Addressing Barriers to Smoking Cessation in COPD Patients: Nurs fpx 4025 assessment 3

By addressing barriers to quitting, such as socioeconomic factors and limited healthcare access, this study aims to determine which method produces better long-term smoking cessation outcomes. The findings will help nurses implement effective strategies to support COPD patients, reducing disease complications and improving their quality of life.

Literature Search and Relevant Evidence

A comprehensive literature search was conducted using databases such as PubMed, CINAHL, Cochrane Library, and Google Scholar. Keywords included “COPD,” “smoking cessation,” “nicotine replacement therapy,” “behavioral counseling,” and “pulmonary rehabilitation.” Boolean operators (AND, OR) were used to refine searches, ensuring results focused specifically on COPD-related smoking cessation. Studies were evaluated using the CRAAP criteria (Currency, Relevance, Authority, Accuracy, and Purpose) to ensure credibility. Preference was given to peer-reviewed journal articles, systematic reviews, and recent publications within the last five years.

Summary of Key Studies: Nurs fpx 4025 assessment 3

Study	Findings	Relevance
Wang et al. (2024)	Meta-analysis of 11 studies found improved lung function (FEV1% +6.72, FEV1/FVC +6.82), better exercise capacity (6-MWT +64.46m), and reduced mortality (RR = 0.75) in COPD patients who quit smoking.	Strong evidence supporting smoking cessation benefits, highlighting structured programs’ role in disease management.
Han et al. (2023)	Randomized controlled trial (RCT) demonstrated that combining NRT with cognitive-behavioral therapy (CBT) increased quit rates compared to standard counseling alone.	RCT provides high credibility, showing structured programs’ effectiveness over brief counseling.
Fu et al. (2022)	Implementation of the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model improved adherence to structured smoking cessation programs, leading to better pulmonary outcomes.	Relevant to nursing practice, emphasizing the importance of integrating structured interventions.

The evidence suggests that structured smoking cessation programs incorporating behavioral counseling and pharmacotherapy lead to better long-term cessation rates and improved lung health in COPD patients. This supports the integration of structured interventions into nursing care.

Conclusion

Quitting smoking is crucial for COPD patients to slow disease progression and improve overall health. Structured smoking cessation programs that include counseling and pharmacotherapy prove to be more effective than standard counseling alone. Patients who quit smoking experience better lung function, enhanced exercise capacity, and lower hospitalization rates. Healthcare providers, particularly nurses, play a key role in implementing these programs to improve patient outcomes. By integrating structured smoking cessation strategies into routine care, COPD patients can achieve better long-term health and a higher quality of life.

References

Alupo, P., Baluku, J., Bongomin, F., Siddharthan, T., Katagira, W., Ddungu, A., Hurst, J. R., Boven, van, Worodria, W., & Kirenga, B. J. (2024). Overcoming challenges of managing chronic obstructive pulmonary disease in low- and middle-income countries. Expert Review of Respiratory Medicine. https://doi.org/10.1080/17476348.2024.2398639
American Lung Association (ALA). (2024). Learn about COPD | American Lung Association. Lung.org. https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd/learn-about-copd
Centers for Disease Control and Prevention (CDC). (2024, June 12). COPD. Chronic Disease Indicators. https://www.cdc.gov/cdi/indicator-definitions/chronic-obstructive-pulmonary-disease.html

Nurs fpx 4025 assessment 3

Addressing Barriers to Smoking Cessation in COPD Patients: Nurs fpx 4025 assessment 3