• 지역사회간호학회지
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• 제16권1호
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• pp.32-39
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• 2005

Purpose: this study was to verify the effects of the smoking prevention education as an intervention to prevent smoking among male middle school students. Method: this study was designed using one group pre-post test. The subjects were 169 male middle school students living in Jecheon city. The instruments used in this study were scales on smoking cessation intention and knowledge and attitude toward smoking. Students received 8 sessions of smoking prevention education for 45 minutes every week. from April to July 2003. The data was analyzed by descriptive statistics and paired t-test using the SPSS Win 8.0 program. Results: after the completion of the smoking prevention education, the smoking cessation intention(t=.37, p=.705)was not increased significantly but the knowledge(t=-3.84. p=.000) and attitude(t=-3.16, p=.002) on smoking were increased significantly. Conclusion: the smoking prevention education for male middle school students increased their knowledge on smoking and student's attitude to smoking turned more negatively. Further study on longitudinal effect using Pre-test/ Post-test control group design are also recommended.

• 지역사회간호학회지
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• 제32권3호
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• pp.268-280
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• 2021

Purpose: The study is examined the effects of the smoking cessation program of life skills training using flipped learning for male middle school students. Methods: The study was a nonequivalent control group non-synchronized design. The Smoking Cessation Program of life skills training using flipped learning is a Smoking Cessation Program that applied 5 stages of flipped learning such as before class, introductory class, during class, after class, and during work. Participants were 32 male students attending a middle school in D city, with 16 in the control group and 16 in the experiment group. Data collection was conducted from February 26, 2019 to May 14, 2019 for the control group, and from May 28, 2019 to August 19, 2019 for the experiment group. The collected smoking knowledge, smoking attitude, self-efficacy, basic psychological needs, and urine cotinine were analyzed by x² test, independent t-test, two-way repeated measured ANOVA, and Fishers exact test using the SPSS 25.0 program. Results: The experimental group showed higher smoking knowledge, smoking attitude, self-efficacy, basic psychological need, and urine cotinine negative response than the control group, and there were significant differences. Conclusion: These findings indicate that the Smoking Cessation Program of life skill training using flipped learning is an effective intervention for cessation of middle school male students, and it has a positive effect on the increase in urine cotinine, and a physiological indicator of the cessation effect, and is effective in the success of smoking cessation.

• 한국산학기술학회논문지
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• 제19권12호
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• pp.393-403
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• 2018

본 연구는 금연동기강화상담 프로그램이 중학교 남학생의 흡연지식, 자기효능감 및 일일 흡연량에 미치는 영향을 파악하기 위한 목적으로 시도되었다. 연구방법은 U시에 소재한 2개의 중학교에서 흡연하는 남학생을 대상으로 총 47명으로 이 중 실험군은 23명, 대조군은 24명을 대상으로 한 비동등성 대조군 사전 사후 설계를 이용한 유사 실험연구로, 연구기간은 2018년 2월 19일부터 5월 11일까지 자료를 수집하였다. 연구 통계방법은 IBM SPSS/win 24.0 프로그램을 이용하여 t-test, ${\chi}^2$-test, Fisher's exact test 그리고 paired t-test로 분석하였다. 그 결과 금연동기강화상담 프로그램 적용 후 흡연지식(t=3.38, p=.002), 자기효능감(t=-3.37, p=.002) 및 일일 흡연량(t=3.38, p=.002)는 두 군간에 유의한 차이가 있는 것으로 나타났다. 따라서 흡연하는 중학교 남학생에게 흡연지식과 자기효능감 향상 및 일일 흡연량을 감소시킬 수 있는 유용한 간호중재 프로그램임을 확인 할 수 있었다. 그러므로 향후 청소년들의 금연과 재흡연 예방을 유도하기 위해서는 학생 개개인의 특성에 맞는 다양한 금연동기강화상담 프로그램을 적용하여 청소년들의 금연동기와 흥미를 끌 수 있도록 해야 할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권8호
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• pp.3319-3323
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• 2015

Background: Community pharmacists play an important role in tobacco control and adequate training on smoking cessation is essential. Materials and Methods: A quasi-experimental pre-test/post-test design was used. A one-day workshop on smoking cessation organized by Indonesian Pharmacists Association as part of PCE program was offered to 133 community pharmacists. The workshop consisted of a 3-hour lecture and a 3-hour role-play session. Pre-training and post-training surveys assessed the impact of training on parameters including knowledge, perceived role and self-efficacy with respect to smoking cessation counseling practices. Intention and ability to perform counseling using the 5A framework was assessed after training only. Results: After PCE, knowledge score significantly increased from $24.9{\pm}2.58$ to $35.7{\pm}3.54$ (p<0.001). Perceived role and self-efficacy in smoking cessation counseling also significantly increased from $25.8{\pm}2.73$ to $28.7{\pm}2.24$, and $27.6{\pm}4.44$ to $32.6{\pm}3.63$, respectively (p<0.001). After the workshop, most participants were willing to ask, advise, and assess patients who ready to quit, but were still less likely to assist in quitting plans and arranging follow up counseling. More than 75% pharmacists were able to perform cessation counseling and 65% of them can completely perform a 5A brief intervention. Conclusions: PCE can enhance pharmacists' knowledge, perceived role, self-efficacy in cessation counseling practices, and create willingness and ability to perform cessation counseling. Future training is recommended to improve skills in assisting quitting plans and arranging follow up.

• Journal of Korean Medical Science
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• 제33권47호
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• pp.302.1-303.10
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• 2018

Background: A considerable amount of research has shown that knowledge and appropriate awareness are essential for encouraging positive behaviors and promoting health. In Korea, the roles that behavioral changes play in the prevention of cancer have been an important issue since the introduction of the 10 codes for cancer prevention in 2006. Thus, the present study investigated the associations of tobacco-related knowledge with awareness and attitudes towards positive smoking-cessation behaviors. Methods: The present study analyzed data from the 2010 national questionnaire survey (n = 1,006). This study evaluated sociodemographic characteristics, smoking status, self-rated health status, health-related interests, and the accuracy of 12 tobacco-related statements to determine knowledge level and to investigate its impact on awareness and behaviors related to smoking. These parameters were examined and staged using the Precaution Adoption Process Model. Results: A higher level of tobacco-related knowledge was significantly associated with a positive attitude towards smoking cessation (5-8 correct answers: odds ratio [OR], 2.53; 95% confidence interval [CI], 1.57-4.08; ${\geq}9$ correct answers: OR, 3.90; 95% CI, 2.22-6.82; reference: ${\leq}4$ correct answers). Interestingly, among current smokers, only those who correctly responded to ${\geq}9$ of 12 tobacco-related statements were significantly associated with a positive attitude towards smoking cessation. Conclusion: This study found that having a higher level of tobacco-related knowledge had a significant impact on positive attitudes towards smoking cessation. This suggests that there is a need to disseminate appropriate knowledge to the general population to encourage positive attitudes and promote healthful behaviors in terms of smoking.

• 보건교육건강증진학회지
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• 제23권1호
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• pp.1-22
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• 2006

Objecive and Method: Smoking among health professionals has been shown to influence smoking related knowledge, attitude and educational practices in medical setting. And lack of health professionals' efficacy for smoking cessation intervention has been a major barrier to education on smoking too. In this regard, the present study was carried out to introduce and discuss the advanced cases of smoking cessation education for health professionals, and to develop theory-based educational models of smoking cessation for health professionals in order to improve the effectiveness and efficiency of intervention on smoking in a medical framework. Results: First, major issues of health professionals' smoking cessation intervention were discussed. Discussed issues were smoking prevalence among health professionals, importance of health professionals' roles both as health educators and examples, and health professionals' cognitive dissonance. As advanced cases of smoking cessation education for health professionals, ATOD(Alcohol, Tabacco, and Other Drug problem prevention) developed by US Department of Health & Human Services and the Rx for Change curriculum in California State were discussed. Finally, smoking cessation educational models for health professionals were developed on the basis of social cognitive model and TPB/TTM. Conclusions: For the effective and efficient smoking cessation intervention in medical setting, systematic efforts would be necessary to provide opportunities for ensuring the qualification of health professionals on smoking cessation through an analysis of major issues concerning smoking cessation education for health professional and the development of comprehensive curriculum for smoking cessation.

• 디지털융복합연구
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• 제18권9호
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• pp.413-421
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• 2020

육지와 떨어진 제약적 환경 때문에 선박에서 근무하는 해기사는 사무직근로자보다 보건소와 같은 금연지원체계에 대한 접근성이 떨어질 수 있다. 본 연구는 한국 해기사의 흡연 및 간접흡연 실태를 파악하고 관련요인을 조사하기 위해 총 155명의 대상자에게 홉연 및 간접흡연 경험, 흡연에 대한 지식, 태도 및 금연의도와 선박 내 흡연시설에 대해 설문하였다. 조사 결과, 대상자의 흡연율은 32.3%였고, 간접흡연율은 86.5%로 높은 수준이었다. 선박 내 금연구역이 있는 경우에도 대부분의 흡연행위가 휴게실과 같은 해기사들의 생활 공간에서 주로 발생한다고 답하였다. 또한 선박 내 지정흡연실이 없거나 환풍시설이 미비한 경우도 40%정도에 이르는 것으로 조사되었다. 한편, 대상자 중 금연교육을 받은 사람은 21.9%에 불과하였다. 흡연행위에 대한 태도는 34.58점(총 60점)으로 부정적이었고, 흡연에 대한 지식은 16.12점(총 20점)으로 중간보다 높았다. 흡연자 10명 중 9명은 금연을 시도한 경험이 있었으나 금연 의도는 낮은 것으로 나타났다. 제한된 공간에서 근무와 생활을 병행하는 장기간 체류하는 해기사들의 흡연율을 감소시키기 위해서는, 해기사가 활용 가능한 방법으로 주기적인 금연교육을 통해 동기를 부여하고 금연의도를 높일 필요가 있다. 또한 정기적으로 흡연 실태조사를 조사하여 간접흡연의 피해를 주기적으로 파악하는 한편, 선박 내 흡연관련시설 등 환경적 요인에 대한 법규를 재정비하는 등 제도적 정비가 필요하다.

• Journal of Preventive Medicine and Public Health
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• 제32권3호
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• pp.297-305
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• 1999

Objectives: This study was conducted to evaluate factors related to the intention of participation in a worksite smoking cessation program. Methods: To explain the health behavior of participating intention in a worksite smoking cessation program, the health belief model(HBM) was used as study model, and 144 self-administered questionnaires were completed by electronic company workers. Variables of the health belief model were composed of perceived susceptibility to smokinginduced disease, perceived severity of smoking-induced disease, economical gain as perceived benefit of smoking cessation, and nicotine dependency as perceived barrier of smoking cessation. Variables of sociodemographics, smoking status, knowledge about adverse health effects of smoking, and cues to smoking cessation were used as modifying factors. Results: Perceived severity(POR=1.99, 95% CI: 1.03-3.83), perceived benefit(POR=2.11, 95% CI: 1.07-4.17), and perceived barrier(POR=0.29, 95% CI: 0.11-0.76) were significant variables to the intention of participation in a worksite smoking cessation program in the logistic regression analysis. The perceived severity was significantly affected by knowledge about adverse health effects of smoking(POR=2.17, 95% CI: 1.23-3.84). The perceived barrier was significantly affected by education level(POR=3.66, 95% CI: 1.17-11.44), age to first cigarette (POR=0.32, 95% CI: 0.10-0.98), pack-years(POR=5.47, 95% CI: 2.37-12.61). To the Perceived benefit, the model was not fitted. Conclusion: Our results found that counterplans improving the knowledge about adverse health effects of smoking, preventing early smoking, and decreasing smoking amount should be considered for an effective smoking ban policy.

• 성인간호학회지
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• 제22권6호
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• pp.582-593
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• 2010

Purpose: Health care professionals represent an immediately available resource to promote smoking cessation. However, the content in smoking cessation intervention courses in most institutions is insufficiently covered due to the limited number of class hours. The purpose of this study was to develop a comprehensive tobacco cessation-web-based, multimedia, educational program for a range of medical professionals. Methods: Based on Jung's Teaching and Learning Structure Plan Model, a development process was proposed comprising four stages: (1) analysis, (2) planning, (3) production, and (4) operation/evaluation. The effectiveness of the program was tested using quasi-experimental design, and the participants in experimental group were required to complete the program. Changes in the level of knowledge and attitude were measured. Results: The educational program developed includes nine topics and 26 sub-topics. A total of 180 storyboards, 15 videos, and 27 pictures were made. After the education, the level of knowledge was significantly increased in the experimental group. Conclusion: This web-based program can be recommended as a potential medium for health care professionals to use in counseling smoking cessation. The study findings also indicated that the program may be either offered as a teaching aid or utilized concurrently with lectures for students studying health care-related topics.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.24-33
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• 2005

Purpose: This cross-sectional study was to find out smoking condition, smoking related knowledge and attitudes of white color workers to provide baseline data which were to develope smoking cessation programs. Methods: The subjects were 303 workers in G-city. Data were collected from July 1st to Aug. 31st 2003 by self-reported questionnaire. Data were analyzed by descriptive statistics, t-test, ANOVA, and Duncan's multiple comparison test, using SAS-pc 8.0 version. Results: Average age of the laborers was 32.3 years, and 50.7% of male were smoking currently, and 2.4% of female were so. Starting age of smokers was average 20.1 and smoking period was average 12.4 years. Majority of smokers smoked more than one pack of cigarettes in a day. Average points of nicotine dependency was 3.9 out of 10 and 12.5% were more than 7. Those who wanted to 'quit smoking very soon' and 'decided to quit smoking right now' were 29.1%. But those who got any helps and advices from professional experts in smoking cessation were 6.4%. 83.5% of the smokers had tried to quit smoking but failed due to their stress(44.6%), lack of will(36.6%) etc. Laborers knowledge related smoking score were average 11points out of 15, and attitudes were average 75.7points out of 125. Smokers showed significantly low knowledge(p=.012), and more allowing attitudes(p=.001). Conclusions: The smoking cessation programs for the workers should consist of stress management skills, and strengthened willingness. And should be run the program for those who want to 'quit smoking very soon' and 'decided to quit smoking right now' first of all.