전화상담과 문자메시지 제공이 허혈성 심질환자의 금연에 미치는 효과

Effects of a Smoking Cession Program Using Telephone Counselling and Text Messaging for Patients after Ischemic Heart Disease

  • 김은심 (경상대학교 간호대학) ;
  • 최혜옥 (한국국제대학교 간호학과)
  • Kim, Eun-Shim (College of nursing, Institute of health Sciences, Gyeongsang National University) ;
  • Choi, Hye-Ok (Department of Nursing, International University of Korea)
  • 투고 : 2014.10.10
  • 심사 : 2014.12.11
  • 발행 : 2014.12.31


본 연구는 전화상담과 문자메시지 제공 금연프로그램이 중재 횟수를 달리한 실험군1, 실험군2와 대조군의 금연 자기효능감, 니코틴의존도, 호기일산화탄소 농도, 금연성공률에 미치는 효과를 알아보기 위한 유사실험연구로 허혈성 심질환자 60명을 대상으로 하였다. 프로그램효과를 측정한 결과, 실험군은 대조군에 비해 금연 자기효능감, 금연성공률은 유의하게 증가하였고, 니코틴의존도, 호기 일산화탄소 농도는 유의하게 감소하였다. 또한 실험군1은 실험군2에 비해 금연 자기효능감, 금연성공률은 유의하게 증가하였고, 호기 일산화탄소는 유의하게 감소하였으나, 니코틴의존도에는 유의한 차이가 없었다. 따라서 허혈성 심질환자에게 제공한 전화상담과 문자메시지 중재 금연프로그램은 금연성공률의 향상에 효과가 있으며 중재 횟수에 따라 더욱 효과가 있는 것으로 나타났다.


  1. D. H. Kim, H. L. Kim, H. J. Oh, H. H. Jeon,"Cardiology", pp. 446-447, Yedangbooks, Seoul, 2011.
  2. Ministry of Health and Welfare [cited 2013 September]. Available From:
  3. W. R. Lee, J. D. Seo, "Clinical Cardiology", Korea medical book, Seoul, 2007.
  4. Willett WC, Green A, Stampfer M. J.,et al. Relative and absolute excess risks of coronary heart disease among women who smoke cigarettes. The New England Journal Medicine, 317, pp. 1303-1309, 1987. DOI:
  5. American College of Cardiology Foundation, American Heart Association Task Force on Practice Guidelines, Journal of the American College of Cardiology, 61(4), pp. 485-510, 2013.
  6. D. S. Sim, J. H. Kim, M. H. Jeong, Differences in clinical ourcomes between patients with ST-elevation versus non-ST-elevation acute myocardial infarction in Korea, Korean Journal of Cardiology, 39(8), pp. 297-303, 2009.
  7. Barth, J., Critchley, J. A., Bengel, J., Efficacy of psychosocial Interventions for smoking cessation in patients with coronary heart disease: a systemic review and meta-analysis, Annals of Behavior Medicine, 32(1), pp. 10-20, 2006. DOI:
  8. Critchley, J. A., Capewell, S., Mortality risk reduction associated with coronary heart disease: a systemic review, Journal of the Americal Medical Association, 290(1), pp. 86-97, 2003. DOI:
  9. S. H. Cho, Effects of a smoking cessation education on smoking cessation, endothelial function, the serum carboxyhemoglobin, and quality of life in smoking patients with variant angina, Graduate School, unpublished Doctor's thesis, Chonnam National University, 2011.
  10. W. H. Jeon, H. S. Yun, Effcts of smoking cessation education for patients with percutaneous coronary intervention, Korean Journal of Adult Nursing, 24(3), 274-283. 2012. DOI:
  11. K. H. Suh, J. M. You, Decision-Tree model of long- term abstention from smoking: 2 years following smoking cessation program, The Korean Journal of Health Psychology, 9(4), pp. 903-922, 2004.
  12. Whittaker, R., Borland, R., Bullen, C., Lin, R. B., McRobbie, H., Rodgers, A., Mobile phone-based intervention for smoking cessation, The Cochrane Database of Systemic Reviews, 4, 2009.
  13. Zhu, S, H., Anderson, C. M., Tedeschi, G. J., Rosbrook, B., Johnson, C. E., Byrd, M., et al, Evidence of real world effectiveness of a telephone quitline for smokers, The New England Journal of Medicine, 347(14), pp. 1087-1093, 2002. DOI:
  14. J. H. Gong, Young MI Ha, Effects of a smoking Cessation program including telephone counseling and text Messaging using stages of change for outpatients after a myocardial infarction, Journal of Korean Academy Nursing, 43(4), pp. 557-567, 2013. DOI:
  15. Velicer, W. F., Diclemente, C. C., Rossi, J. S., Prochaska, J. O., Relapse situations and self efficacy: An intergrative model, Addictive Behaviors, 15(3), pp. 271-283. DOI:
  16. H, K., Ann, H. J. Lee, D. S. Jung, S. Y. Lee, S. W. Kim, J. H. Kang, The reliability and Validity of Korean Version of Questionnaire for Nicotine Dependence, Journal of the Korean Academy of Family Medicine, 23(8), pp. 999-1008, 2002.
  17. Y. H. Kim, J. S. Kim, M. S. Kim, Effectiveness of public health center smoking cessation counseling program using the transtheoretical Model, Journal of Korean Academy Nursing, 39(4), pp. 469-479. DOI:
  18. Bandura, A., "Self-efficacy in changing societies", Seoul, Hakjisa, pp. 300-315, 2004.
  19. M. G. Park, G. S. Gang, N. Y. Kim, Effects of a smoking cessation program on amount of smoking and nicotine dependence and self-efficacy of smoking, Journal of Korean Academy Nursing, 37(7), pp. 1073-1079, 2007.
  20. C. D. Yeo, H. H. Kang, J. Y. Kang, S. K. Kim, M. S. Kim, S. S. Kim, S H. Lee, H. S. Moon, A short-term effectiveness of smoking cessation intervention in outpatient department of pulmonology, Tuberculosis and Respiratory Diseases, 71(2), pp. 114-119, 2011. DOI:
  21. N. S. Seo, Y. H. Kim, H. Y. Kang, Effects of a smoking cessation program on amount of smoking and nicotine dependence and self-efficacy of smoking cessation for smoking workers, Journal of Korean Academy Nursing, 37(7), pp. 1073-1079, 2007.
  22. K. J. Lee, M. H. Lee, The effects of smoking cessation through a smoking cessation counselling program on expiratory CO concentration, BMI, blood pressure, liver function, lipid metabolism in smoking cessation successes, Journal of Korean Academy of Community Health Nursing, 19(2), pp. 234-246, 2008.
  23. Dornealas, F. A., Sampson, R. A., Gray, J. F. Waters, D., Thompson, P. D., A randomized controlled trial of smoking cessation counselling after myocardial infarction, Preventive Medicine, 30(4), pp. 261-268, 2000. DOI:
  24. Frandsen, N. B., Sorensen, M., Hyldahl, T. K., Henriksen, R. M. Bak, S., Smoking cessation intervention after ischemic stroke or transient ischemic attack. A randomized controlled pilot trial, Nicotine & Tabacco Research, 14(4), pp. 443-447, 2012. DOI:
  25. Haug, S., Meyer, C., Schorr, G., Bauer, S., John, U., Continuous individual support of smoking cessation using text messaging: a pilot experimental study, Nicotine & Tobacco Research, 11(8), pp. 915-923, 2009. DOI:
  26. Ybarra, M. L., Holtrop, J. S., Prescott, T. L., Rahbar, M. H., A text messaging-based smoking cessation program for young adults, Nicotine & Tobacco Research, 15(8), pp. 1388-1399, 2013. DOI: