보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제29권3호
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  • Pages.1-14
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  • 2012
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

성인 흡연자의 금연 프로그램 효과: 무작위대조군 실험연구의 체계적 문헌고찰

The Effectiveness of Smoking Cessation Program in Adults: Systematic Review of Randomized Controlled Trials

  • 박성희 (한중대학교 간호학과) ;
  • 황정해 (한양사이버대학교 보건행정학과) ;
  • 최윤경 (한국방송통신대학교 간호학과) ;
  • 강창범 (한국건강증진재단 연구개발팀)
  • 투고 : 2012.06.21
  • 심사 : 2012.09.17
  • 발행 : 2012.09.30
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초록

Objectives: The purpose of this study was to determine if smoking cessation programs (SCPs) are effective for adults through a systematic review of the results of such programs in large randomized controlled trials (RCTs). Methods: The PICO (Patient, Intervention, Comparator, Outcome) strategy was established, 1,160 literature from domestic and foreign electronic databases was reviewed, and 22 references were selected based on the inclusion and exclusion criteria. The quality of each reference was evaluated using the Scottish Intercollegiate Guidelines Network tool, and meta-analysis was carried out. Results: The SCPs were significantly effective for adult smokers. Smoking cessation counseling, education, and smoking cessation medications such as nicotine patch were more effective than the other interventions. However, the results showed short-term effects (within six months), and differences were observed among the SCPs. For the outcome measures for SCPs, the abstinence rate of seven days was mainly used, but differences were identified between the CO level and the cotinine-verified abstinence rate of smoking cessation. Conclusions: For a smoking cessation program for adult smokers, the strength of the evidence of the program's effectiveness in RCTs that provide the identified intervention strategies should be considered.

키워드

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