DOI QR코드

DOI QR Code

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

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

  1. Brenner, D. A., Zweifler, R. M., Gomez, C. R., Kissela, B. M., Levine, D., Howard, G., . . . & Howard, V. J. (2010) Awareness, treatment, and control of vascular risk factors among stroke survivors. J Stroke Cerebrovasc Dis, 19(4), 311-320. https://doi.org/10.1016/j.jstrokecerebrovasdis.2009.07.001
  2. Bak, S., Sindrup, S. H., Alslev, T., Kristensen, O., Christensen, K., Gaist, D. (2002) Cessation of smoking after first-ever stroke: a follow-up study. Stroke, 33(9), 2263-2269. https://doi.org/10.1161/01.STR.0000027210.50936.D0
  3. Brunner Frandsen, N., Sorensen, M., Hyldahl, T. K., Henriksen, R. M., Bak, S. (2012) Smoking cessationintervention after ischemic stroke or transient ischemic attack. A randomized controlled pilot trial. Nicotine Tob Res, 14(4), 443-447. https://doi.org/10.1093/ntr/ntr233
  4. Burn, J., Dennis, M., Bamford, J., Sandercock, P., Wade, D., Warlow, C. (1994) Long-term risk of recurrent stroke after a first-ever stroke. The Oxfordshire Community Stroke Project. Stroke, 25(2), 333-337. https://doi.org/10.1161/01.STR.25.2.333
  5. Chang, S., Kim, H., Kim, V., Lee, K., Jeong, H., Lee, J. H., . . . & Ko, E. (2016) Association Between Smoking and Physician-Diagnosed Stroke and Myocardial Infarction in Male Adults in Korea. Int J Environ Res Public Health, 13(2), 158. https://doi.org/10.3390/ijerph13020158
  6. Clinical Research Center for Stroke. (2013) Clinical practice guidelines for stroke. http://www.stroke-crc.or.kr.
  7. Dawood, N., Vaccarino, V., Reid, K. J., Spertus, J. A., Hamid, N., Parashar, S. (2008) Predictors of smokingcessation after a myocardial infarction: the role of institutional smoking cessation programs in improving success. Arch Intern Med, 168(18), 1961-1967. https://doi.org/10.1001/archinte.168.18.1961
  8. Dornelas, E. A., Sampson, R. A., Gray, J. F., Waters, D., Thompson, P. D. (2000) A randomized controlled trial of smoking cessation counseling after myocardial infarction. Prev Med, 30(4), 261-268. https://doi.org/10.1006/pmed.2000.0644
  9. Edjoc, R. K., Reid, R. D., Sharma, M. (2012) The effectiveness of smoking cessation interventions in smokers with cerebrovascular disease: a systematic review. BMJ Open, 2(6), e002022 https://doi.org/10.1136/bmjopen-2012-002022
  10. Furie, K. L., Kasner, S. E., Adams, R. J., Albers, G. W., Bush, R. L., Fagan, S. C., . . . & Wentworth, D. (2011) Guidelines for the prevention of stroke in patients with stroke or transient ischemic attack: a guideline for healthcare professionals from the american heart association/american stroke association. Stroke, 42(1), 227-276. https://doi.org/10.1161/STR.0b013e3181f7d043
  11. Hankey, G. J., Jamrozik, K., Broadhurst, R. J., Forbes, S., Burvill, P. W., Anderson, C. S., & Stewart-Wynne, E. G. (2000) Five-year survival after first-ever stroke and related prognostic factors in the Perth Community Stroke Study. Stroke, 31(9), 2080-2086. https://doi.org/10.1161/01.STR.31.9.2080
  12. Jha, P., Ramasundarahettige, C., Landsman, V., Rostron, B., Thun, M., Anderson, R. N., . . . &, Peto, R. (2013) 21st-century hazards of smoking and benefits of cessation in the United States. N Engl J Med, 368(4), 341-350. https://doi.org/10.1056/NEJMsa1211128
  13. Kawachi, I., Colditz, G. A., Stampfer, M. J., Willett, W. C., Manson, J. E., Rosner, B., . . . & Hennekens, C. H. (1993) Smoking cessation and decreased risk of stroke in women. JAMA, 269(2), 232-236. https://doi.org/10.1001/jama.1993.03500020066033
  14. Kim, H. E., Song, Y. M., Kim, B. K., Park, Y. S., Kim, M. H. (2013) Factors associated with persistent smoking after the diagnosis of cardiovascular disease. Korean J Fam Med, 34(3), 160-168. https://doi.org/10.4082/kjfm.2013.34.3.160
  15. Kim, H., Kim, O. (2013) The lifestyle modification coaching program for secondary stroke prevention. J Korean Acad Nurs, 43(3), 331-340. https://doi.org/10.4040/jkan.2013.43.3.331
  16. Kim, C. G., Park, H. A. (2011) Development and evaluation of a web-based education program to prevent secondary stroke. J Korean Acad Nurs, 41(1), 47-60. https://doi.org/10.4040/jkan.2011.41.1.47
  17. Kim, J., Gall, S. L., Dewey, H. M., Macdonell, R. A., Sturm, J. W., Thrift, A. G. (2012) Baseline smoking status and the long-term risk of death or nonfatal vascular event in people with stroke: a 10-year survival analysis. Stroke, 43(12), 3173-3178. https://doi.org/10.1161/STROKEAHA.112.668905
  18. Ko, Y., Park, J. H., Kim, W. J., Yang, M. H., Kwon, O. K., Oh, C. W., . . . & Bae, H. J. (2009) The Long-term Incidence of Recurrent Stroke: Single Hospital-based Cohort Study. J Korean Neurol Assoc, 27(2), 110-115.
  19. Lawlor, D. A., Song, Y. M., Sung, J., Ebrahim, S., Smith, G. D. (2008) The association of smoking and cardiovascular disease in a population with low cholesterol levels: a study of 648,346 men from the Korean national health system prospective cohort study. Stroke, 39(3), 760-767. https://doi.org/10.1161/STROKEAHA.107.494823
  20. McManus, J. A., Craig, A., McAlpine, C., Langhorne, P., Ellis, G. (2009) Does behaviour modification affect post-stroke risk factor control? Three-year follow-up of a randomized controlled trial. Clin Rehabil, 23(2), 99-105. https://doi.org/10.1177/0269215508095874
  21. Mohan, K. M., Crichton, S. L., Grieve, A. P., Rudd, A. G., Wolfe, C. D., Heuschmann, P. U. (2009) Frequency and predictors for the risk of stroke recurrence up to 10 years after stroke: the South London Stroke Register. J Neurol Neurosurg Psychiatry, 80(9), 1012-1018. https://doi.org/10.1136/jnnp.2008.170456
  22. Naidoo, B., Stevens, W., McPherson, K. (2000) Modelling the short term consequences of smoking cessation in England on the hospitalisation rates for acute myocardial infarction and stroke. Tob Control, 9(4), 397-400. https://doi.org/10.1136/tc.9.4.397
  23. O'Donnell, M. J., Xavier, D., Liu, L., Zhang, H., Chin, S. L., Rao-Melacini, P., . . . & Yusuf, S. Risk factors for ischaemic and intracerebral haemorrhagic stroke in 22 countries (the INTERSTROKE study): a case-control study. (2010) Lancet, 376(9735), 112-123. https://doi.org/10.1016/S0140-6736(10)60834-3
  24. Papadakis, S., Aitken, D., Gocan, S., Riley, D., Laplante, M. A., Bhatnagar-Bost, A., . . . & Reid, R. D. (2011) A randomised controlled pilot study of standardised counselling and cost-free pharmacotherapy for smoking cessation among stroke and TIA patients. BMJ Open, 1(2), e000366.
  25. Petty, G. W., Brown, R. D. Jr., Whisnant, J. P., Sicks, J. D., O'Fallon, W. M., Wiebers, D. O. (1998) Survival and recurrence after first cerebral infarction: a population-based study in Rochester, Minnesota, 1975 through 1989. Neurology, 50(1), 208-216. https://doi.org/10.1212/WNL.50.1.208
  26. Sacco, R. L., Shi, T., Zamanillo, M. C., Kargman, D. E. (1994) Predictors of mortality and recurrence after hospitalized cerebral infarction in an urban community: the Northern Manhattan Stroke Study. Neurology, 44(4), 626-634. https://doi.org/10.1212/WNL.44.4.626
  27. Shinton, R., Beevers, G. (1989) Meta-analysis of relation between cigarette smoking and stroke. BMJ, 298(6676), 789-794. https://doi.org/10.1136/bmj.298.6676.789
  28. Song, Y. M., Cho, H. J. (2008) Risk of stroke and myocardial infarction after reduction or cessation of cigarette smoking: a cohort study in korean men. Stroke, 39(9), 2432-2438. https://doi.org/10.1161/STROKEAHA.107.512632
  29. Statistics Korea. Annual Report on the Cause of Death 2014. (2015) Daejeon. Statistics Korea.
  30. Thun, M. J., Carter, B. D., Feskanich, D., Freedman, N. D., Prentice, R., Lopez, A. D., . . . & Gapstur, S. M. (2013) 50-year trends in smoking-related mortality in the United States. N Engl J Med, 368(4), 351-364. https://doi.org/10.1056/NEJMsa1211127
  31. Van Spall, H. G., Chong, A., Tu, J. V. (2007) Inpatient smoking-cessation counseling and all-cause mortality in patients with acute myocardial infarction. Am Heart J, 154(2), 213-220. https://doi.org/10.1016/j.ahj.2007.04.012
  32. Wannamethee, S. G., Shaper, A. G., Whincup, P. H., Walker, M. (1995) Smoking cessation and the risk of stroke in middle-aged men. JAMA, 274(2), 155-160. https://doi.org/10.1001/jama.1995.03530020073035
  33. Wolf, P. A., D'Agostino, R. B., Kannel, W. B., Bonita, R., Belanger, A. J. (1988) Cigarette smoking as a risk factor for stroke. The Framingham Study. JAMA, 259(7), 1025-1029. https://doi.org/10.1001/jama.1988.03720070025028
  34. Wolfe, C. D., Redfern, J., Rudd, A. G., Grieve, A. P., Heuschmann, P. U., McKevitt, C. (2010) Cluster randomized controlled trial of a patient and general practitioner intervention to improve the management of multiple risk factors after stroke: stop stroke. Stroke, 41(11), 2470-2476. https://doi.org/10.1161/STROKEAHA.110.588046
  35. Woodward, M., Lam, T. H., Barzi, F., Patel, A., Gu, D., Rodgers, A., & Suh, I. (2005) Smoking, quitting, and the risk of cardiovascular disease among women and men in the Asia-Pacific region. Int J Epidemiol, 34(5), 1036-1045. https://doi.org/10.1093/ije/dyi104