• Title/Summary/Keyword: cessation education

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Impact of Smoking Cessation Training for Community Pharmacists in Indonesia

  • Kristina, Susi Ari;Thavorncharoensap, Montarat;Pongcharoensuk, Petcharat;Prabandari, Yayi Suryo
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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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.

The Effect of a Multi-component Smoking Cessation Program on Bone Union in Adult Patients with Fracture (다요소 금연 프로그램이 성인골절 환자의 금연 및 골유합에 미치는 효과 분석)

  • Kim, In Sook;Lee, Hanju;Lee, Seon Heui
    • Journal of muscle and joint health
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    • v.27 no.1
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    • pp.31-40
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    • 2020
  • Purpose: This study was done to examine the effect of a multi-component cessation program on bone union by comparing the union time between the experimental group and the control group. Methods: A non-equivalent control group posttest design was used. The subjects were 33 patients in the experimental group and 33 patients in the control group, 66 patients in total. The subjects of the experimental group were provided with a face-to-face multi-component smoking cessation program. After the discharge, telephone consultation was provided once a week for 10 weeks. Results: Bone union time was 51.6±10.9 days in the experimental group and 60.9±13.83 days in the control group (p=.003). Among 33 subjects who participated in the smoking cessation program, the average union period of the participants who succeeded in quitting smoking was 44.56 days, the participants who reduced smoking were 50.67 days, and failed to quit smoking group was 60.11 days (p=.006). Conclusion: This study indicated the importance of smoking cessation in patients with fracture and the decrease in the union time by providing smoking cessation education. If the multi-component smoking cessation program is used as a nursing intervention in clinical practice, it will be effective for bone union by increasing the smoking cessation rate of patients with fracture.

Effects of the Program for Smoking Cessation of Workers in Small Workplace (소규모사업장에서의 근로자 금연프로그램 적용 효과)

  • Choi, Jeong Myung;Kim, Eun Kyung
    • Korean Journal of Occupational Health Nursing
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    • v.15 no.2
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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.

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Health Effects of Electronic Cigarettes and Regulations on Them in Other Countries (전자담배 건강영향 및 외국의 규제)

  • Cho, Jun Ho
    • Korean Journal of Health Education and Promotion
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    • v.30 no.5
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    • pp.15-26
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    • 2013
  • Objectives: To present the bases for health education on electronic cigarettes, we analyze the present state of electronic cigarettes. Methods: We applied descriptive study, reviewing the literature from domestic and foreign electronic databases such as National Discovery for Science Leaders and PubMed. Results: Electronic cigarette has been the subject of much controversy but very little study. I reviewed and summed up the definitions, device safety, health risk, smoking cessation effects, addiction, second hand smoke, and regulations of electronic cigarettes. Conclusion: Finally,I presented the evidence-based contents and desirable direction for health education about electronic cigarettes. The results suggested that the health educators focus on the potential addiction to electronic cigarettes, instead of the cessation effects.

Timely Interventions can Increase Smoking Cessation Rate in Men with Ischemic Stroke

  • Lee, Min Jeong;Park, Eunjeong;Kim, Hyeon Chang;Lee, Hye Sun;Cha, Myoung-Jin;Kim, Young Dae;Heo, Ji Hoe;Nam, Hyo Suk
    • Journal of Korean Academy of Nursing
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    • v.46 no.4
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    • pp.610-617
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    • 2016
  • Purpose: Smoking cessation is strongly recommended for every smoker after ischemic stroke, but many patients fail to quit smoking. An improved smoking cessation rate has been reported with intensive behavioral therapy during hospitalization and supportive contact after discharge. The aim of this study was to demonstrate the usefulness of the timely interventions for smoking cessation in men with acute ischemic stroke. Methods: Patients who participated in the timely interventions strategy (TI group) were compared with those who received conventional counseling (CC group). In the TI group, a certified nurse provided comprehensive education during admission and additional counseling after discharge. Outcome was measured by point smoking success rate and sustained smoking cessation rate for 12 months. Results: Participants, 157 men (86 of the TI group and 71 of the CC group), were enrolled. Mean age was $58.25{\pm}11.23$ years and mean initial National Institutes of Health Stroke Scale score was $4.68{\pm}5.46$. The TI group showed a higher point smoking success rate compared with the CC group (p=.003). Multiple logistic regression analysis showed that the TI group was 2.96-fold (95% CI, 1.43~6.13) more likely to sustain smoking cessation for 12 months than the CC group. Conclusion: Findings indicate that multiple interventions initiated during hospital stay and regular follow-up after discharge are more effective than conventional smoking cessation counseling in men with acute ischemic stroke.

Meta-Analysis of Effects on Adolescent Smoking Cessation Programs in Korea (청소년 금연프로그램 효과의 메타분석)

  • Kim, Youn-Kyoung;Park, In-Hyae;Park, Jeong-Soo
    • Journal of Korean Academy of Nursing
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    • v.38 no.2
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    • pp.204-216
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    • 2008
  • Purpose: Meta-analysis of this study was to analyze the character of adolescent smoking cessation programs, to calculate the effect size according to variables and to compare the weighted mean effect sizes on adolescent smoking cessation programs in Korea. Methods: Twenty two studies for meta-analysis were selected from dissertations, theses, articles and research papers that had been published from 1995 to 2003. The selected studies had a randomized or nonequivalent control group in a pretest-post test design and had reported statistical value to calculate the effect size. Results: The mean number of sessions was 6.5. The education time per each session varied from 40 to 150 min and the most applied theories were Bandura's social-cognitive theory and the cognitive-behavioral theory. Smoking-knowledge, smoking-attitudes and smoking-amount showed high effects on the first post test after mediating adolescent smoking cessation programs according to the criteria of Cohen. The effect size of urine-cotinine found no homogeneity on the first post test, but it was significantly effective on the second post test. Conclusion: Adolescent smoking cessation programs analyzed in this study were relatively effective in smoking abstinence.

Quitline Activity in the Republic of Korea

  • Yun, E Hwa;Lim, Min Kyung;Oh, Jin-Kyoung;Ki, In Ha;Shin, Sang-Hwa;Jeong, Bo Yoon
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup2
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    • pp.1-5
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    • 2016
  • To reduce tobacco use and related harm in Korea, telephone based cessation services (Quitlines) began full operation to provide regular behavioral counseling for smoking cessation in 2006. After registration in the cessation program, at least 21 calls per year are given to each client to help quit and encourage maintenance. Tailored programs for males, females, and adolescent smokers have been offered taking into account smokers' characteristics and smoking behavior. Mailing self-help quit packs and e-mail and SMS services are allowable as additional services.A total of 23,201 smokers were registered on the Quitline program from 2006 to 2014. In 2014, an average of 13,343 calls per month have been received by 28 coaches, the 1 year abstinence rate of clients is 26%, and clients' satisfaction rate is 81.6%. After introduction of the call system in 2007, client convenience and effective operations have been achieved with high technology support of a computer-based telephone system. Systematic education and evaluation programs for quit coaches have contributed to quality assurance of the services. Currently, research into development of new programs and evaluation of Quitline performance is being undertaken. A Comprehensive Multi-channel Cessation Center (CMCC) has been suggested and is now planned as a next step in the national program for smoking cessation.

Attitudes to Smoking Cessation Interventions and Importance of Participation in Tobacco Control Policy Among Clinical Nurses (임상 간호사의 금연중재에 대한 태도와 금연정책 참여의 중요성에 대한 인식)

  • Shin, Sung-Rae;Kim, Aee-Lee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.13 no.2
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    • pp.294-303
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    • 2006
  • Purpose: To describe nurses' attitude to smoking cessation interventions and importance of participation in tobacco control policy. Method: The participants were 841 nurses practicing in hospitals of 400 beds or more and 103 members of a professional nurse's academic society. The hospitals were systematically selected to cover the whole country. The questionnaire was adopted from the 'Oncology Nurses' Tobacco Control Survey' and used after translation, Results: Nurses who were older, married, had higher positions, more education, more experience, and who worked in an OPD setting had higher mean score for attitude to the involvement of nurses in smoking cessation interventions. More than 80% of nurses agreed on the importance of nurses' participation and involvement in tobacco control policy. However, only 65.4% of nurses stated that supporting laws to increase cigarette price was important. Conclusion: Clinical nurses' attitudes to smoking cessation interventions were positive and participants supported the importance of participation in tobacco control policies.

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The Satisfaction Study on a Specialized Treatment Type Smoking Cessation Camp Conducted by a Korean Medicine Hospital (한방병원에서 시행한 전문치료형 금연캠프 프로그램에 대한 만족도 연구)

  • Jeon, Cheon-hoo;Lyu, Yee-ran;Park, Ji-hye;Lee, Jin-yong;Ahn, Woo-sang;Park, Yang-chun;Cho, Chung-sik
    • The Journal of Internal Korean Medicine
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    • v.39 no.4
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    • pp.741-750
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    • 2018
  • Objectives: To evaluate the degree of satisfaction about a specialized treatment type smoking cessation camp conducted by a Korean medicine hospital. Methods: The subjects of this study were 112 patients who enrolled smoking cessation camp from September 2015 to December 2017 at ${\bigcirc}{\bigcirc}$ Korean medicine hospital of ${\bigcirc}{\bigcirc}$ University. Patients received Korean medical treatment, including acupuncture, herbal medicine, counseling, education, stretching, hand and foot baths, and hiking. Each patient filled in a satisfaction survey after completion of the camp. Results: Drug satisfaction of the nicotine patch was $8.0{\pm}1.9$ points, nicotine gum was $7.5{\pm}2.6$ points, Cheongpye-tang was $7.8{\pm}2.5$ points, and Bopye-tang was $7.6{\pm}2.8$ points. Acupuncture was the most favorable treatment among the 12 programs, followed by education and herbal medicine. Confidence after the camp was $8.8{\pm}1.4$ points compared to $6.6{\pm}2.4$ points before the camp. An appropriate period for the camp was 7 days (40%). Conclusions: After participating in the smoking cessation camp, most patients feel considerable satisfaction. Further study is required.

Smoking Behavior and Related Factors of Female Smokers from Public Health Center in Incheon (여성 흡연자의 흡연 행태 및 관련 요인 -인천광역시 보건소 금연클리닉 상담자 중심으로-)

  • Kim, Young-Sook;Jo, Hyun-Sook
    • Korean Journal of Health Education and Promotion
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    • v.25 no.3
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    • pp.125-138
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    • 2008
  • Purpose: This study was attempted to find out female smoking behavior and the smoking related factors. Method: Study subjects were 226 female smokers who have visited temporary clinic or smoking cessation clinic run by 10 public health centers in Incheon. The data were collected through the questionnaire specially designed for this study from April 1 to June 30, 2008. The data were analyzed by the SPSS 12.0 program. Result: 68.0% of feale smokers have smoked habitually. The average daily smoking amount of the subjects was $12.0{\pm}8.7$ ea, average rate of nicotine dependence was $4.2{\pm}2.2$ points, the mean smoking duration was $12.7{\pm}9.3$ years, and the smoking start age was $23.1{\pm}8.5$ year old. The smoking behavior by the drinking frequency showed significant difference in average daily smoking amount and rate of nicotine dependence(p<.05). Also the smoking behavior by exercise showed significant difference in current smoking frequency(p<.05). There was positive relation between female smoking behavior and monthly income, frequency of drinking, exercise, and stress respectively(p<.05, p<.01). Conclusion: Compared to a male smoker, the average daily smoking amount of a female smoker was less and the duration of smoking was longer. This study suggests that not only a social movement about a female smoking cessation is imperative but also smoking cessation programs should be combined with reduced drinking consumption, exercise and stress relief programs. Moreover, early intervention for preventing teenager smoking should be added to smoking cessation programs.