• 한국보건간호학회지
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• 제19권1호
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• pp.74-94
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• 2005

The purpose of this study was to compare the effect of education between CAI(Computer Assisted Instruction) and lectures for smoking cessation among male students who attended vocational high schools. Conducted from February 24th to April 26th, 2003, the study design was quasi-experimental with nonequivalent control group pretest-posttest design. The study subjects were 60 male students in K vocational high school in Daegu city, who were present smokers and had more than 7.0 ppm concentration level of carbon monoxide. Thirty students were randomly chosen as the experimental group which applied CAI education method for smoking cessation. The other 30 students served as the control group which received lecture education method of 40 minutes on four consecutive days. CAI education for smoking cessation was composed of ready-made individual learning contents, counseling by using cyber-communication, writing a letter to stop smoking, and writing a written agreement for smoking cessation. Lecture education for smoking cessation was composed of a ready-prepared lecture for the group, writing a letter to stop smoking, and writing a written agreement for smoking cessation. To measure smoking related knowledge, Jeong Ree Roh(1996)'s smoking related knowledge scale$(Cronbach's\;{\alpha}=0.84)$ was modified and used by the researcher. To measure smoking related attitude, Jeong Ree Roh(1996)'s smoking related attitude scale$(Cronbach's\;{\alpha}=0.91)$ was modified and used by the researcher. Smoking related knowledge scale's Cronbach's $\alpha$ was 0.83 in the pilot study and 0.93 in this study. Smoking related attitude scale's Cronbach's a was 0.80 in the pilot study and 0.98 in this study. To determine the smoking amount, the number of cigarettes smoked per day was checked. The concentration level of CO in the exhaled breath was measured (Micro CO Cat. No. MCO2, UK). Data was analyzed by $x^2-test$, t-test, repeated measures ANOVA. simple main effects, and time contrast test with SPSS/Win 11.0 program. The results of this study were as follows: 1. The first hypothesis. that 'Smoking-related knowledge score in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation', was not supported. 2. The second hypothesis, that 'Smoking-related attitude in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation'. was supported(F=6490.79. p=0.000). 3. The third hypothesis. that 'Smoking amount in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported. 1) The third-1st sub-hypothesis. that 'The number of cigarettes smoked per day in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported(F=134.19. p=0.000). 2) The third-2nd sub-hypothesis. that 'The concentration level of CO by ppm per one exhaled breath in the experimental group by using CAI education for smoking cessation will be lower than that in the control group by using lecture education for smoking cessation"' was supported(F=268.55. p=0.000). From the above results. CAI education can be an effective intervention to improve smoking-related knowledge and attitude. and to reduce the number of cigarettes smoked per day and the concentration level of CO by ppm per one exhaled breath. Lecture education can be effective to improve smoking-related knowledge. In the future, when CAI education and lecture education for smoking cessation are applied on the school nursing field. the students can gain a comprehensive understanding of smoking cessation, changes in smoking-related knowledge. smoking-related attitude and reducing smoking amount. Furthermore, CAI education for smoking cessation could be developed as an individual self initiative program and could give a guideline to apply CAI education for smoking cessation in other field.

• 대한간호학회지
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• 제26권4호
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• pp.820-832
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• 1996

The average smoking rate for Adults' in our country is 40.6% : It is 74.2% for men and 5.0% for women. Particularly, the smoking rate for men is reported higher than that of men in U.S.A. or Japan. Since the first report on the association between smoking and cancer appeared, 370 thousand smokers have succeeded in smoking cessation and over 90% of them have responded that they depended on a self-help smoking cessation approach. Despite this positive evidence about self- help approaches for smoking cessation, most studies on smoking cessation have focused on evaluation of formal treatment programs that are provided by clinics. Reports on the smoking cessation process used by smokers in our country could not be found. However, it is believed that the situation in our country would be quite similar to that in U.S.A. as far as approaches to successful smoking cessation are concerned. This study was conducted to classify the smoking stage to which they smoker belong and which changing mechanisms could be included at each changing stage (precontemplation stage, comtemplation stage, action stage) with a sample of 155 college students between 20 and 29 years old. And it also identified which variables related both to smoking pattern and to health, which ones were significantly discriminating in the changing stages. From the results of the data analysis it was found that Self-Determination is the most influential variable as one of the changning mechanisms which can discriminate three changing stages. And as the next significant mechanisms were Reinforcement, Dramatic Relief, Cognitive Restructuring, Helping Relationship, and Information Management in that order. Among variables related to the smoking pattern, years of regular smoking, whether smoking is continued or not even when they are sick, the number of attempts to stop smoking, number of cigarettes smoked per day, and whether they have smoked over 100 cigarettes up to now, but not the time of the first cigarette after waking-up, were the significant factors to descriminate changing stages. It was confirmed that among variables related to health that, perceived control for health, confidence of health maintence ability, and self confidence in smoking cessation, were significant variables in determinating changing stages. The most influential variables among them was self-confidence in smoking cessation. Conclusively, it was shown that smoking cessation is the process of attempting to change smoking habits through the various changing processes. Also it can be shown that a few factors smoking habit, self-confidence of smoking cessation, and belief in self control of his /her health, were influential in discriminating the changing stages of the smoking habit.

• 한국산학기술학회논문지
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• 제19권4호
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• pp.362-373
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• 2018

본 연구는 남성 흡연자들의 금연에 대한 관심도와 그에 관련된 요인을 규명하고자 시도하였다. 조사대상은 D광역시청에 근무하고 있는 남성 공무원 중 조사시점에서 현재 흡연자인 593명으로 하였다. 조사는 2015년 10월에 구조화된 무기명 자기기입식 설문조사에 의하였다. 연구결과, 조사대상자의 금연에 대한 관심도는 "관심 없음" 28.3%, "관심이 있으나 6개월 이내에 금연할 생각 없음" 45.7%, "관심이 있으며 6개월 이내에 금연할 것임" 26.0%로 나타났다. 다중회귀분석 결과, 조사대상자의 금연에 대한 관심도에 영향을 미치는 요인으로는 "고용형태", "최초 흡연 연령", "1일 흡연량(담배 개피 수)", "아침에 일어나서 첫 번째 담배를 피울 때까지 걸리는 시간", "폐암 이환 가능성 인지", "금연에 대한 행동실천의 인지된 이익"이 유의한 변수로 선정되었다. 로지스틱 회귀분석 결과, 금연에 대한 관심도가 "관심 없음"군보다 "관심이 있으며 6개월 이내에 금연할 것임"군에서 "폐암 이환 가능성 인지", "금연에 대한 행동실천의 인지된 이익" 및 "금연에 대한 행동실천의 인지된 장애"가 높게 나타날 위험비가 유의하게 상승하는 것으로 나타났다. 위와 같은 연구결과는 흡연에 의한 건강장애의 심각성의 인식이 금연에 대한 관심을 높이는 주요 요인이 되고 있음을 시사한다.

• 치위생과학회지
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• 제9권4호
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• pp.397-404
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• 2009

치과종사자의 금연에 대한 태도, 금연지도활동의 실태, 금연지도활동의 장애요인에 대한 자료를 조사 분석하여 금연지도활동을 확대하는데 필요한 자료를 얻기 위하여 강원도 원주시 구강보건지료기관에 근무하는 치과의사, 치과위생사, 간호조무사, 치과코디네이터를 대상으로 하여 설문조사법을 적용하여 다음과 같은 결과를 얻었다. 1. 치과종사자의 금연에 대한 태도점수의 평균 6점 만점에서 5.18점(${\pm}1.21$)으로 비교적 금연에 대해 긍정적인 태도를 가지고 있는 것으로 나타났다. 2. 치과종사자의 금연지도활동 점수의 평균은 12점 만점에서 6.67점(${\pm}1.85$)으로 비교적 낮게 나타났다. 3. 금연지도활동의 장애요인으로는 금연문제를 거론하기가 힘들다는 응답이 42.3%로 가장 큰 장애요인으로 나타났다. 4. 치과종사자의 금연지도활동 점수와 통계적으로 유의한 상관관계를 보인 변수는 금연에 대한 태도, 연령, 금여권유 시, 금연 가능성에 대한 인식이었다. 이상의 결과로부터 구강건강관리인력의 금연지도활동에 대한 자기효능감을 높이기 위해 정규교과과정이나 보수교육 프로그램의 개발을 통행 지속적으로 금연지도활동에 대한 이론 및 기술교육을 통해 제공해야 하며, 금연중재 프로그램의 적용과 관련하여 프로그램의 효과를 평가할 수 있는 연구가 필요하다.

• 대한간호학회지
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• 제42권1호
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• pp.19-27
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• 2012

Purpose: This study examined the effectiveness of an Adolescent Motivational Interviewing Cessation program on smoking cessation change. The study was done with a nonequivalent control group pretest-posttest design. Methods: The participants were 39 high school students from G city, who were in school from September 1 to October 30, 2009. The students were assigned to the experimental group (20) and participated in the motivational interviewing cessation program or to the control group (19) who did not participate. Data analyses involved ${\chi}^2$-test, independent t-test, Repeated Measures ANOVA, and utilized the SPSS program. Results: The experimental group had significantly less daily smoking, nicotine dependence and smoking temptation in comparison to the control group. The experimental group had significantly higher stage of change in comparison to the control group. Conclusion: The results of the study indicate that a motivational interviewing cessation program delivered to adolescents who smoke is an effective method of encouraging cessation, and can be utilized as an effective nursing intervention for adolescents who smoke.

• 대한간호학회지
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• 제36권1호
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• pp.144-150
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• 2006

Purpose: This study was conducted to 1) find out the characteristic of smoke related characteristics of nurses. 2) find out the frequency of Smoking cessation intervention delivered by nurses. 3) compare the differences in mean scores of smoking cessation interventions by general characteristics. Method: The survey questionnaire was mailed out to nurses who were working at the randomly selected hospitals throughout the country from November 28, 2003 to February 15, 2004. Result: $0.6\%$ of nurses were current smokers $40.7\%$ of nurses have attended smoking cessation education. Nurses who were older, had masters degree, had oncology experience, higher position, participated in smoking cessation education, and had smoking related disease among family members were variables related to higher frequencies in delivering tobacco interventions. Conclusion: Although nurses are in an important position in delivering tobacco interventions and provide resources, their participation in consistent delivery of an intervention is less than desirable. To help nurses to participate in the assessment of tobacco use and interventions for cessation, the development of educational program is necessary.

• 대한간호학회지
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• 제35권2호
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• pp.344-352
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• 2005

Purpose: This study was conducted to examine the relationship among health-related quality of life, smoking knowledge, smoking attitude, and smoking cessation intention in male smokers. Method: The subjects were 259 male smokers in J city. The data was collected using structured questionnaires from Nov. to Dec. of 2003. The data was analyzed by the SPSS (ver. 10.0)computer program, and it included descriptive statistics, t-test, ANOVA, the Pearson correlation coefficient, and Stepwise Multiple Regression. Result: The smoking cessation intention had a significant positive correlation among health-related quality of life (r=.159), smoking knowledge (r=.161), and smoking attitude (r=.127). These variables account for $26.8\%$ of smoking cessation intention. Conclusion: These results suggested that the smoking cessation program to enhance the health-related quality of life, smoking knowledge, and smoking cessation intention and to increase a negative influence on smoking attitude need to be developed. Therefore, these findings give useful information for constructing a smoking cessation program in male smokers.

• 보건교육건강증진학회지
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• 제24권4호
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• pp.115-130
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• 2007

Purpose: The Purpose of this study was to investigate the effects of the '5&6 smoking cessation program - six classes in five weeks' on the high school students' perception and smoking behavior. Methods: The data collection was done from November to December, 2006. This study was designed using nonequivalent control group pretest - posttest. Experimental group had 24 students, control group had 41 students. The '5&6 smoking cessation program' was applied to the experimental group for two hours per session during five weeks. Data analysis was done using descriptive statistics, X2-test, Fisher's exact test, Independent-samples t-test, Paired t-test, Cronbach's coefficient alpha. Results: The experimental group showed significant increase on smoking self-efficacy, stage of smoking cessation behavior change and significant decrease on daily smoking amount, dependancy of nicotine, urine cotinine level than control group. But the experimental group was not significantly changed at self-awareness, Pros. for smoking and Cons. for smoking. Conclusion: In conclusion, the results of this study showed that the 5&6 smoking cessation program, which focuses on self-awareness, is effective in adolescent's smoking cessation behaviors.

• 지역사회간호학회지
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• 제22권2호
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• pp.121-130
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• 2011

Purpose: The purpose of this study is to understand the effects of a program to improve self-esteem and smoking cessation self-efficiency on smoking high school students' self-esteem, smoking cessation self-efficiency, amount of smoking, cotinine in urine, and carbon monoxide while exhalation. Methods: This research was conducted as a quasi-experimental pretest and posttest control and experimental group methodological comparison study. The subjects were 45 smoking high school students (Exp.=22, Cont.=23) in U City. Data were collected from October 19 to December 7, 2010, and analyzed using the SPSS/WIN 12.0 program by frequency, Mann-Whitney test, means, standard deviations, and Willcoxon signed rank test. Results: After the treatment, those belonging to the experimental group showed significantly increased self-esteem and smoking cessation self-efficacy and also showed decreased amount of smoking, cotinine in urine, and carbon monoxide while exhalation compared to the control group. Conclusion: The self-esteem and smoking cessation self-efficacy improvement program was effective in improving self-esteem and smoking cessation self-efficacy and in diminishing the amount of smoking, cotinine in urine and carbon monoxide while exhalation. Therefore, this program is recommended as a smoking cessation strategy for smoking adolescents.

• 보건교육건강증진학회지
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• 제27권4호
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• pp.131-139
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• 2010

Objectives: This pilot study was designed to examine whether the adolescent smoking cessation program with harmonica therapy was effective or not. It was qualitatively explored perceived smoking consequences, cessation and relapse experience, specific harmonica help to overcome smoking urge, preference of harmonica toward cessation, and harmonica intervention planning to quit. Methods: The treatment program was conducted 30-minute, 6-session, and once a week basis. Qualitative data using Focus Group Interview were collected at the completion of the program with 6 participants, and analyzed by Krueger's systematic process. Results: Participants were smoking daily and consumed 3-10 cigarettes. They recognized undesirable smoking consequences in terms of cost, interpersonal relationship, and health that might lead to cessation attempts in the past. Participants who did not want to quit smoking at the program beginning changed their attitude to quit after exploring partial cessation efforts with the help of harmonica therapy. They believe harmonica's consistent help of quitting and leading to success. Conclusion: Adolescent attitudinal change toward smoking cessation has promising insight of motivation enhancement through harmonica therapy that was a major barrier to successful quit.