Browse > Article
http://dx.doi.org/10.5953/JMJH.2020.27.1.31

The Effect of a Multi-component Smoking Cessation Program on Bone Union in Adult Patients with Fracture  

Kim, In Sook (Graduate School of Nursing, Gachon University)
Lee, Hanju (Department of Nursing, Sangmyung University)
Lee, Seon Heui (Department of Nursing Science, College of Nursing, Gachon University)
Publication Information
Journal of muscle and joint health / v.27, no.1, 2020 , pp. 31-40 More about this Journal
Abstract
Purpose: This study was done to examine the effect of a multi-component cessation program on bone union by comparing the union time between the experimental group and the control group. Methods: A non-equivalent control group posttest design was used. The subjects were 33 patients in the experimental group and 33 patients in the control group, 66 patients in total. The subjects of the experimental group were provided with a face-to-face multi-component smoking cessation program. After the discharge, telephone consultation was provided once a week for 10 weeks. Results: Bone union time was 51.6±10.9 days in the experimental group and 60.9±13.83 days in the control group (p=.003). Among 33 subjects who participated in the smoking cessation program, the average union period of the participants who succeeded in quitting smoking was 44.56 days, the participants who reduced smoking were 50.67 days, and failed to quit smoking group was 60.11 days (p=.006). Conclusion: This study indicated the importance of smoking cessation in patients with fracture and the decrease in the union time by providing smoking cessation education. If the multi-component smoking cessation program is used as a nursing intervention in clinical practice, it will be effective for bone union by increasing the smoking cessation rate of patients with fracture.
Keywords
Fracture; Smoking Cessation; Bone Union;
Citations & Related Records
Times Cited By KSCI : 6  (Citation Analysis)
연도 인용수 순위
1 Al-Hadithy, N., Sewell, M. D., Bhavikatti, M., & Gikas, P. D. (2012). The effect of smoking on fracture healing and on various orthopaedic procedures. Acta Orthopaedica Belgica, 78(3), 285-290.
2 Bae, S. Y., Kim, H. C., Roh, J. Y., & Lee, D. W. (2004). Effect of smoking on long bone shaft fracture healing. Journal of the Korean Orthopaedic Association, 39(4), 366-372. https://doi.org/10.4055/jkoa.2004.39.4.366   DOI
3 Bhandari, M., Fong, K., Sprague, S., Williams, D., & Petrisor, B. (2012). Variability in the definition and perceived causes of delayed unions and nonunions: A cross-sectional, multinational survey of orthopaedic surgeons. Journal of Bone & Joint Surgery, 94(15), 109. https://doi.org/10.2106/jbjs.k.01344
4 Calori, G. M., Albisetti, W., Agus, A., Iori, S., & Tagliabue, L. (2007). Risk factors contributing to fracture non-unions. Injury International Journal of the Care of the Injured, 38S, S11-S18. https://doi.org/10.1016/s0020-1383(07)80004-0
5 Chen, F., Osterman, A. L., & Mahony K. (2001). Smoking and bony union after ulna-shortening osteotomy. American Journal of Orthopaedics (Belle Mead N.J.), 30(6), 486-489.
6 Cho, S. H. (2012). Effects of a smoking cessation education on smoking cessation, endothelial function, and serum carboxyhemoglobin in male patients with variant angina. Journal of Korean Academy of Nursing, 42(2), 190-198. https://doi.org/10.4040/jkan.2012.42.2.190   DOI
7 Fauci, A. S., Braunwald, E., Kasper, D. L., Hauser, S. L., Longo, D. L., Jameson, J. L., et al. (2007). Harrison's principles of internal medicine. 17th ed. New York: McGraw-Hill, 2736-2739.
8 Health Insurance Review and Assessment Service. (2009). Results of the analysis of decision-making data from 2004 to 2008 for 5 years. http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=7825&pageIndex=1#none
9 Kim, H. K., Park, J. Y., Kwon, E. J., Choi, S. H., & Cho, H. I. (2013). Efficacy of smoking cessation and prevention programs by intervention methods: A systematic review of published studies in Korean journals during recent 3 years. Journal of Korean Society For Health Education And Promotion, 30(5), 61-77.   DOI
10 Jung, K. Y., Yoo, S. H., Ma, S. H., Hong, S. H., Lee, Y. S., Shim, U. Y., et al. (2009). Inpatient smoking cessation program and its success rate for abstinence among Korean smokers. Korean Journal of Family Medicine, 30, 503-510. https://doi.org/10.4082/kjfm.2009.30.7.503   DOI
11 Kim, S. S., Sohn, S. K., Kim, C. H., Lee, M. J., & Wang, L. (2007). Cause and treatment of the nonunion of femoral shaft fracture after interlocking intramedullary nailing. Journal of the Korean Fractures Society, 20(2), 141-148. https://doi.org/10.12671/jkfs.2007.20.2.141   DOI
12 Krannitz, K. W., Fong, H. W., Fallat, L. M., & Kish, J. (2009). The effect of cigarette smoking on radiographic bone healing after elective foot surgery. Journal of Foot and Ankle Surgery, 48(5), 525-527. https://doi.org/10.1053/j.jfas.2009.04.008   DOI
13 Lee, B. S., Kang, K. H., Chae, E. H., Kim, M C., Jung, J. I., Chang, H. J., et al. (2004). The characteristics of Korean smoker, enrolled in "5 day Smoking Cessation School" and the effect of inpatient smoking cessation program. Tuberculosis and Respiratory Diseases, 57(5), 411-418. https://doi.org/10.4046/trd.2004.57.5.411   DOI
14 Lee, J. Y., Choi, K. Y., Kang, S., & Ko, K. Y. (2018). The risk factors associated with nonunion after surgical treatment for distal fibular fractures. Journal of Korean Foot and Ankle Society, 22(3), 95-99. https://doi.org/10.14193/jkfas.2018.22.3.95   DOI
15 Park, S. G., Moon, J. J., & Shon, O. J. (2016). The mid-term result after osteosynthesis of intra-articular fractures of distal femur. Journal of the Korean Fractures Society, 29(4), 242-249. https://doi.org/10.12671/jkfs.2016.29.4.242   DOI
16 Little, C. P., Burston, B. J., Hopkinson-Woolley, J., & Burge, P. (2006). Failure of surgery for scaphoid non-union is associated with smoking. Journal of Hand Surgery, 31B(6), 252-255. https://doi.org/10.1016/j.jhsb.2005.12.010
17 Mo, E. H., Cho, J. K., Lee, S. H., Lim, C. H., & Choi, J. W. (2008). Factors influencing in the bone mineral density and the incidence of the osteoporosis among male older than 40 years old. Journal of the Korea Contents Association, 8(10), 241-250. https://doi.org/10.5392/jkca.2008.8.10.241   DOI
18 Moghaddam, A., Zimmermann, G., Hammer, K., Bruckner, T., Grutzner, P. A., & von Recum, J. (2011). Cigarette smoking influences the clinical and occupational outcome of patients with tibial shaft fractures. Injury, 42(12), 1435-1442. https://doi.org/10.1016/j.injury.2011.05.011   DOI
19 Park, K. H., Kim, J. W., & Oh, C. W. (2018). Etiology and management of nonunion. Journal of the Korean Orthopaedic Association, 53(1), 19-28. https://doi.org/10.4055/jkoa.2018.53.1.19   DOI
20 Park, S. G., & Shon, O. J. (2017). Impaired Bone Healing Metabolic and Mechanical Causes. Journal of the Korean Fractures Society, 30(1), 40-51. https://doi.org/10.12671/jkfs.2017.30.1.40   DOI
21 Park, S. H., Hwang, J. H., Choi, Y. K., & Kang, C. B. (2012). The effectiveness of smoking cessation program in adults: Systematic review of randomized controlled trials. Korean Journal of Health Education and Promotion, 29(3), 1-14.
22 Sloan, A., Hussain, I., Maqsood, M., Eremin, O., & El-Sheemy, M. (2010). The effects of smoking on fracture healing. The Surgeon, 8(2), 111-116. https://doi.org/10.1016/j.surge.2009.10.014   DOI
23 Scolaro, J. A., Schenker, M. L., Yannascoli, S., Baldwin, K., Mehta, S., & Ahn, J. (2014). Cigarette smoking increase complications following fracture: A systematic review. Journal of Bone & Joint Surgery, 96(8), 674-681. https://doi.org/10.2106/jbjs.m.00081   DOI
24 Shin, H. D. (2008). Factors and surgical pitfalls causing nonunion. Journal of the Korean Fractures Society, 21(2), 180-185.   DOI
25 Shon, O. J., Lee, M. H., & Ahn, H. S. (2014). Non-operative treatment of nonunion. Journal of the Korean Fractures Society, 27(4), 338-347. https://doi.org/10.12671/jkfs.2014.27.4.338   DOI
26 Zura, R., Mehta, S., Della Rocca, G. J,. & Steen, R. G. (2016). Biological risk factors for nonunion of bone fracture. Journal of Bone & Joint Surgery Reviews, 4(1), 1-12. https://doi.org/10.2106/jbjs.rvw.o.00008
27 Song, J. I., Lee, G. H., Kim, M. E., & Kim, K. S. (2010). Study on short term smoking cessation treatment in dental hospitals in Korea. Journal of Oral Medicine and Pain, 35(4), 245-258.