Effectiveness of a group nursing intervention in reducing anxiety and depression for smoking cessation: a quasi-experimental study in light of Afaf Meleis’ Transition Theory.
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| Title: | Effectiveness of a group nursing intervention in reducing anxiety and depression for smoking cessation: a quasi-experimental study in light of Afaf Meleis’ Transition Theory. |
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| Alternate Title: | Efectividad de una intervención grupal de enfermería en la reducción de la ansiedad y depresión para la cesación del tabaquismo: estudio cuasi-experimental a la luz de la teoría de las transiciones de Meleis. Efetividade de uma intervenção grupal de enfermagem na redução da ansiedade e depressão para cessação do tabagismo: estudo quasí-experimental à luz da teoria das transições de Meleis. |
| Authors: | Pinto, Isla Daniela Da Silva1 isladaniela.pinto@upe.br, Silva, Raphael Alves da2 raphael.alvess@upe.br, Silva, Yure Rodrigues1 yurerodrigues.enf@gmail.com, Pereira, Emanuela Batista Ferreira e1 emanuela.pereira@upe.br, Sales, Felipe Almeida1 felipealmeida.sales@upe.br, Ventura, Carla Aparecida Arena3 caaventu@eerp.usp.br, Campos, Fagner Alfredo Ardisson Cirino3 fagnerardisson@usp.br, Silva, Felicialle Pereira da1 felicialle.pereira@upe.br |
| Source: | Investigación & Educación en Enfermería. Jan-Apr2026, Vol. 44 Issue 1, p1-14. 14p. |
| Subjects: | ANXIETY prevention, PREVENTION of mental depression, SMOKING cessation, STATISTICAL sampling, QUESTIONNAIRES, CLINICAL trials, ANXIETY, NURSING interventions, TREATMENT effectiveness, DESCRIPTIVE statistics, LONGITUDINAL method, STATE-Trait Anxiety Inventory, RESEARCH methodology, CONCEPTUAL structures, DATA analysis software, MENTAL depression |
| Abstract (English): | Objective. To evaluate the effectiveness of a group intervention for smoking cessation in reducing anxiety and depression symptoms in individuals who stop using nicotine, based on Afaf Meleis’ Transition Theory. Methods. A longitudinal, quasi-experimental study with a convenience sample of 15 volunteers. The intervention was led by a qualified nurse and structured in two stages: an intensive phase with weekly sessions during the first three months (total of 12 sessions) and a maintenance phase with biweekly sessions from the fourth to the sixth month (total of 6 sessions). Data was collected at three time points: baseline (before the intervention), three months later, and at the end of six months from the start of the intervention. The following instruments were used: the Patient Health Questionnaire-9, the State-Trait Anxiety Inventory, and the Fagerström Test for Nicotine Dependence. Results. A statistically significant reduction in nicotine dependence was observed throughout the study. The percentage of "very high" dependence decreased from 46.7% to 6.7% between the first and third assessment points. A significant decrease in trait anxiety was observed (p = 0.028), while no significant differences were found in depressive symptoms across the three assessment times. At the third assessment, a positive correlation was identified between the level of dependence and situational anxiety levels. Conclusion. The group intervention studied had a positive impact on the smoking cessation process, reflected in reduced nicotine dependence and lower anxiety levels, highlighting the importance of collective support in coping with dependence. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Objetivo. Evaluar la eficacia de una intervención grupal para la cesación tabáquica en la reducción de los síntomas de ansiedad y depresión, fundamentada en la Teoría de las Transiciones de Afaf Meleis. Métodos. Estudio longitudinal, cuasi-experimental, con una muestra por conveniencia de 15 voluntarios. La intervención fue liderada por una enfermera calificada y estuvo estructurada en dos etapas: una fase intensiva con sesiones semanales durante los primeros tres meses (total de 12 sesiones) y una fase de mantenimiento con sesiones quincenales del cuarto al sexto mes (total de 6 sesiones). La recolección de datos ocurrió en tres momentos: línea de base (antes de la intervención), a los tres meses y al final de los seis meses desde el inicio de la intervención. Se utilizaron el Cuestionario de Salud del Paciente-9, el Inventario de Ansiedad Rasgo-Estado e el Test de Fagerström para la Dependencia de la Nicotina. Resultados. Se observó una reducción estadísticamente significativa en la dependencia a la nicotina; el nivel "muy elevado" disminuyó del 46.7% al 6.7% entre el primer y tercer momento. Hubo una disminución significativa en la ansiedad-rasgo (p=0.028), sin diferencias significativas en los síntomas depresivos. En la tercera evaluación, se identificó una correlación positiva entre el grado de dependencia y la ansiedad-estado. Conclusión. La intervención coordinada por enfermería, como agente facilitador de la transición, tuvo un impacto positivo en la reducción de la dependencia y la ansiedad, reforzando la importancia del apoyo colectivo estructurado para la sostenibilidad de la cesación. [ABSTRACT FROM AUTHOR] |
| Abstract (Portuguese): | Objetivo. Avaliar a eficácia de uma intervenção em grupo para cessação tabágica na redução dos sintomas de ansiedade e depressão em indivíduos que param de usar nicotina, com base na teoria da transição de Afaf Meleis. Métodos. Estudo longitudinal, quase-experimental, com amostra por conveniência de 15 voluntários. A intervenção foi liderada por enfermeira qualificada e estruturada em duas etapas: fase intensiva com sessões semanais durante os primeiros três meses (total de 12 sessões) e fase de manutenção com sessões quinzenais do quarto ao sexto mês (total de 6 sessões). A coleta de dados ocorreu em três momentos: linha de base (antes da intervenção), aos três meses seguintes e ao final dos seis meses do início da intervenção. Foram utilizados o Questionário de Saúde do Paciente-9, o Inventário de Ansiedade Traço-Estado e o Teste de Fagerström para Dependência de Nicotina. Resultados. Observou-se uma redução estatisticamente significativa na dependência de nicotina ao longo do estudo. A porcentagem de dependência "muito alta" diminuiu de 46.7% para 6.7% entre o primeiro e o terceiro momento de avaliação. Observou-se uma diminuição significativa na ansiedade traço (p=0.028), enquanto não foram observadas diferenças significativas nos sintomas depressivos entre os três momentos de avaliação. Na terceira avaliação, foi identificada uma correlação positiva entre o grau de dependência e os níveis de ansiedade situacional. Conclusão. A intervenção estudada no grupo obteve impacto positivo no processo de cessação tabágica, o que se refletiu na redução da dependência de nicotina e dos níveis de ansiedade, destacando a importância do apoio coletivo no enfrentamento da dependência. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
| Abstract: | Objective. To evaluate the effectiveness of a group intervention for smoking cessation in reducing anxiety and depression symptoms in individuals who stop using nicotine, based on Afaf Meleis’ Transition Theory. Methods. A longitudinal, quasi-experimental study with a convenience sample of 15 volunteers. The intervention was led by a qualified nurse and structured in two stages: an intensive phase with weekly sessions during the first three months (total of 12 sessions) and a maintenance phase with biweekly sessions from the fourth to the sixth month (total of 6 sessions). Data was collected at three time points: baseline (before the intervention), three months later, and at the end of six months from the start of the intervention. The following instruments were used: the Patient Health Questionnaire-9, the State-Trait Anxiety Inventory, and the Fagerström Test for Nicotine Dependence. Results. A statistically significant reduction in nicotine dependence was observed throughout the study. The percentage of "very high" dependence decreased from 46.7% to 6.7% between the first and third assessment points. A significant decrease in trait anxiety was observed (p = 0.028), while no significant differences were found in depressive symptoms across the three assessment times. At the third assessment, a positive correlation was identified between the level of dependence and situational anxiety levels. Conclusion. The group intervention studied had a positive impact on the smoking cessation process, reflected in reduced nicotine dependence and lower anxiety levels, highlighting the importance of collective support in coping with dependence. [ABSTRACT FROM AUTHOR] |
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| ISSN: | 01205307 |
| DOI: | 10.17533/udea.iee.v44n1e10 |
