• Pamela A Ratner, Joy L Johnson, Chris G Richardson, Joan L Bottorff, Barbara Moffat, Martha Mackay, Doreen Fofonoff, Kori Kingsbury, Clara Miller, and Bernice Budz.
• Nursing and Health Behaviour Research Unit, School of Nursing, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
• Res Nurs Health. 2004 Jun 1;27(3):148-61.

AbstractWe tested an intervention to help smokers abstain (fast) from smoking before surgery, maintain abstinence postoperatively, and achieve long-term cessation. A randomized experiment included 237 patients admitted for presurgical assessment who smoked. The intervention included counseling and nicotine replacement therapy. Treatment group participants (73.0%) were more likely to fast than were controls (53.0%): chi(2)(1, N = 228) = 8.89, p =.003, and more likely to be abstinent 6 months after surgery (31.2% vs. 20.2%). There was no significant difference in the abstinence rates at 12 months after surgery, chi(2)(1, N = 169) <.001, p = 1.00. Encouraging patients to fast from smoking before surgery and postoperative support are efficacious ways to reduce preoperative and immediate post-operative tobacco use.Copyright 2004 Wiley Periodicals, Inc.

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