• 지역사회간호학회지
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• 제16권3호
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• pp.282-288
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• 2005

Purpose: This study was to verify the effects of a smoking cessation program for adolescents. Method: This study was designed to use one group with one pre-test and two post-tests. One post-test was done immediately after the completion of the program and the other after eight weeks. The subjects were 21 male high school students who were smokers when this study was carried out. The smoking cessation program consisted of 5 sessions with smoking cessation education and e-mail service after the program. Variables in this research were nicotine dependency (using Fagerstrom Tolerance Questionnaire) and self-efficacy. Data were analyzed by descriptive statistics and Wilcoxon signed rank test. Results: Immediately after the program and eight weeks later, nicotine dependency for continuous smokers decreased significantly (after the program: Z=-2.319, p=.020, eight weeks later: Z=-1.999. p=.046) and self-efficacy increased significantly (after program: Z=-3.024. p=.002. eight weeks later: Z=-2.381. p=.017). Conclusions: The smoking cessation program was effective in decreasing nicotine dependency in the continuous adolescent smokers and in increasing their self-efficacy, Further study needs to be made with a lager number of smoking adolescents using control group design.

• 한국농촌간호학회지
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• 제9권1호
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• pp.33-45
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• 2014

Purpose: This study was done to identify attitudes to smoking, beliefs about smoking and factors influencing nicotine dependence in woman smokers. Methods: Data was collected from 131 women smokers, who visited a public health center between January and July. 2012. Collected data were analyzed using the SPSS 18.0 program. Results: Mean score for attitude to smoking was $23.7{\pm}3.2$, beliefs about smoking, $18.6{\pm}2.9$, and nicotine dependence, $4.3{\pm}2.1$. Attitude to smoking of the woman smokers was significantly different according to marital status, beliefs about smoking were significantly different according to marital status and being employed. Nicotine dependence was significantly different according to frequency of alcohol consumption, stress, number of cigarettes smoked. There was a correlation between attitude to smoking and beliefs about smoking. Age when starting to smoke, number of cigarettes, and length of time one has smoked accounted for 31.0% of nicotine dependence. Conclusion: The results indicate that increasing knowledge and improving attitudes toward smoking as well as training on stress management and exercise are needed. Also, a distinct mediation should be developed for women smokers. Especially, in-depth research is needed to identify psycho-social behavior-related variables for the health promotion of young women smokers.

• Journal of Korean Biological Nursing Science
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• 제18권4호
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• pp.213-220
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• 2016

Purpose: The aim of this study was to identify the influence of knowledge, attitude and preventive health behavior of cancer on nicotine dependency in male college students who have a habit of smoking. Methods: In this study, a cross-sectional survey design was adopted for the 254 male college students who smoke in D and S city. The data was analyzed for descriptive statistics, t-test, Pearson's correlation coefficient and multiple regression analysis using the SPSS 20.0 program. Results: Knowledge about lung cancer (${\beta}=-.407$, p<.001), preventive health behaviors about cancer (${\beta}=-.223$, p<.001) and the smoking period ($5years{\leq}$) (${\beta}=.198$, p=.001) were identified as the factors influencing nicotine dependency of the subjects. The model explained 33% of variance in nicotine dependency (F=20.49, p<.001). Conclusion: The results suggest that anti-smoking educators should include the strategies to increase knowledge about lung cancer and preventive health behaviors of cancer, and to reduce the smoking period in their smoking cessation program.

• 지역사회간호학회지
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• 제25권2호
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• pp.75-84
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• 2014

Purpose: This study aimed to identify the level of knowledge on preventing cardiovascular disease (CVD) and nicotine dependency among smoking male college students, and to examine the predicting factors of nicotine dependency. Methods: This study was conducted as cross-sectional descriptive research using structured questionnaires. Data were collected from 411 smoking male college students ($22.5{\pm}2.59$ yr) at two universities located in two cities in Korea from September 2012 to April 2013. Logistic regression analysis was performed to estimate age-adjusted odds ratios of nicotine dependency. Results: The mean value of nicotine dependency was $4.2{\pm}1.96$ and the percentage of participants who had strong nicotine dependency (${\geq}7$) was 10.7%. Logistic regression analysis showed that, when adjustment was made for age, nicotine dependency was predicted by the frequency of alcohol drinking (${\geq}3$ times/week), knowledge on CVD prevention, the age starting drinking, and the total length of smoking. Conclusion: Nicotine dependency was strongly related to the frequency of drinking alcohol and lower knowledge on CVD prevention. Therefore, male college students who have a dependent smoking habit and drink alcohol frequently need to take more interest in health through educational counseling to modify their lifestyle behaviors and to have preventive knowledge related to CVD.

• 대한간호학회지
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• 제36권6호
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• pp.1023-1032
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• 2006

Purpose: The purpose of this study was to identify nicotine dependence, smoking-related attitude, and subjective norms across the stages of change for smoking cessation among adult smokers in a rural area. Method: The subjects were 276 current smokers (male=243, female=33). There were 3 stages of change for smoking cessation: pre-contemplation, contemplation, and preparation stage. Data was collected by an interview or self-reporting from February 12th to March 5th 2004, and analyzed with frequency, percentage, $X^2-test$, Fisher's exact probability test, ANOVA, and Scheffe test using the SPSS-PC program. Result: According to the stages of change, 114(41.3%) current smokers were in pre-contemplation, 110(39.9%) in contemplation, and 52(18.8%) in the preparation stage. There was a higher percentage of males than females ($X^2-test$=8.99, p=.011) in the preparation stage. The mean score of the smoking-related attitude (F:7.43, p=.001) and subjective norm(F=27.41, p=.001) were both lowest in the pre-contemplation stage and increased positively during the stages of change for smoking cessation. Conclusion: Based on these findings, the authors recommend that community-based smoking cessation programs should be developed by considering the intention or motives of current smokers and should be initiated in the preparation stage and primarily for male groups.

• 성인간호학회지
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• 제18권5호
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• pp.737-745
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• 2006

Purpose: The purpose of the study was to investigate the level of smoking, process of smoking cessation, and nicotine dependency, and urine nicotine among adults with diabetes which are smokers and to examine the relationship among those variables. Method: The subjects consisted of 62 adult men smokers with diabetes mellitus. FTQ and NicCheck 1 were used to measure the level of nicotine dependence. The amount of cigarette smoking was measured by the number of cigarette packs use per week. The stage of smoking cessation was measured by the Prochaska's method. Results: The Subjects smoked cigarettes with a mean of 5.97 packages per week. Seventy-seven percent of the subjects had a nicotine dependency. Fifty-two percent had a high level of nicotine dependency in urine nicotine. Nineteen percent were in the precontemplation stage. The level of cigarette consumption was related to nicotine dependence and urine nicotine. Also, nicotine dependency was related to urine nicotine. Conclusion: A tailored smoking cessation program is needed to prevent the chronic complication for diabetes smokers. Self-reported smoking and nicotine dependency seemed to do equally well as NicCheck 1 in assessing nicotine intake.

• Child Health Nursing Research
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• 제18권1호
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• pp.1-8
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• 2012

Purpose: The purpose of this study was to identify the effects of an empowerment program on nicotine dependency, temptation, self-esteem, and depression for adolescents who smoke. Methods: The study design was a quasi-experimental study with a nonequivalent control group, pre-post design. The participants were 49 adolescents who smoked. Twenty-six adolescents were assigned to the experimental group and 23 to the control group. The intervention was conducted twice a week for 6 weeks. Chi-square test, t-test, paired-test, Wilcoxon rank sum test and Wilcoxon signed rank test were used to analyze the data. Results: After program, scores for self-esteem (t=5.560, p=.014), were significantly higher and scores for depression (t=-2.111, p=.040) were significantly lower for adolescents in the experimental group compared to adolescents in the control group. Conclusion: The finding indicate that the empowerment group training program was effective in improving self-esteem, and decreasing depression and could be considered as a positive program for smoking cessation for adolescents who smoke.

• 한국콘텐츠학회논문지
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• 제11권4호
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• pp.303-311
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• 2011

본 연구는 청소년의 6개월간의 금연성공률을 미치는 영향요인을 확인하기 위하여 시도되었다. 연구대상자는 인천광역시 보건소 금연클리닉에 등록한 925명의 청소년이었다. 수집한 자료는 로지스틱회귀분석을 이용하여 영향요인을 분석하였다. 청소년의 6개월 금연성공의 주요요인은 금연시도를 한 적이 있는 것 보다 금연시도를 한 적이 없는 것이었고(OR=9.48), 음주를 안 하는 것보다 음주(OR=4.61)를 하는 것이, 가족이나 친구의 권유(OR=3.93), 금연방법(인지-행동요법과 니코틴 대체요법의 병행(OR=2.45), 여학생보다는 남학생(OR=1.78)이, 중학생 보다는 고등학생(OR=1.65)이, 호기 CO농도가 낮을수록(OR= 0.95), 니코틴 의존도가 낮을수록(OR=0.76)이었다. 청소년을 위한 금연정책은 금연 뿐 아니라 청소년기 이전부터 흡연예방을 강조해야 한다. 가족, 금연상담사 및 건강관리자들은 금연을 시도하는 청소년이 첫 시도에 금연에 성공하도록 도와주어야 하며, 특히 여학생과 중학생의 경우에는 금연을 위한 동기를 부여하고 금연상담을 더 많이 해야 한다. 청소년 흡연자의 호기 CO 농도가 높거나 니코틴 의존도가 높다면, 이들에게는 인지-행동 요법과 함께 니코틴 대체요법도 효과적이라고 생각한다.

• 한국산학기술학회논문지
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• 제20권3호
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• pp.535-543
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• 2019

본 연구의 목적은 일개 공공병원의 금연클리닉 프로그램에 참여한 흡연 환자(입원 및 외래 포함)를 대상으로 일반적 특성과 흡연관련 특성 측면에서 프로그램 시작 6주 후, 12주 후 금연성공 및 유지 요인을 확인하는 것이다. 본 연구에서 활용된 자료는 2014년 공공보건의료프로그램 중 금연프로그램을 통해 수집된 2차 자료를 활용하였다. 금연 프로그램은 6주 동안 중재가 진행되며, 12주째 금연 유지 상태를 점검한다. 자료분석방법은 카이제곱 검정, t-test, 로지스틱 회귀분석법을 활용하였다. 연구대상자는 총 90명이며, 남자는 85명(94.45%), 여자는 5명(5.55%)으로 대부분 남자였다. 금연프로그램 종료시점인 참여 6주째 금연성공군과 금연실패군간에 가족유형(${\chi}^2=4.496$, p=0.037), 최종 교육정도(${\chi}^2=12.253$, p=0.002), 프로그램 참여 전 하루 흡연량 (t=-2.906, p=0.005), 프로그램 참여 전 니코틴의존도(t=-3.081, p=0.003)간에 유의한 차이를 보였다. 금연 프로그램 참여 6주 후 금연성공 요인으로는 종교유무(OR=3.719, 95% CI=1.076-12.859)와 프로그램 참여 전 니코틴의존도(OR=0.713, 95% CI=0.520-0.976)가 유의한 것으로 나타났다. 금연프로그램 참여 12주 후 금연 유지 요인으로는 가족유형(OR=0.017, 95% CI=0.001-0.507)과 금연의지(OR=2.062, 95% CI=1.059-4.015)가 유의한 것으로 나타났다. 금연이 성공하고 지속적으로 유지되기 위해서는 대상자의 특성별 프로그램 개발이 요구되며 이와 관련한 지속적인 연구 및 지원이 필요할 것이다.

• Journal of Korean Biological Nursing Science
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• 제18권1호
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• pp.1-8
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• 2016

Purpose: The purpose of this study was to explore the levels of stress, self-efficacy for smoking cessation, smoking temptation, and nicotine dependency, and to identify factors influencing nicotine dependency among male college students who smoke. Methods: In this study, a cross-sectional survey design was adopted for 283 male college students who smoke in D city, Korea. Data was analyzed for descriptive statistics, Pearson's correlation, and multiple regression using the SPSS 20.0 program. Results: The mean score of stress was $27.00{\pm}6.28$, self-efficacy for smoking cessation was $25.61{\pm}6.71$, smoking temptation was $53.87{\pm}11.02$, and nicotine dependency was $3.63{\pm}1.96$. There was a significant positive correlation between stress and nicotine dependency (r=.58, p<.001) and between smoking temptation and nicotine dependency (r=.59, p<.001). There was a significant negative correlation between self-efficacy for smoking cessation and nicotine dependency (r=-.59, p<.001). The significant factors influencing nicotine dependency were stress (${\beta}=.357$, p<.001), self-efficacy for smoking cessation (${\beta}=.359$, p<.001), and smoking temptation (${\beta}=.297$, p<.001). This model explained 60.3% of variance in nicotine dependency (F=105.59, p<.001). Conclusion: The results suggest that an intervention program is needed to reduce the perception of stress and smoking temptation, and to increase the ability of self-efficacy for smoking cessation among male college students who smoke with the intention to quit smoking.