Introduction: Hospitalization has an emotional impact on patients, it might be greater if smokers. Non-smoking hospital policies as well as association between hospitalization and smoking might increase a patient's chance to quit.

Material & methods: Descriptive observational correlational study. Data collection: January-February 2023. Hospitalization unit of the Respiratory Department (tertiary hospital). A survey was carried out on admission and discharge on smoker patients, including visual analogue scales (VAS) from 0 to 10. SPSS v25 was used for data analysis.

Results: 17 patients were studied, 65% women. Median age: 65 years. Pack Year (PY): 41.25 (25).Fagerström test: 2 (3.5). VASŽs analysis on admission and discharge didn't find statistically significant differences, but there was high motivation, self-efficacy, emotional impact and tobacco-admission association as well as a tendency to decrease self-efficacy at discharge compared to admission (Figure 1).When subdivided by diagnosis at discharge, patients with a COPD exacerbation had an statistically significant increase in emotional impact at discharge compared to admission (p=0.024) (Figure 2). In the other subgroups according to different variables, no statistically significant differences were found.

Conclusions:

- Hospital admission had a strong negative emotional impact.

- Strong motivation, self-efficacy to quit smoking and association between smoking and hospitalization was observed.

- A tendency to decrease self-efficacy at discharge compared to admission was observed.

- Emotional impact increased statistically significantly between admission and discharge in COPD exacerbation patients.