Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
권호 표지
DOI QR코드

DOI QR Code

A Short-Term Effectiveness of Smoking Cessation Intervention in Outpatient Department of Pulmonology

호흡기내과 외래로 내원한 환자들에 대한 금연프로그램의 단기간 효과

  • Yeo, Chang-Dong (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Hyeon-Hui (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Ji-Young (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Sung-Kyoung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Myung-Sook (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Seung-Soo (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang-Haak (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • 여창동 (가톨릭대학교 의과대학 내과학교실) ;
  • 강현희 (가톨릭대학교 의과대학 내과학교실) ;
  • 강지영 (가톨릭대학교 의과대학 내과학교실) ;
  • 김성경 (가톨릭대학교 의과대학 내과학교실) ;
  • 김명숙 (가톨릭대학교 의과대학 내과학교실) ;
  • 김승수 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실)
  • Received : 2011.06.14
  • Accepted : 2011.07.23
  • Published : 2011.08.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: There is very limited data present on smoking cessation rates in outpatient departments of pulmonology. In this study, we aimed to investigate the effectiveness of a brief smoking cessation intervention program in an outpatient department of pulmonology and identify predictors of smoking cessation failure. Methods: After a brief recommendation of smoking cessation from pulmonologists, smokers willing to quit smoking were given individual counseling and supplement drugs. Fifty smokers were included in this study and baseline characteristics, smoking history and success rate were reviewed at 3 months. Results: The mean age of the patients was $58.3{\pm}14.6$ years and the total group of patients included 3 women. The rate of smoking cessation success was 74% at 3 months, and there were no differences in age, spirometric indexes and associated diseases between the smoking cessation success and failure group. The rate of supplement drug usage was not different in both groups either. However, body weight, mean number of cigarette usage per day and nicotine dependence scores in the failure group were significantly higher than in the success group. In multivariate analysis, body weight and mean number of cigarette usage per day were significant. Two smokers with a depressive disorder failed the smoking cessation. Conclusion: A smoking cessation intervention program in the outpatient department of pulmonology showed a favorable success rate. More intensive interventions are needed to unfavorable groups which include the obese and heavy smokers.

Keywords

References

  1. Volpp KG, Troxel AB, Pauly MV, Glick HA, Puig A, Asch DA, et al. A randomized, controlled trial of financial incentives for smoking cessation. N Engl J Med 2009;360:699-709. https://doi.org/10.1056/NEJMsa0806819
  2. Fiore MC, McCarthy DE, Jackson TC, Zehner ME, Jorenby DE, Mielke M, et al. Integrating smoking cessation treatment into primary care: an effectiveness study. Prev Med 2004;38:412-20. https://doi.org/10.1016/j.ypmed.2003.11.002
  3. Kim YH, Lee SH. Smoking cessation. Tuberc Respir Dis 2010;69:153-62. https://doi.org/10.4046/trd.2010.69.3.153
  4. Kim MH. Updates in smoking cessation programs. Korean J Health Psychol 2005;10:259-76.
  5. Goodfellow LT, Waugh JB. Tobacco treatment and prevention: what works and why. Respir Care 2009;54:1082-90.
  6. Cheong YS, Ahn SH. Effect of multi-modal interventions for smoking cessation in a university setting: a short course of varenicline, financial incentives, e-mail and short message service. Korean J Fam Med 2010;31:355-60. https://doi.org/10.4082/kjfm.2010.31.5.355
  7. Parsons A, Daley A, Begh R, Aveyard P. Influence of smoking cessation after diagnosis of early stage lung cancer on prognosis: systematic review of observational studies with meta-analysis. BMJ 2010;340:b5569. https://doi.org/10.1136/bmj.b5569
  8. Andreas S, Hering T, Mühlig S, Nowak D, Raupach T, Worth H. Smoking cessation in chronic obstructive pulmonary disease: an effective medical intervention. Dtsch Arztebl Int 2009;106:276-82.
  9. Seo NS, Kim YH, Kang HY. The effects of a group smoking cessation program among adult smokers in a rural community. J Korean Acad Nurs 2007;37:1139-48.
  10. Gonzales D, Rennard SI, Nides M, Oncken C, Azoulay S, Billing CB, et al. Varenicline, an alpha4beta2 nicotinic acetylcholine receptor partial agonist, vs sustained-release bupropion and placebo for smoking cessation: a randomized controlled trial. JAMA 2006;296:47-55. https://doi.org/10.1001/jama.296.1.47
  11. Pohlig C. Smoking cessation counseling: a practice management perspective. Chest 2006;130:1231-3. https://doi.org/10.1378/chest.130.4.1231
  12. Bars MP, Banauch GI, Appel D, Andreachi M, Mouren P, Kelly KJ, et al. "Tobacco free with FDNY": the New York City Fire Department World Trade Center tobacco cessation study. Chest 2006;129:979-87. https://doi.org/10.1378/chest.129.4.979
  13. Hotta K, Kinumi K, Naito K, Kuroki K, Sakane H, Imai A, et al. An intensive group therapy programme for smoking cessation using nicotine patch and internet mailing supports in a university setting. Int J Clin Pract 2007;61:1997-2001. https://doi.org/10.1111/j.1742-1241.2007.01466.x
  14. Rennard SI, Daughton DM. Smoking cessation. Chest 2000;117(5 Suppl 2):S360-4. https://doi.org/10.1378/chest.117.5_suppl_2.360S
  15. Kenford SL, Fiore MC, Jorenby DE, Smith SS, Wetter D, Baker TB. Predicting smoking cessation. Who will quit with and without the nicotine patch. JAMA 1994;271:589-94. https://doi.org/10.1001/jama.1994.03510320029025
  16. Heatherton TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerström test for nicotine dependence: a revision of the Fagerström tolerance questionnaire. Br J Addict 1991;86:1119-27. https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  17. Lerman C, Kaufmann V, Rukstalis M, Patterson F, Perkins K, Audrain McGovern J, et al. Individualizing nicotine replacement therapy for the treatment of tobacco dependence: a randomized trial. Ann Intern Med 2004;140:426-33. https://doi.org/10.7326/0003-4819-140-6-200403160-00009
  18. Glassman AH, Stetner F, Walsh BT, Raizman PS, Fleiss JL, Cooper TB, et al. Heavy smokers, smoking cessation, and clonidine. Results of a double-blind, randomized trial. JAMA 1988;259:2863-6. https://doi.org/10.1001/jama.1988.03720190031026
  19. Anda RF, Williamson DF, Escobedo LG, Mast EE, Giovino GA, Remington PL. Depression and the dynamics of smoking. A national perspective. JAMA 1990; 264:1541-5. https://doi.org/10.1001/jama.1990.03450120053028
  20. Niaura R, Britt DM, Shadel WG, Goldstein M, Abrams D, Brown R. Symptoms of depression and survival experience among three samples of smokers trying to quit. Psychol Addict Behav 2001;15:13-7. https://doi.org/10.1037/0893-164X.15.1.13
  21. Kim TS, Kim DJ. The association between smoking and depression. Korean J Psychopharmacol 2007;18:393-8.

Cited by

  1. 금연/흡연예방 프로그램의 방법에 따른 효과성 평가: 최근 3년 간 국내학술지 논문에 대한 체계적 문헌고찰 vol.30, pp.5, 2011, https://doi.org/10.14367/kjhep.2013.30.5.061
  2. 전화상담과 문자메시지 제공이 허혈성 심질환자의 금연에 미치는 효과 vol.15, pp.12, 2014, https://doi.org/10.5762/kais.2014.15.12.7248