Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effects of Smoking Cessation Coaching Program based on Motivation Stage to Stop Smoking of Patients at a Public Hospital

금연동기단계에 따른 코칭프로그램이 환자 금연에 미치는 영향

  • 곽미영 (국립중앙의료원 공공보건의료지원센터) ;
  • 황은정 (세한대학교 간호학과)
  • Received : 2015.12.21
  • Accepted : 2016.04.07
  • Published : 2016.04.30
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Abstract

This study examined the effects of a smoking cessation coaching program based on the motivation stage applying the Transtheoretical Model to stop the smoking of patients in terms of the amount of smoking, nicotine dependence, CO level, and urine cotinine. The study design was a multi-repeat multiple repeat intermittent time series study with one-group, a pre-post design. The participants were 47 smoking patients (44 males and 3 females), who were treated at a public hospital in N city. The participants were 4 (8.51%) subjects in the action stage and 43 subjects (91.49%) in the preparation stage of the motivation stage. The coaching program intervention was conducted at the first day, second week, and 6th week. The smoking cessation maintenance of the subjects was checked at the 12th week. A chi-square test and t-test were used to analyze the data. The subjects in the action stage were kept under the condition of no smoking and nicotine dependence. After the program of subjects in the preparation stage, the amount of smoking, nicotine dependence, and CO level were significantly lower compared to the pre-test (p<.001). The findings suggest that the coaching program based on the motivation stage was effective in improving the smoking cessation for patients who smoke. On the other hand, the patients in the smoking cessation program may require much more financial assistance than those of healthy people. A greater workforce and budget will be needed for patients to stop smoking.

본 연구의 목적은 N시에 소재한 공공병원의 금연클리닉 프로그램을 이용한 흡연 환자(입원 및 외래 포함)를 대상으로 Prochaska와 Diclemente의 변화단계모형(Transtheoretical Model, TTM)을 적용한 금연동기단계에 따른 코칭프로그램 참여 전과 후 대상자의 흡연량, 니코틴의존도, 호기 일산화탄소 농도, 소변 코티닌의 차이를 확인하기 위함이다. 연구설계는 금연동기에 따른 코칭프로그램이 환자들의 금연에 미치는 효과를 확인하기 위해 대상자의 흡연량, 니코틴의존도, 호기 일산화탄소 농도, 소변 코티닌을 프로그램 전, 2주, 6주 후간의 차이를 비교하는 다중반복 간헐적 시계열 설계연구이다. 본 연구에서 활용된 자료는 2011년 공공보건의료프로그램 중 금연프로그램을 통해 수집된 2차 자료를 활용하였다. 코칭프로그램은 6주동안 중재가 진행되며, 첫방문, 2주째 방문, 6주째 방문에 제공되며, 12주째 금연 유지 상태를 점검한다. 연구대상자의 교육 전과 교육 후 흡연량, 니코틴 의존도, 호기 일산화탄소 농도, 소변 코티닌 차이는 카이제곱 검정과 t-test로 비교하였다. 이 연구대상자는 총 47명이며, 남자는 44명(93.62%), 여자는 3명(6.38%)으로 대부분 남자였다. 금연동기단계별 대상자 수는 실천단계가 4명(8.51%), 준비단계는 43명(91.49%)이었다. 금연동기단계에 따른 코칭프로그램 전과 후를 비교한 결과, 실천단계 집단은 대부분 프로그램 전과 후 흡연량, 니코틴의존도, '0'상태를 유지하였다. 준비단계 집단은 흡연량, 니코틴의존도, 호기 일산화탄소가 프로그램 전과 6주후 유의한 차이를 보이면 감소한 것으로 나타났다(p<.001). 환자들을 대상으로 한 병원 현장에서의 금연코칭 프로그램은 매우 효과적임을 확인할 수 있었다. 하지만, 환자들을 대상으로 한 금연프로그램은 건강한 사람들에 비해 인적 재정적 부담이 더 높다. 따라서 환자들의 금연을 위해 적극적인 인적, 재정적 지원이 있어야 할 것이다.

Keywords

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