Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery

관상동맥우회술 후 금연변화단계와 관련요인 조사 연구

  • Published : 2007.12.31
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Abstract

Purpose: The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors. Methods: The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, $X^2$ test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program. Results: The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and self-efficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre-contemplation and contemplation significantly increased 6 years after surgery(p=0.05). Conclusions: To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.

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References

  1. Critchley, J. A., & Capewell, S. (2003). Mortality risk reduction associated with smoking cessation in patients with coronary heart disease: a systemic review. JAMA, 290(1), 86-97 https://doi.org/10.1001/jama.290.1.86
  2. Diclemente, C. C., Prochaska, J. O., & Gibertini, M. (1985). Self efficacy and the stages of self changing of smoking. Cognit Ther Res, 9(2), 181-200 https://doi.org/10.1007/BF01204849
  3. Epstein, L. H., & Perkins, K. A. (1988). Smoking, stress, and coronary heart disease. J Consult Clin Psychol, 56(3), 342-349 https://doi.org/10.1037/0022-006X.56.3.342
  4. Gulliver, S. B., Hughes, J. R., Solomon, L. J., & Dey, A. N. (1995). An investigation of self-efficacy, partner support and daily stresses as predictors of relapse to smoking in self-quitters. Addiction, 90, 767-772 https://doi.org/10.1111/j.1360-0443.1995.tb02224.x
  5. Crouse, J. R. III & Hagaman, A. P. (1991). Smoking cessation in relation to cardiac procedures. Am J Epidemiol. 134(7), 699-703 https://doi.org/10.1093/oxfordjournals.aje.a116146
  6. Heatherton, T., Kozlowski, L., Frecker, R., & Frgerstrom K. (1991). The Fagerstrom test for nicotine dependence: A revision of the Fagerstrom tolerance questionnaire. Br J Addict. 86(9), 1119-1127 https://doi.org/10.1111/j.1360-0443.1991.tb01879.x
  7. Kim, B. J. (2001). Factors associated with the sages of change of smoking cessation behavior in military officers. Unpublished master's thesis, Yonsei University, Seoul
  8. Kim, E. K. (2001). Smoking-cessation model for male patients with coronary heart disease. Unpublished doctoral dissertation, Seoul National University, Seoul
  9. Kim, H. S. (2005). Prospective study on the relating factors to the sages of change in smoking cessation and barriers in coronary artery disease patients. J Korean Acad Nurs, 35(1), 27-36
  10. Korean National Statistical Office (2006). The classification of disease and cause of death in 2006. http://www.kosis.kr
  11. Lee, Y. M., Park, N. H., & Seo, J. M. (2003). Process of change, self-efficacy and decisional balabce corresponding to stage of change in smoking cessation In industrial workers. J Korean Acad Adult Nurs, 15(3), 483-492
  12. Mclntyre, K. O., Lichtenstein, E., & Mermelstein, R. J. (1983). Self-efficacy and relapse in smoking cessation: A replication and extension. J Consult Clin Psychol 51(4), 632-633 https://doi.org/10.1037/0022-006X.51.4.632
  13. Ockene, J., Kristeller, J., Goldberg, R., Ockene, J., Merriam, P., & Barrett, S. (1992). Smoking cessation and severity of disease: The coronary artery smoking intervention study. Health Psychol, 11, 119-126 https://doi.org/10.1037/0278-6133.11.2.119
  14. Oh, V. C. (2002). Related factors with stages of change of smoking cessation in adolescent-based on the Transtheoretical model. Unpublished master's thesis, Seoul National University, Seoul
  15. Park, M. J. (2003). Related factors associated with the sages of change of smoking cessation behavior in industrial workers. Unpublished master's thesis, The Catholic University of Korea, Seoul
  16. Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. J Consult Clin PsychoI, 51(3), 390-395 https://doi.org/10.1037/0022-006X.51.3.390
  17. Rigotti, N. A., McKool, K. M., & Shiffman, S. (1994). Predictors of smoking cessation after coronary artery bypass graft surgery: Results of a randomized trial with 5-year follow-up. Ann Intern Med, 120(4), 287-293 https://doi.org/10.7326/0003-4819-120-4-199402150-00005
  18. Shin, S. R., Lee, D. S., & Park, J. H. (2000). The effect of life smoking cessation program-multidisciplinary approach. J Korean Acad Nurs, 30(1), 110-121 https://doi.org/10.4040/jkan.2000.30.1.110
  19. Skarr, K. L., Tsoh, J. Y., McClure, J. B., Cinciripini, P. M., Friedman Karen, M. S., Wetter, D. W., David, W., & Gritz, E. R. (1997). Smoking cessation I: An overview of research. Behav Med, 23(1), 5-13 https://doi.org/10.1080/08964289709596362
  20. Taira, D. A., Seto, T. B., Ho Kalon, K. L., Krumholz, H. M., Cutlip, D. E., Berezin, R., Kuntz, R. E., & Cohen, D. J. (2000). Impact of smoking cessation on health-related quality of life after percutaneous coronary revascularization Circulation, 102(12), 1369-1374 https://doi.org/10.1161/01.CIR.102.12.1369
  21. Twardella, D., Loew, M., Rothenbacher, D., Stegmaier, C., Ziegler, H., & Brenner, H. (2006). The diagnosis of a smoking-related disease is a prominent trigger for smoking cessation in a retrospective cohort study. J Clin Epidemiol, 59, 82-89 https://doi.org/10.1016/j.jclinepi.2005.05.003
  22. Tylor, C. B., Houston-Miller, N., Killen, J. D., & DeBusk, R. F. (1990). Smoking cessation after acute myocardial infarction: Effect of a nurse-managed intervention. Ann Intern Med, 113, 118-123 https://doi.org/10.7326/0003-4819-113-2-118
  23. Underwood, M. J., & Bailey, J. S. (1993). Controversies in treatment: Should smokers be offered coronary bypass surgery?: Coronary bypass surgery should not be offered to smokers. BMJ, 306, 1047-1048 https://doi.org/10.1136/bmj.306.6884.1047
  24. Voors, A. A., van Brussel, B. L., Thijs Plokker, H. W., Ernst, S. M. P. G., Ernst, N. M., Koomen, E. M., Tijssen, J. G. P., & Vermeulen, F. E. E. (1996). Smoking and cardiac events after vemous coronary bypass surgery: A 15-year follow-up study. Circulation, 93(1), 42-47 https://doi.org/10.1161/01.CIR.93.1.42
  25. Warner, D. O. (2005). Helping surgical patients quit smoking: Why, when, and how. Anesth Analg, 101(2), 481-487 https://doi.org/10.1213/01.ANE.0000159152.31129.84
  26. Wiseman, S., Kenchington, G., Dain, R., Marshall, C. E., McCollum, C. N., & Greenhalgh, R. M. (1989). Influence of smoking and plasma factors on patency of femoropopliteal vein graft. BMJ, 299, 643-646 https://doi.org/10.1136/bmj.299.6700.643
  27. Wiseman, S., Powell, J., Greenhalgh, R., McCollum, C., Kenchington, G., Alexander, C., Sian, M., & Franks, P. (1990). The influence of smoking and plasma factors on patency of prosthetic graft patency. Eur J Vasc Surg, 4, 57-61 https://doi.org/10.1016/S0950-821X(05)80039-8