• 디지털융복합연구
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• 제14권2호
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• pp.295-303
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• 2016

본 연구는 흡연중학생의 기본심리욕구 만족, 사회적 지지, 흡연태도가 니코틴의존도에 미치는 영향을 알아보기 위한 서술적 조사연구이다. 연구대상자는 2015년 9월부터 2015년 11월까지 D시와 K도에 소재한 중학교에 재학중인 남녀 흡연 학생 150명을 할당표집 하였으며, 자료 수집은 자가 보고 설문지법을 사용하였다. 자료 분석은 SPSS/WIN 18.0프로그램으로 t-test와 분산분석, 상관분석, 다중회귀분석의 방법을 이용하였다. 연구결과 니코틴의존도는 일반적 특성 중 학년과 첫 흡연시기에 유의미한 차이를 보였으며, 기본심리욕구 만족(r=-.221, P=.008)과 기본심리 욕구 만족의 하위 변수인 유능감(r=-.194, p=.021), 관계성(r=-.219, p=.009)과 부적 상관관계가 있었다. 또한 흡연중학생의 니코틴의존도에 대하여 기본심리욕구 만족(${\beta}=-.221$, p=.008)이 42%의 설명력을 보였다. 결론적으로 본 연구결과 기본심리욕구 만족은 흡연 중학생의 니코틴의존도를 감소시키는 요인으로 확인되었다. 그러므로 흡연중학생의 기본심리욕구 만족을 증가시키기 위한 프로그램 개발이 요구된다.

• 한국콘텐츠학회논문지
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• 제11권4호
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• pp.303-311
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• 2011

본 연구는 청소년의 6개월간의 금연성공률을 미치는 영향요인을 확인하기 위하여 시도되었다. 연구대상자는 인천광역시 보건소 금연클리닉에 등록한 925명의 청소년이었다. 수집한 자료는 로지스틱회귀분석을 이용하여 영향요인을 분석하였다. 청소년의 6개월 금연성공의 주요요인은 금연시도를 한 적이 있는 것 보다 금연시도를 한 적이 없는 것이었고(OR=9.48), 음주를 안 하는 것보다 음주(OR=4.61)를 하는 것이, 가족이나 친구의 권유(OR=3.93), 금연방법(인지-행동요법과 니코틴 대체요법의 병행(OR=2.45), 여학생보다는 남학생(OR=1.78)이, 중학생 보다는 고등학생(OR=1.65)이, 호기 CO농도가 낮을수록(OR= 0.95), 니코틴 의존도가 낮을수록(OR=0.76)이었다. 청소년을 위한 금연정책은 금연 뿐 아니라 청소년기 이전부터 흡연예방을 강조해야 한다. 가족, 금연상담사 및 건강관리자들은 금연을 시도하는 청소년이 첫 시도에 금연에 성공하도록 도와주어야 하며, 특히 여학생과 중학생의 경우에는 금연을 위한 동기를 부여하고 금연상담을 더 많이 해야 한다. 청소년 흡연자의 호기 CO 농도가 높거나 니코틴 의존도가 높다면, 이들에게는 인지-행동 요법과 함께 니코틴 대체요법도 효과적이라고 생각한다.

• The Korean Journal of Pain
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• 제33권4호
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• pp.359-377
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• 2020

Background: This study investigated whether current smoking and a higher nicotine dependency were associated with chronic low back pain (LBP), lumbar related leg pain (sciatica) and/or radicular neuropathic pain. Methods: A cross-sectional study was conducted on 150 patients (mean age, 60.1 ± 13.1 yr). Demographic data, the International Association for the Study of Pain (IASP) neuropathic pain grade, STarT Back tool, and the Fagerström test were completed. A control group (n = 50) was recruited. Results: There was a significant difference between current smokers and nonsmokers in the chronic LBP group in the mean pain score (P = 0.025), total STarT Back score (P = 0.015), worst pain location (P = 0.020), most distal pain radiation (P = 0.042), and in the IASP neuropathic pain grade (P = 0.026). There was a significant difference in the mean Fagerström score between the four IASP neuropathic pain grades (P = 0.005). Current smoking yielded an odds ratio (OR) of 3.071 (P = 0.011) for developing chronic LBP and sciatica, and an OR of 4.028 (P = 0.002) for obtaining an IASP "definite/probable" neuropathic pain grade, for both cohorts. The likelihood for chronic LBP and sciatica increased by 40.9% (P = 0.007), while the likelihood for an IASP neuropathic grade of "definite/probable" increased by 50.8% (P = 0.002), for both cohorts, for every one unit increase in the Fagerström score. Conclusions: A current smoking status and higher nicotine dependence increase the odds for chronic LBP, sciatica and radicular neuropathic pain.

• 보건교육건강증진학회지
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• 제23권2호
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• pp.11-27
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• 2006

Objectives: This study was conducted to evaluate the effects of a tailored program based on the Transtheoretical Model to smoking cessation in high school girls. Methods: A quasi-experimental research design was used in this study. The participants were 35 industrial high school girls who have been smoking. The girls were allocated to an experimental group(18) and a control group(17) by randomization. For intervention, the experimental group received the group smoking cessation program and individual program which tailored according to the stage of change. A common group smoking cessation program was given to the control group. Data were collected before the program, immediately after and 4 weeks after the program was completed and were analyzed with repeated measure ANOVA. Result: In the experimental group, the daily smoking amount, nicotine dependency and decisional balance(Pros) score were significantly decreased and the self-efficacy score were significantly increased at one month after the intervention in comparison with before and immediately after it. The decisional balance(Cons) and processes of change score of the experimental group were significantly increased at immediately after the intervention and one month after it in comparison with before it, and at one month after it in comparison with immediately after it. A significant difference in the daily smoking amount, urine cotinine, nicotine dependency, decisional balance(Pros, Cons) and processes of change score between the both groups was found after one month of intervention. Conclusions: The tailored smoking cessation program was more effective, compared to the common smoking cessation program on smoking behavior, self-efficacy, decisional balance, processes of change. This program can be used for favorable changes in high school girl's smoking behavior.

• 지역사회간호학회지
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• 제16권4호
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• pp.517-526
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• 2005

Purpose: The purpose of this study is to find taxi drivers' smoking behavior, self-efficacy and expectation level of success in smoking cessation. It will provide useful information for developing nursing interventions in health promotion programs. Method: The subjects of this study were 271 taxi drivers in Seoul and its metropolitan area. Data were collected using a self-reported questionnaire asking smoking history, smoking behaviors, health problem, stages of change for smoking cessation, self-efficacy and the expectation level of success in smoking cessation. Data were analyzed through descriptive statistics. Pearson's correlation, Mann-Whitney U test, Kruskal-Wallis test and Cronbach's a. Results: Of the taxi drivers, 83.8% were current smokers. Stages of change were as follows: 45.8% were in the precontemplation stage, 26.2% in the contemplation stage, 13.7% in the maintenance stage, 12.2% in the preparation stage and 1.5% in the action stage. In addition. 20.3% of the subjects reported health problems such as hypertension, heart disease, diabetes mellitus and respiratory disease. The expectation level of success in smoking cessation was positively related with self-efficacy. There were statistically significant differences in the expectation level of success in smoking cessation according to the number of cigarettes per day and nicotine dependency. In addition. there were statistically significant differences in self-efficacy according to the number of cigarettes per day, duration of smoking (years) and nicotine dependency. Conclusion: The results of this study suggest that taxi drivers' health problems and smoking rate were serious. Therefore more systematic health promotion programs for smoking cessation should be developed and executed by health care specialists at individual taxi companies.

• 한국직업건강간호학회지
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• 제15권2호
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• pp.126-132
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• 2006

Purpose: This study was done to evaluate the program for smoking cessation of workers in small workplace. Method: The study cases were seventy workers who voluntarily participated in the above program and they were from small workplace (under fifty employees) at Yonugdeungpo-gu, Seoul. This program was composed of individual health education and distributing guide books and video. Nurses visited the workplace for the program once two weeks. Result: Nine works (12.9%) succeed and 10 worker(14.3%) failed in smoking cessation. Number of cigarettes smoked a day and level of nicotine dependency of fifty-one(72.9%) workers decreased significantly. Conclusion: The results indicated the program was successful for workers at small workplace. The continual management by nurses' regular visit was the moat important thing for successful program.

• 대한간호학회지
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• 제34권1호
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• pp.160-171
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• 2004

Purpose: Smoking temptation is communicated frequently among people related to smoking cessation and has specific meanings within the context of smoking. However, the concept of smoking temptation has not been well articulated in the literatures. This study was conducted to clarify and to conceptualize the phenomena of smoking temptation. Method: The Hybrid Model of concept development was applied to develop a concept of smoking temptation, which included a field study carried out in Seoul, South Korea using in-depth interviews with 5 adult smokers. Results: The concept of smoking temptation emerged as a complex phenomenon having meanings in several different dimensions which encompassed several attributes. In addition, the conceptual structure of smoking temptation centered around five dimensions: Response to conditioned stimuli, Distancing from harsh reality, Nicotine dependency, Habitual routine, and Lack of control. Conclusions: Smoking temptation is a concept that needs to be treated in a specified individual way and it is possible to enrich the meanings and methods to manage smoking temptation in nursing smoking cessation interventions that its application may have positive impacts on patients' well being.

• 지역사회간호학회지
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• 제20권2호
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• pp.251-258
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• 2009

Purpose: The study aimed to compare characteristics associated with smoking and smoking cessation of those who had succeeded in smoking cessation. Methods: Data were collected from January to June, 2008. The subjects were 9,819 smokers who were registered at the smoking cessation clinic of public health centers in Incheon. Four characteristics (demographic, health promotion, smoking, smoking cessation) were compared between 6-week (short-term) and 6-month (long-term) success groups. Results: There was a significant difference between the 6-week and 6-month success groups for smoking cessation in demographic characteristics (gender, age, job, social security), health promotion (BMI, alcohol dependency, BP), smoking (first smoking age, smoking duration, expiration CO concentration, nicotine dependency), and smoking cessation (attempt to quit smoking, reason for smoking cessation, information source for registration). Conclusion: The group of short-term smoking cessation success was younger than the other. Also, short-term success group was of lower socioeconomic class than the other. The 6-month success group had a larger number of attempts to quit smoking. Therefore, smoking cessation policy should be focused more on younger people and those in lower socioeconomic status. These groups should be given advice on smoking cessation motives and more frequent counseling for smoking cessation.

• 지역사회간호학회지
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• 제20권4호
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• pp.433-442
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• 2009

Purpose: The purpose of this study was to identify factors affecting on the successful cessation of smoking for six months in the smoking cessation clinic of a public health center. Methods: The subjects of this study were 568 adult smokers who had registered in the smoking cessation clinic of a public health center in B City. Data were analyzed through $x^2$-test, t-test, and logistic regression using the SPSS/WIN 12.0 program. Results: Identified factors affecting the successful cessation of smoking for six months were service type, number of counseling, alcohol problem, previous quit-smoking trial, dependency on nicotine, CO level in expiration at the first visit time, self-reevaluation, helping relationship, negative/affective situational temptation, and Cons. Conclusion: Trans-theoretical Model variables were confirmed as factors affecting the success of smoking cessation. Based on the results of this study, a smoking cessation program was suggested, which uses Trans-theoretical Model variables affecting smoking cessation for six months in a public health center.

• 한국학교보건학회지
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• 제26권2호
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• pp.93-103
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• 2013

Purpose: This study was to explore the differences of Korean and Chinese university students for developing smoking cessation program. Methods: The Data was collected from 120 Korean, 103 Chinese undergraduate students by using structured questionnaire from 1st April to 31st July, 2012. Results: The necessity of smoking cessation training was found that there were differences between two groups, showing that 60% of Korean university students and 35% of Chinese university studying in Korea were award of the necessity. For the score of smoking knowledge, there were significant differences between two groups, showing 13.60 from Korean students and 14.63 from Chinese students, but there were no differences towards Smoking attitude, self-efficacy related to smoking cessation, and Nicotine dependency. On the other hand, there were no significant differences toward demand of overall smoking cessation training between Korean and Chinese students, showing 43.4 and 45.1 scores in each group. Conclusion: The results of this study would be helpful to develop smoking cessation programs and health promotion strategies for both Korean and Chinese university students.