서울 위생 병원 5일 금연 학교를 방문한 우리나라 흡연자의 특성 및 입원 금연 교육 프로그램의 효과

The Characteristics of Korean Smoker, Enrolled in '5 day Smoking Cessation School' and The Effect of Inpatient Smoking Cessation Program

  • 이병수 (서울 위생 병원 내과) ;
  • 강기훈 (서울 위생 병원 내과) ;
  • 채은하 (서울 위생 병원 내과) ;
  • 김명찬 (서울 위생 병원 내과) ;
  • 정재일 (서울 위생 병원 내과) ;
  • 장희종 (서울 위생 병원 내과) ;
  • 이상훈 (서울 위생 병원 내과) ;
  • 조동식 (서울 위생 병원 내과) ;
  • 신재규 (서울 위생 병원 부설 '5일 금연 학교') ;
  • 김휘정 (원광대학교 의과대학 산본병원 내과)
  • Lee, Byung Soo (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Kang, Ki Hoon (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Chae, Eun Ha (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Kim, Myung Chan (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Jung, Jae Il (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Chang, Hee Jong (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Lee, Sang Hoon (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Cho, Dong Sik (Department of Internal Medicine, Seoul Adventist Hospital) ;
  • Shin, Jai Gyu ('5 Day Stop Smoking School' Seoul Adventist Hospital) ;
  • Kim, Hui Jung (Pulmonary division, Department of Internal Medicine, Sanbon Medical center, WonKwang University)
  • 투고 : 2004.07.13
  • 심사 : 2004.09.13
  • 발행 : 2004.11.30

초록

연구배경 : 우리나라의 성인 흡연율은 세계적으로 높고 청소년과 여성의 흡연율도 점차 증가하고 있다. 흡연이 이렇게 사회적으로 문제가 되고 있는 상황에서 효과적인 금연 프로그램이 필요한 상태이다. 이에 본 병원 금연 학교의 입원 금연 교육의 효과와 이에 영향을 미치는 요인을 알아보기 위해 본 연구를 시행하였다. 방 법 : 1998년 1월부터 2001년 1월까지 본원 금연학교를 수료한 640명을 대상으로 설문지를 이용하여 흡연자들의 특성을 조사하였다. 또한, 입원 대상 금연교육 대상자 235명중 응답 가능한 100명을 대상으로 이들의 특성 및 금연 성공 유무 등을 조사하였다. 결 과 : 금연 학교 등록자의 금연 동기로는 건강이 가장 많았고, 흡연 동기로는 스트레스가 가장 많았다. 입원 금연학교의 최소 1년 이상 금연율은 60%를 보였다. 입원 금연 교육 대상자에서 흡연 시작 연령과 직업이 금연 성공 유무와 의미 있는 연관을 보였다. 금연을 실패한 경우 일상 생활의 스트레스가 가장 흔한 원인이 였고, 1주에서 1개월 내에 흡연 재발이 많았다.

Background : Cigarette smoking is the single biggest avoidable cause of death and disability in most countries. Effective prevention of cigarette Smoking and help for those wishing to quit can therefore yield enormous health benefits for populations and individuals. Although most of smokers try to stop smoking for themselves, the success rate of quitting smoking is very low. Promoting and supporting smoking cessation should be an important health policy priority for healthcare professionals in all clinical settings. In this study, we tried to evaluate the effect of the educational program for smoking cessation of our hospital, the smoking pattern, and characteristics of adult smokers enrolled in the program. Methods : We enrolled 640 smokers, who has visited the '5 day stop smoking school' for smoking cessation from Jan 1998 to 2001. we evaluated the characteristics of the smokers based on the self report questionnaire at the beginning of the program and we also checked 100 smokers, enrolled in Inpatient Smoking Cessation Educational program, their smoking behavior and the cessation rate with postal questionnaire after finishing this program from Nov 2002 to Jan 2003. Results : The health was most common motivation for smoking cessation. The stress was the most important motivation of smoking. The overall smoking cessation rate of the smokers enrolled in inpatient smoking cessation school was 60%. The age of starting smoking and the kind of occupation have a significant difference between the success group and failure group of smoking cessation. Conclusion : The inpatient smoking cessation program was effective smoking cessation intervention in the adult smokers who enrolled in '5 day stop smoking school'.

키워드

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