences Vice chancellor for research Effect of Nicotine and Consulting on smoking cessation and pulmonary indexes in patients candidate for heart surgery Comparison of Nicotine Replacement Therapy (NRT) and Nursing consulting on smoking cessation and Spiro metric indexes of smokers candidate for Coronary Artery Bypass Graft (CABG) 2014-08-06 anticipated 60 Complete https://irct.ir/trial/16764 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. N/A Smokers Candidate for Coronary artery Bypass Graft surgery (CABG). Intervention 1: In NRT group, at the beginning of participation, researcher will explain instructions and dosage of using nicotine gums for patients and their family. Then we will give patients two boxes of gums till the time of surgery, which contain 30 gums in each box and each gum, provide 2mg nicotine. During hospitalization days which are near one week, we will use nicotine patches. Each patch is for daily use and contains 17.5 mg nicotine. After that on the time of discharge, two other boxes of gums will be given to them for their demands on non-hospitalization days. This dosage has approved by experts of cessation center and physicians. (Since hospitalization and postoperative conditions may cause some limitations for using nicotine gums, it's better to use patches instead, in these days which are better for observing amount of NRT that has been used). We will give participants a phone number for contact to researcher and report their allergic reactions, and other problems which make them unable to cooperate with study and also for extra questions. Intervention 2: In consulting group, intervention will be accomplished by phone-consulting (in 10-15 minutes duration each time) and 3 times a week, in non-hospitalization days. (For hospitalization days consults will do in presence). Consults will be done in organized and scheduled method. At the beginning, researcher will examine patients and their family needs for consulting. After that, in each telephone contacts according to their needs, researcher will explain for them, smoking risk factors, cessation benefits, cessation withdrawal symptoms and ways to encounter with them. Researcher also will assess participants' trends for quit smoking, stresses and problems that they encounter with about quitting, then will try to persuade them for cessation and try to remain on it. Also we will give a phone number to participants for contact researcher if necessary.
public Fateme Bakhshi
School of Nursing and Midwifery, Tehran University of Medical Sciences, Dr. Mirkhani St., (East Nosrat) , Tohid Sq.
Tehran Iran (Islamic Republic of) 1419733171 +98 35 1620 4053 f_bakhshi@razi.tums.ac.ir Tehran University of medical Sciences- School of Nursing and Midwifery scientific Dr. Shokooh Varaei
School of Nursing and Midwifery, Tehran University of Medical Sciences, Dr. Mirkhani St., (East Nosrat) , Tohid Sq.
Tehran Iran (Islamic Republic of) 1419733171 +98 21 6692 7171 shvaraei@sina.tums.ac.ir Tehran University of medical Sciences- School of Nursing and Midwifery Iran (Islamic Republic of) Inclusion Criteria: 1. Age 18 years or more 2. Patients tend to have quit smoking 3. Candidates of CABG surgery 4. Non-emergency CABG surgery 5. Smoking addiction 6. No history of mental disorder or having psychologically Cooperation 7. Not allergic to nicotine patches and gum 8. Ability to properly use of nicotine patches 9. Non-use of other cessation forms 10. Have no Addiction to alcohol and other drugs 11. Not having acute or severe respiratory disorders Exclusion Criteria: 1. Occurrence of unstable medical conditions and inability to continue cooperation in the study. 2. Refuse cooperation in study or continue smoking during the study period 3. Conflict to other postoperative complications in such a way that makes it impossible to continue study participation 18 years 80 years Both I25.1 Atherosclerotic heart disease Treatment - Drugs Behavior In NRT group, at the beginning of participation, researcher will explain instructions and dosage of using nicotine gums for patients and their family. Then we will give patients two boxes of gums till the time of surgery, which contain 30 gums in each box and each gum, provide 2mg nicotine. During hospitalization days which are near one week, we will use nicotine patches. Each patch is for daily use and contains 17.5 mg nicotine. After that on the time of discharge, two other boxes of gums will be given to them for their demands on non-hospitalization days. This dosage has approved by experts of cessation center and physicians. (Since hospitalization and postoperative conditions may cause some limitations for using nicotine gums, it's better to use patches instead, in these days which are better for observing amount of NRT that has been used). We will give participants a phone number for contact to researcher and report their allergic reactions, and other problems which make them unable to cooperate with study and also for extra questions. In consulting group, intervention will be accomplished by phone-consulting (in 10-15 minutes duration each time) and 3 times a week, in non-hospitalization days. (For hospitalization days consults will do in presence). Consults will be done in organized and scheduled method. At the beginning, researcher will examine patients and their family needs for consulting. After that, in each telephone contacts according to their needs, researcher will explain for them, smoking risk factors, cessation benefits, cessation withdrawal symptoms and ways to encounter with them. Researcher also will assess participants' trends for quit smoking, stresses and problems that they encounter with about quitting, then will try to persuade them for cessation and try to remain on it. Also we will give a phone number to participants for contact researcher if necessary. Smoking Cessations. Timepoint: Measurements time intervals: Smoking cessation: It will be monitored according to time table. In the way that, during 3 weeks before and till 3 weeks after surgery which is research time table, we will contact to patients and their families separately 2-3 times a week for examining adherence to cessations. Method of measurement: For smoking cessation: telephone contacts to patients and their families according to time table. Patients' Spirometric Indexes. Timepoint: Spirometric indexes: examinations of patients' pulmonary indexes and function by computerized spirometry test in two times (one day before surgery and 2 weeks after that). Method of measurement: For spirometric indexes: by spirometry Device. Demographic data and medical history. Timepoint: at the beginning of study in physician clinic. Method of measurement: by interviewing and questionnaire. Tehran University of Medical sciences Vice chancellor for research Approved 2014-05-25 Ethics committee of Tehran University of Medical Sciences. Sixth floor, in the corner of Ghods St., Keshavarz Blvd. Tehran Iran (Islamic Republic of)