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Effects of a Smoking Cessation Program including Telephone Counseling and Text Messaging using Stages of Change for Outpatients after a Myocardial Infarction

금연 변화단계를 적용한 전화 상담과 문자메시지 제공 프로그램이 심근경색증 외래환자의 금연에 미치는 효과

  • Kong, Jung-Hyeon (Department of Nursing, Cheongam College) ;
  • Ha, Yeongmi (College of Nursing.Institute of Health Sciences, Gyeongsang National University)
  • 공정현 (청암대학교 간호학과) ;
  • 하영미 (경상대학교 간호대학.건강과학연구원)
  • Received : 2013.05.01
  • Accepted : 2013.07.29
  • Published : 2013.08.31

Abstract

Purpose: This study was done to identify effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients who have had a myocardial infarction (MI). Methods: This research was a quasi-experimental design with a nonequivalent control group pretest-posttest. The participants were 48 outpatients (experimental group=24, control group=24) recruited from one university hospital. They were randomly assigned to one of two groups: (a) an experimental group with telephone counseling (once a week) and text messaging (five times a week) using stages of change, and (b) a control group with traditional telephone counseling (once a month). Efficacy of the intervention was measured by comparing the two groups on smoking-related variables at 3 weeks and 12 weeks. Results: At the 3-week and 12-week measurements, there were significant differences between the experimental and control groups on smoking cessation self-efficacy (p<.001), nicotine dependence (p<.001), CO levels (p<.001), and smoking cessation rates (p<.001). Conclusion: The results indicate that the smoking cessation program including telephone counseling and text messaging using stages of change is effective for outpatients after a MI. Further attention should be paid to the intensity of the smoking cessation program and periods for long-term follow-up.

Keywords

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