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A Short-Term Effectiveness of Smoking Cessation Intervention in Outpatient Department of Pulmonology

호흡기내과 외래로 내원한 환자들에 대한 금연프로그램의 단기간 효과

  • Yeo, Chang-Dong (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Hyeon-Hui (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kang, Ji-Young (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Sung-Kyoung (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Myung-Sook (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Kim, Seung-Soo (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Lee, Sang-Haak (Department of Internal Medicine, The Catholic University of Korea College of Medicine) ;
  • Moon, Hwa-Sik (Department of Internal Medicine, The Catholic University of Korea College of Medicine)
  • 여창동 (가톨릭대학교 의과대학 내과학교실) ;
  • 강현희 (가톨릭대학교 의과대학 내과학교실) ;
  • 강지영 (가톨릭대학교 의과대학 내과학교실) ;
  • 김성경 (가톨릭대학교 의과대학 내과학교실) ;
  • 김명숙 (가톨릭대학교 의과대학 내과학교실) ;
  • 김승수 (가톨릭대학교 의과대학 내과학교실) ;
  • 이상학 (가톨릭대학교 의과대학 내과학교실) ;
  • 문화식 (가톨릭대학교 의과대학 내과학교실)
  • Received : 2011.06.14
  • Accepted : 2011.07.23
  • Published : 2011.08.30

Abstract

Background: There is very limited data present on smoking cessation rates in outpatient departments of pulmonology. In this study, we aimed to investigate the effectiveness of a brief smoking cessation intervention program in an outpatient department of pulmonology and identify predictors of smoking cessation failure. Methods: After a brief recommendation of smoking cessation from pulmonologists, smokers willing to quit smoking were given individual counseling and supplement drugs. Fifty smokers were included in this study and baseline characteristics, smoking history and success rate were reviewed at 3 months. Results: The mean age of the patients was $58.3{\pm}14.6$ years and the total group of patients included 3 women. The rate of smoking cessation success was 74% at 3 months, and there were no differences in age, spirometric indexes and associated diseases between the smoking cessation success and failure group. The rate of supplement drug usage was not different in both groups either. However, body weight, mean number of cigarette usage per day and nicotine dependence scores in the failure group were significantly higher than in the success group. In multivariate analysis, body weight and mean number of cigarette usage per day were significant. Two smokers with a depressive disorder failed the smoking cessation. Conclusion: A smoking cessation intervention program in the outpatient department of pulmonology showed a favorable success rate. More intensive interventions are needed to unfavorable groups which include the obese and heavy smokers.

Keywords

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