Study on trans-theoretical model for smoking cessation management in long-term hospitalized schizophrenia patients

Objective To explore the effects of trans-theoretical model combined with cognitive behavioral intervention on anxiety, sleep quality, and smoking cessation rate at differed time points of long-term hospitalized mental patients during smoking cessation.

Methods A total of 40 schizophrenia patients with long-term hospitalization and smoking in fifth and sixth male wards of Wutaishan Hospital were selected as study objects, and were included in observation group (n=40) and control group (n=40), respectively.The control group implemented conventional smoking cessation management, while the observation group applied trans-theoretical model combined with three cognitive behavior intervention, and the intervention of two groups lasted for 3 months.The anxiety and sleep quality before and after the intervention and time-point smoking cessation rate after 3-month intervention of two groups were observed.

Results Before intervention, there was no significant difference in Self-rating Anxiety Scale (SAS) score and Pittsburgh Sleep Quality Index (PSQI) score between two groups (P>0.05).Three months after intervention, SAS and PSQI scores in the observation group were lower than those in the control group (P < 0.01).Three months after intervention, the time-point smoking cessation rate in the observation group was 75.00%(30/40), which was higher than 40.00%(16/40) in the control group (χ²=10.026, P=0.002).

Conclusion The trans-theoretical model combined with cognitive behavioral intervention can improve the anxiety induced by management of smoking cessation, improve their sleep quality, and increase time-point smoking cessation rate.