Turkiye Klinikleri Journal of Nursing Sciences

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Transtheoretical Model-Based Nursing Interventions for Smoking Cessation in COPD Patients: A Randomized Controlled Trial
KOAH'lı Hastalarda Sigarayı Bırakmaya Yönelik Transteorik Model Temelli Hemşirelik Müdahaleleri: Randomize Kontrollü Çalışma
Figen ÇAVUŞOĞLUa , Ayşe ŞAMLIb , Oğuz KILINÇc , Nazmiye TİBEL TUNAd
aOndokuz Mayıs University Faculty of Health Science, Department of Nursing, Samsun, Türkiye
bKoç University Faculty of Nursing, Department of Nursing, Department of Public Health Nursing (Retired Faculty Member), İstanbul, Türkiye
cDokuz Eylül University Faculty of Medicine Hospital, Clinic of Chest Diseases, İzmir, Türkiye
dOndokuz Mayıs University Faculty of Medicine Health Application and Research Center, Department of Chest Diseases, Samsun, Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):88-97
doi: 10.5336/nurses.2023-101059
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to evaluate the effectiveness of transtheoretical model-based nursing interventions on smoking cessation in patients with Chronic Obstructive Pulmonary Disease (COPD). Material and Methods: An experimental design was employed in the study. The study involved 33 COPD patients in the experimental group and 35 COPD patients in the control group. Data were collected between January 2016 and November 2017. The data collection instruments included the Descriptive Characteristics Form, the Fagerstrom Nicotine Dependency Test, and the Transtheoretical Model scales for Decisional Balance, Self-Efficacy, Stages of Change, and Processes of Change. Both parametric and nonparametric tests were used for data analysis. Results: The subscale scores for Decisional Balance, Self-Efficacy, and Processes of Change showed significant differences in the experimental group following home nursing interventions. While there was significant improvement in the Stages of Change, 9 patients in the experimental group and 2 patients in the control group successfully quit smoking, and the difference between the groups was found to be significant. Conclusion: The results suggest that home care interventions based on the Transtheoretical Model are effective in supporting smoking cessation in COPD patients. It is recommended that nursing practices incorporate the Transtheoretical Model for smoking cessation interventions, utilizing a smoking cessation guide to enhance the effectiveness of these interventions.

Keywords: COPD; home care; nursing; smoking cessation; transtheoretical model
ÖZET
 Amaç: Bu araştırmanın amacı, Kronik Obstrüktif Akciğer Hastalığı (KOAH) olan hastalarda transteorik modele dayalı hemşirelik girişimlerinin sigara bırakma üzerine etkinliğini değerlendirmektir. Gereç ve Yöntemler: Çalışmada deneysel bir tasarım kullanılmıştır. Çalışmaya deney grubunda 33 KOAH hastası ve kontrol grubunda 35 KOAH hastası dâhil edilmiştir. Veriler Ocak 2016 ve Kasım 2017 tarihleri arasında toplanmıştır. Veri toplama araçları arasında Tanımlayıcı Özellikler Formu, Fagerstrom Nikotin Bağımlılık Testi ve Transteorik Model için Karar Dengesi, Öz Yeterlilik, Değişim Aşamaları ve Değişim Süreçleri ölçekleri kullanılmıştır. Veri analizi için hem parametrik hem de parametrik olmayan testler kullanılmıştır. Bulgular: Karar Dengesi alt ölçekleri, öz yeterlilik ve değişim süreçleri alt ölçek puanları evde hemşirelik girişimleri sonrasında deney grubunda anlamlı farklılık göstermiştir. Değişim aşamalarında anlamlı iyileşme görülürken, deney grubunda 9 hasta, kontrol grubunda ise 2 hasta sigarayı bırakmış ve aralarındaki fark anlamlı bulunmuştur. Sonuç: Bu çalışmanın sonuçları ışığında, KOAH'lı hastaların sigarayı bırakmaları için evde bakımın desteklenmesi ve müdahalelerin Transteorik Model temelinde planlanması önerilmektedir. Sigara bırakma girişimlerinde yer alan hemşirelerin sigara bırakma rehberini kullanarak transteorik modele dayalı girişim uygulamaları önerilmektedir.

Anahtar Kelimeler: KOAH; evde bakım; hemşirelik; sigara bırakma; transteorik model
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