• 근관절건강학회지
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• 제24권1호
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• pp.37-46
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• 2017

Purpose: The purpose of this study was to examine the effects of the program to improve on smoking patients' after acute coronary syndrome (ACS) smoking cessation rate, smoking cessation related self-efficacy, carbone monoxide (CO), nicotine dependence, and pain sense. Methods: This study used a non-equivalent control group pretest-posttest design. The participants of this study were 60 ACS patients: experimental group (30), control group (30), who received percutaneous coronary intervention. The study lasted from Aug 16, 2016 to Jan 13, 2017. Smoking cessation rate, smoking cessation related self-efficacy, CO, nicotine dependence, and pain sense were measured using the structured questionnaires and CO monitor Results: An examination of the effects of this program revealed the experimental group to have a significant increase in smoking cessation rate, smoking cessation related self-efficacy than the control group, and a significant decrease in CO, nicotine dependence and pain sense than in the control group. Conclusion: The findings indicate that this smoking cessation self-efficacy improvement program is effective for hospitalized patients after ACS.

• 동서간호학연구지
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• 제16권2호
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• pp.105-112
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• 2010

Purpose: This study was aimed at evaluating the effects of a smoking cessations health camp on levels of expiratory Carbon Monoxide concentration, self-efficacy, smoking knowledge and nicotine dependence among adolescents smokers. Methods: This research uitlized a one group pre-test post-test design. The smoking cessations health camp was developed after considering cognitive and behavioral aspects and was provided for two days and one night. The number of subjects was 31 high school students. Data were analyzed using descriptive analysis and paired t-test. Results: As compared to a pre-test, the average score of expiratory CO concentration and nicotine dependence were significantly lower and the average score of smoking knowledge was significantly higher in a post-test. An increase in the mean score of self-efficacy was not statistically significant. Conclusion: These results suggest that this smoking cessations health camp can provide teen smokers with the insightful antismoking information and an opportunity for anti-smoking practices. Therefore, this smoking cessations health camp can be effective and useful for adolescent smokers in other school settings.

• 지역사회간호학회지
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• 제25권2호
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• pp.75-84
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• 2014

Purpose: This study aimed to identify the level of knowledge on preventing cardiovascular disease (CVD) and nicotine dependency among smoking male college students, and to examine the predicting factors of nicotine dependency. Methods: This study was conducted as cross-sectional descriptive research using structured questionnaires. Data were collected from 411 smoking male college students ($22.5{\pm}2.59$ yr) at two universities located in two cities in Korea from September 2012 to April 2013. Logistic regression analysis was performed to estimate age-adjusted odds ratios of nicotine dependency. Results: The mean value of nicotine dependency was $4.2{\pm}1.96$ and the percentage of participants who had strong nicotine dependency (${\geq}7$) was 10.7%. Logistic regression analysis showed that, when adjustment was made for age, nicotine dependency was predicted by the frequency of alcohol drinking (${\geq}3$ times/week), knowledge on CVD prevention, the age starting drinking, and the total length of smoking. Conclusion: Nicotine dependency was strongly related to the frequency of drinking alcohol and lower knowledge on CVD prevention. Therefore, male college students who have a dependent smoking habit and drink alcohol frequently need to take more interest in health through educational counseling to modify their lifestyle behaviors and to have preventive knowledge related to CVD.

• 생물정신의학
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• 제12권1호
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• pp.68-72
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• 2005

Object:Nicotine dependence is the most common substance abuse disorder. One of the characteristics of nicotine dependence is craving. Regional activation of the brain induced by craving for nicotine was evaluated by using functional magnetic resonance imaging to investigate neuroanatomical site of smoking craving. Method:A smoker who satisfied DSM-IV criteria for nicotine dependence and a non smoker was studied. MRI data were acquired on a 1.5T Magnetom Vision Plus with a head volume coil. Two sets of visual stimuli were presented to subjects in a random manner. One was the film scenes of inducing smoking craving and the other was neutral stimuli not related to smoking. There were two fMRI sessions before and after smoking or sham smoking. Data were analyzed using SPM99. Results:fMRI showed significant activated area in anterior cingulate and medial frontal lobes in the smoker during smoking craving. Right dorsolateral prefrontal cortex and parietal lobes were activated in the control during visual stimulation before smoking. After smoking, there was no brain activation during visual stimulation in both of smoker and non smoker. Conclusion:Metabolic activity of the anterior cingulate and medial frontal lobes increased during craving for smoking. This result suggests that fMRI may be a valuable tool in the identification of neurobiological process of craving.

• 한국보건간호학회지
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• 제21권1호
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• pp.37-45
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• 2007

Purpose: A diverse range of measurement methods to evaluate the effect of smoking is more powerful than using a single measure. The objectives of this study were to examine the relationships among smoking pack year, self-reported smoking dependence, and urinary cotinine levels, and to investigate the psychological variables in working men. Method: In this cross-sectional study, we surveyed men working in an electronic company who participated in a smoking cessation program. Among 57 men who completed questionnaires, 25 participate in a test for cotinine levels. Results: Smoking pack year was significantly and positively correlated with the FTND-K (Korean version of Fagerstrom test for nicotine dependence) sum scores (r=0.631, p=0.000) and with the levels of urine cotinine (r=0.463, p=0.023). The relationship between FTND-K sum scores and urinary cotinine levels was also significantly positive (r=0.639, p=0.001). Those with higher social support, especially family support, tended to perceive a higher self-efficacy to smoking cessation. Conclusion: These findings suggest that self-reported smoking pack year and nicotine dependence in working men may be a valid way to evaluate the effect of smoking. A supportive family may influence smoking cessation in working men as it increases self-efficacy to avoid smoking.

• Asian Pacific Journal of Cancer Prevention
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• 제15권18호
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• pp.7629-7634
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• 2014

Background: Cigarette smokers have their own motivation and justification to smoke. For example, smoking reduces their stress or enhances their pleasure. This study aimed to identify the (a) prevalence of cigarette smokers among undergraduates in Malaysia, (b) gender differences in nicotine dependence among current smokers, (c) differences in psychological problems (depression, anxiety and stress) based on the status of smoking cigarettes (current, former and non-smokers) and (d) extent to which precipitating factors (tension reduction, addiction, automatism, handling, social interaction, pleasure, and stimulation) predict the smoking behavior among current smokers. Materials and Methods: In this study 780 undergraduate students participated from a private university in Kuala Lumpur and Selangor state in Malaysia. The Depression, Stress and Anxiety Scale, Modified Reason for Smoking Scale and Fagerstrom Nicotine Dependence Test were used to measure psychological problems, predictors of smoking behavior and nicotine dependency among current smokers. Results: The results showed that 14.7%(n=106) of the students were smokers. Current smokers exhibited more psychological problems (depression, anxiety and stress) compared to former and non-smokers. Addiction, tension reduction, pleasure and automatism were predictors of smoking behavior among the current smoking students. Step wise regression analysis showed that smoking behavior was highly predicted by nicotine dependency or addiction. Smoking students were motivated to smoke cigarettes as they believed that it reduced their tension and enhance pleasure. Conclusions: Hence, there is a need for health promotion and anti-tobacco prevention as cigarette smokers experience more psychological problems. Nicotine dependency or addition was one of the major causes for smoking behavior among the student population in Malaysia.

• Journal of Forest and Environmental Science
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• 제39권4호
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• pp.225-234
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• 2023

This study verified the effect of a combined forest/thermal therapy (FT/TT) program on participants with depressive symptoms and smoking or alcohol dependence. The participants included 20 people in the experimental group and 18 people in the control group. The experimental group participated in the FT/TT program for 2 nights and 3 days at the National Center for Forest Healing, in Hoengseong (National Hoengseong Supchewon), and a charcoal kiln operated by the Gangwon Charcoal Farming Association. The control group carried out their daily life for the same period. Psychological, physiological, and biochemical tests were conducted to determine the effect of the program. The results showed that there were significant improvements in stress, anxiety, depression, sleep quality, sleep satisfaction, and IL-6 levels. However, no significant difference was found in the cortisol, serotonin and melatonin levels between the experimental and control groups. Thus, the FT/TT therapy had psychological and biochemical effects on individuals with depression and nicotine or alcohol dependency. Further studies should be conducted to verify the effect of forest healing in various conditions.

• 대한간호학회지
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• 제36권6호
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• pp.1023-1032
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• 2006

Purpose: The purpose of this study was to identify nicotine dependence, smoking-related attitude, and subjective norms across the stages of change for smoking cessation among adult smokers in a rural area. Method: The subjects were 276 current smokers (male=243, female=33). There were 3 stages of change for smoking cessation: pre-contemplation, contemplation, and preparation stage. Data was collected by an interview or self-reporting from February 12th to March 5th 2004, and analyzed with frequency, percentage, $X^2-test$, Fisher's exact probability test, ANOVA, and Scheffe test using the SPSS-PC program. Result: According to the stages of change, 114(41.3%) current smokers were in pre-contemplation, 110(39.9%) in contemplation, and 52(18.8%) in the preparation stage. There was a higher percentage of males than females ($X^2-test$=8.99, p=.011) in the preparation stage. The mean score of the smoking-related attitude (F:7.43, p=.001) and subjective norm(F=27.41, p=.001) were both lowest in the pre-contemplation stage and increased positively during the stages of change for smoking cessation. Conclusion: Based on these findings, the authors recommend that community-based smoking cessation programs should be developed by considering the intention or motives of current smokers and should be initiated in the preparation stage and primarily for male groups.

• 한국산학기술학회논문지
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• 제15권12호
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• pp.7248-7258
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• 2014

본 연구는 전화상담과 문자메시지 제공 금연프로그램이 중재 횟수를 달리한 실험군1, 실험군2와 대조군의 금연 자기효능감, 니코틴의존도, 호기일산화탄소 농도, 금연성공률에 미치는 효과를 알아보기 위한 유사실험연구로 허혈성 심질환자 60명을 대상으로 하였다. 프로그램효과를 측정한 결과, 실험군은 대조군에 비해 금연 자기효능감, 금연성공률은 유의하게 증가하였고, 니코틴의존도, 호기 일산화탄소 농도는 유의하게 감소하였다. 또한 실험군1은 실험군2에 비해 금연 자기효능감, 금연성공률은 유의하게 증가하였고, 호기 일산화탄소는 유의하게 감소하였으나, 니코틴의존도에는 유의한 차이가 없었다. 따라서 허혈성 심질환자에게 제공한 전화상담과 문자메시지 중재 금연프로그램은 금연성공률의 향상에 효과가 있으며 중재 횟수에 따라 더욱 효과가 있는 것으로 나타났다.

• 대한간호학회지
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• 제37권7호
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• pp.1159-1165
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• 2007

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.