<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0121-4500</journal-id>
<journal-title><![CDATA[Avances en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[av.enferm.]]></abbrev-journal-title>
<issn>0121-4500</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0121-45002024000200005</article-id>
<article-id pub-id-type="doi">10.15446/av.enferm.v42n2.114168</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Demystifying aggressiveness in the face of the smoking ban in psychiatry]]></article-title>
<article-title xml:lang="es"><![CDATA[Desmitificación de la agresividad ante la prohibición del tabaco en psiquiatría]]></article-title>
<article-title xml:lang="pt"><![CDATA[Desmistificação da agressividade diante da proibição do fumo em psiquiatria]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Marques de Oliveira]]></surname>
<given-names><![CDATA[Renata]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lício Ferreira Santos]]></surname>
<given-names><![CDATA[Jair]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Furegato]]></surname>
<given-names><![CDATA[ARF]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidade Federal de Minas Gerais  ]]></institution>
<addr-line><![CDATA[Belo Horizonte ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de São Paulo  ]]></institution>
<addr-line><![CDATA[Ribeirão Preto ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2024</year>
</pub-date>
<volume>42</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0121-45002024000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0121-45002024000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0121-45002024000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective To investigate the aggressive behaviors of patients in a psychiatric hospital adhering to the anti-smoking law and to identify their associated factors.  Materials and method This cross-sectional epidemiological study analyzed the medical records of 573 discharged patients from a Brazilian psychiatric hospital. The response variables included verbal aggression, physical aggression, physical restraint, and mechanical restraint. Multiple Poisson regression models were applied for analysis.  Results Approximately 48% of the patients were smokers. Aggression was found to be 121% higher among younger patients (aged 19-35), 73% higher among those with longer hospital stays, 55% higher among individuals hospitalized involuntarily, and 89% higher among those prescribed five or more psychotropic drugs, independent of other variables. Additionally, individuals hospitalized after the implementation of the smoking ban exhibited 55% fewer aggressive behaviors compared to those hospitalized prior to the ban.  Conclusions The study revealed that the associations between smoking and aggression, as well as the duration of hospitalization relative to the smoking ban, were influenced by personal and clinical variables. Cultural beliefs about the perceived benefits of smoking may be perpetuated among individuals with mental disorders, while older nursing professionals might influence younger colleagues' perspectives on permitting smoking in mental health settings as a means of mitigating aggression. Breaking this cycle of misinformation requires generating new knowledge and insights, which represents a significant contribution of this study.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo investigar los comportamientos agresivos de los pacientes en un hospital psiquiátrico que cumple con la ley antitabaco e identificar los factores asociados a dichos comportamientos.  Materiales y método el presente estudio epidemiológico transversal analizó las historias clínicas de 573 pacientes dados de alta de un hospital psiquiátrico en Brasil. Las variables de respuesta incluyeron comportamientos agresivos verbales, comportamientos agresivos físicos, restricción física y restricción mecánica. Para el análisis, se desarrollaron modelos de regresión de Poisson múltiple.  Resultados cerca del 48 % de los pacientes eran fumadores. Independientemente de otras variables, la agresión fue 121 % mayor entre los jóvenes (19-35 años), 73 % mayor entre aquellos con estancias hospitalarias prolongadas, 55 % mayor entre individuos hospitalizados involuntariamente y 89 % mayor entre aquellos que usaban cinco o más medicamentos psicotrópicos. Además, los individuos hospitalizados después de la prohibición de fumar presentaron una incidencia 55 % menor de comportamientos agresivos en comparación con aquellos hospitalizados antes de esta prohibición.  Conclusiones las asociaciones entre el tabaquismo y la agresión, así como la duración de la hospitalización en relación con la prohibición de fumar, estuvieron influenciadas por variables personales y clínicas. Las creencias culturales sobre los beneficios del tabaquismo pueden transmitirse entre individuos con trastornos mentales, mientras que los profesionales de enfermería de mayor edad podrían influir en las opiniones de los colegas más jóvenes sobre la permisibilidad de fumar en entornos de salud mental como una forma de mitigar la agresión. Romper este ciclo de desinformación requiere generar nuevos conocimientos y perspectivas, lo que constituye una contribución clave de este estudio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo investigar os comportamentos agressivos de pacientes de um hospital psiquiátrico adepto à lei antifumo e identificar os fatores associados.  Materiais e método este estudo epidemiológico transversal analisa os prontuários médicos de 573 pacientes egressos de um hospital psiquiátrico brasileiro. As variáveis de resposta incluíram comportamentos agressivos verbais, comportamento agressivo físico, contenção física e contenção mecânica. Foram desenvolvidos modelos de regressão de Poisson múltipla.  Resultados aproximadamente 48% dos pacientes eram fumantes. Independentemente das outras variáveis, a agressão foi 121% maior entre os jovens (19-35 anos), 73% maior entre as pessoas que ficaram mais tempo no hospital, 55% maior entre aqueles hospitalizados involuntariamente e 89% maior entre aqueles que usavam cinco ou mais psicotrópicos. As pessoas hospitalizadas após a proibição de fumar mostraram 55% menos comportamentos agressivos do que aquelas hospitalizadas antes da proibição.  Conclusões as associações entre tabagismo e agressão, assim como a duração da hospitalização com relação à proibição de fumar, foram influenciadas por variáveis pessoais e clínicas. Crenças culturais sobre os benefícios do tabagismo podem ser transmitidas entre indivíduos com transtornos mentais, enquanto os profissionais de enfermagem de mais idade poderiam influenciar as opiniões dos colegas mais jovens sobre a permissibilidade de fumar em ambientes de saúde mental para mitigar a agressão. Quebrar esse ciclo de desinformação requer gerar conhecimentos e perspectivas, o que representa uma contribuição-chave deste estudo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Tobacco Use Disorder]]></kwd>
<kwd lng="en"><![CDATA[Smoke-free Environments]]></kwd>
<kwd lng="en"><![CDATA[Smoke-free Policy]]></kwd>
<kwd lng="en"><![CDATA[Hospitals, Psychiatric]]></kwd>
<kwd lng="en"><![CDATA[Psychiatric Nursing]]></kwd>
<kwd lng="es"><![CDATA[Tabaquismo]]></kwd>
<kwd lng="es"><![CDATA[Ambientes Libres de Humo]]></kwd>
<kwd lng="es"><![CDATA[Política para Fumadores]]></kwd>
<kwd lng="es"><![CDATA[Hospitales Psiquiátricos]]></kwd>
<kwd lng="es"><![CDATA[Enfermería Psiquiátrica]]></kwd>
<kwd lng="pt"><![CDATA[Tabagismo]]></kwd>
<kwd lng="pt"><![CDATA[Ambientes Livres de Fumo]]></kwd>
<kwd lng="pt"><![CDATA[Política Antifumo]]></kwd>
<kwd lng="pt"><![CDATA[Hospitais Psiquiátricos]]></kwd>
<kwd lng="pt"><![CDATA[Enfermagem Psiquiátrica]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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