Browse > Article

Stages of Change in Smoking Cessation and Factors Related to Re-smoking after Coronary Artery Bypass Graft Surgery  

Choi, Seung-Hee (College of Nursing, Seoul National University)
Song, Kyung-Ja (Seoul National University Hospital)
ChoiKwon, S.-Mi (College of Nursing, Seoul National University)
Publication Information
Journal of Korean Academy of Nursing / v.37, no.7, 2007 , pp. 1159-1165 More about this Journal
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.
Keywords
Smoking cessation; Coronary artery bypass graft(CABG); Nicotine dependence; Self-efficacy;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
연도 인용수 순위
1 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   DOI
2 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   DOI   ScienceOn
3 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   DOI   ScienceOn
4 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
5 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
6 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   DOI   ScienceOn
7 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   과학기술학회마을   DOI
8 Warner, D. O. (2005). Helping surgical patients quit smoking: Why, when, and how. Anesth Analg, 101(2), 481-487   DOI   ScienceOn
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   PUBMED
10 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   DOI   ScienceOn
11 Korean National Statistical Office (2006). The classification of disease and cause of death in 2006. http://www.kosis.kr
12 Epstein, L. H., & Perkins, K. A. (1988). Smoking, stress, and coronary heart disease. J Consult Clin Psychol, 56(3), 342-349   DOI   ScienceOn
13 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   DOI   ScienceOn
14 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   DOI   PUBMED   ScienceOn
15 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   DOI   ScienceOn
16 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
17 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   DOI   ScienceOn
18 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   DOI   PUBMED   ScienceOn
19 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   DOI
20 Kim, E. K. (2001). Smoking-cessation model for male patients with coronary heart disease. Unpublished doctoral dissertation, Seoul National University, Seoul
21 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   DOI
22 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   DOI   ScienceOn
23 Crouse, J. R. III & Hagaman, A. P. (1991). Smoking cessation in relation to cardiac procedures. Am J Epidemiol. 134(7), 699-703   DOI   PUBMED
24 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
25 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   DOI   PUBMED   ScienceOn
26 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   DOI   ScienceOn
27 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   DOI