Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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The effect of a hospital-based smoking cessation intervention on the continuous abstinence rate from smoking over 12 months in patients with cerebral infarction

병원기반 금연중재가 뇌경색 환자의 퇴원 후 12개월 지속 금연율에 미치는 효과

  • Lee, Young-Hoon (Department of Preventive Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Oh, Gyung-Jae (Department of Preventive Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Han, Mi-Hee (Jeonbuk Tobacco Control Center, Wonkwang University Hospital) ;
  • Kim, Gue-Jin (Jeonbuk Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Park, Hyun Young (Department of Neurology, Wonkwang University School of Medicine and hospital) ;
  • Kim, Hee-Sook (Division of Chronic Disease Control, Korea Centers for Disease Control and Prevention) ;
  • Lee, Kun Sei (Department of Preventive Medicine, Konkuk University School of Medicine)
  • 이영훈 (원광대학교 의과대학 예방의학교실 및 원광의과학연구소) ;
  • 오경재 (원광대학교 의과대학 예방의학교실 및 원광의과학연구소) ;
  • 한미희 (원광대학교병원 전북금연지원센터) ;
  • 김규진 (원광대학교병원 전북권역심뇌혈관질환센터) ;
  • 박현영 (원광대학교 의과대학 신경과학교실) ;
  • 김희숙 (질병관리본부 만성질환관리과) ;
  • 이건세 (건국대학교 의과대학 예방의학교실)
  • Received : 2016.05.23
  • Accepted : 2016.09.13
  • Published : 2016.09.30
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Abstract

Objectives: The aim of this study was to investigate the effectiveness of a hospital-based smoking cessation intervention for increasing continuous abstinence rate from smoking in patients with cerebral infarction. Methods: One-hundred and two smokers with cerebral infarction who decided to quit smoking were enrolled in the smoking cessation intervention from December 2012 to February 2015. The smokers underwent six consecutive times of individual intervention with nurse specialist on smoking cessation including education on behavioral modification, counseling for withdrawal symptoms, and anti-smoking advice over a 12-month period. Results: Among the total participants, the continuous abstinence rate from smoking changed from 79.4% at 1 month to 60.8% at 12 months after discharge. The continuous abstinence rate from smoking after 12 months was 88.5% in participants who completed the entire program (6 times), while 51.3% in participants who did not complete the entire program (${\leq}5$ times) (P=0.001). After adjustment for general and smoking-related characteristics, complete implementation of hospital-based smoking cessation intervention was significantly associated with continuous abstinence from smoking after 12 months (odds ratio: 5.93; 95% confidence interval: 1.45-24.22). Conclusions: The hospital-based smoking cessation intervention might be effective for smoking cessation in patients with cerebral infarction, especially when the intervention was implemented thoroughly.

Keywords

References

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