• 보건교육건강증진학회지
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• 제29권3호
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• pp.1-14
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• 2012

Objectives: The purpose of this study was to determine if smoking cessation programs (SCPs) are effective for adults through a systematic review of the results of such programs in large randomized controlled trials (RCTs). Methods: The PICO (Patient, Intervention, Comparator, Outcome) strategy was established, 1,160 literature from domestic and foreign electronic databases was reviewed, and 22 references were selected based on the inclusion and exclusion criteria. The quality of each reference was evaluated using the Scottish Intercollegiate Guidelines Network tool, and meta-analysis was carried out. Results: The SCPs were significantly effective for adult smokers. Smoking cessation counseling, education, and smoking cessation medications such as nicotine patch were more effective than the other interventions. However, the results showed short-term effects (within six months), and differences were observed among the SCPs. For the outcome measures for SCPs, the abstinence rate of seven days was mainly used, but differences were identified between the CO level and the cotinine-verified abstinence rate of smoking cessation. Conclusions: For a smoking cessation program for adult smokers, the strength of the evidence of the program's effectiveness in RCTs that provide the identified intervention strategies should be considered.

• 지역사회간호학회지
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• 제14권2호
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• pp.211-222
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• 2003

Purposes: The purposes of this descriptive correlational study were to assess knowledge and attitude toward smoking and smoking cessation counseling activity among nurses in a community, and to identify predictors of their smoking cessation counseling activity. Method: Nurses employed by institutions such as university hospital, hospital, clinic, and health department in a community were surveyed using a structured questionnaire. Of the nurses invited to participate in this study, 760 (88.5%) responded with completed questionnaires. Results: Nurses had relatively positive attitude toward their roles and responsibilities about smoking cessation counseling activity. However, smoking cessation counseling activity was not a routine part of their nursing practice. Moreover, the level of engagement with smoking cessation counseling activity was significantly different by working place. Nurses who were working at the university hospital, hospital, and health department were more actively engaged with smoking cessation counseling activity than nurses who were working at the clinic. Smoking cessation counseling activity was significantly correlated with knowledge of smoking. attitudes toward smoking-related issues, and self-efficacy for smoking cessation counseling activity. In the final stepwise multiple regression, smoking cessation activity was predicted by the nurses' working place, attitudes toward smoking-related issues, and self-efficacy for counseling knowledge and skills. Conclusion: In conclusion, nurses need to participate routinely and actively in smoking cessation counseling activity. To help nurses counsel and intervene patients regarding smoking cessation more effectively, it is essential to integrate educational information on smoking cessation intervention into curriculums of nursing schools as well as to offer smoking cessation intervention as a continuing education program available for currently practicing nurses.

• 보건교육건강증진학회지
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• 제21권1호
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• pp.153-170
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• 2004

Objectives： This study was performed to develop a smoking prevention program for Korean high school students, and to evaluate the effects of the program. Methods： A smoking prevention program, composed of five-session curriculum, was developed by modifying several smoking prevention and cessation programs based on the Social Influence Model. The program was applied to the freshmen of a technical high school. We surveyed with a questionnaire one week before education, one week after education, and two months after education. The number of participants for data analysis were 282(181 males, 101 females). Among those, 162(97 males, 65 females) students were allocated to the education group, and the other 120(84 males, 36 females) students were allocated to the control group. The effect of education was analyzed by multiple logistic regression analysis adjusted by potential confounders. Results： Among smokers, those who had education were more likely to quit smoking (OR＝2.99, 95% confidence interval(CI) 0.84-10.64), and to decrease smoking frequency(OR＝2.29, 95% CI 0.95-5.53) in borderline significance one week after education. However, the effect of education disappeared two months after education. The effect of education was significant(OR＝9.11, 95% CI 3.22-25.76) for the increase of smoking cessation intention one week after education, and it persisted until two months after education(OR＝2.94, 95% CI 1.18-7.35). Education was also a significant predictor(OR＝1.97, 95% CI 0.89-4.37) for the increase of smoking cessation stage one week after education and it persisted(OR＝6.39, 95% CI 2.42-16.86) after two months. Among non-smokers, those who had education were more likely to decrease smoking intention one week after education(OR＝4.71, 95% CI 1.63-13.58). However, the statistical significance of education disappeared two months after education. Conclusions： The results showed that the smoking prevention program developed in this study changed smoking behaviors immdeiately after education even though the effect did not persist. However, this program was successful in increasing smoking cessation intention and stage of smoking cessation among smokers.

• 보건교육건강증진학회지
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• 제25권1호
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• pp.25-38
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• 2008

Objectives: This study identified the factors associated with successful smoking cessation for 6 months at a smoking-cessation clinic of a public health center in an urban area. Methods: The subjects of this study were 670 visitors to the smoking cessation clinic of Dongjak-Gu public health center in Seoul, from September 6, 2005 to March 24, 2006. The 274 visitors of them responded to the questionnaire with registration, which contained the information related to the study except that of registered card for the clinic. A dependent variable was success or failure in smoking cessation during the 6 month-smoking cessation program, measured the status of smoking cessation in each week by self-report. Independent variable included demographic information, the characteristics in using the clinic, health status and smoking related behaviour, exposure to other smokers in daily life and motivation. Multiple logistic regression model was used to find the factors associated with success of smoking cessation. Results: The success rate in smoking cessation for 6 months was 33.6%. Five pretreatment characteristics were identified as univariate predictors of continuous abstinence. Finally, age, job, and practice oriented motivation were associated significantly with the success of smoking cessation for 6 months from a multiple logistic regression analysis. The lower socio-economic smokers such as people having lower literacy level, lower income people, unskilled workers, and recipients by Medical Assistant Program were more likely to fail in continuous abstinence for 6 months. Conclusions: In order to increase the success rate in smoking cessation clinics of public centers, counselors should activate self confidence and practice oriented motivation of participants for smoking cessation.

• 보건교육건강증진학회지
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• 제30권1호
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• pp.53-64
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• 2013

Objectives: In this study, a multilevel analysis model has been designed to investigate the effect of personal characteristics associated with smoking cessation on anti-smoking determinants with a goal of finding out the factors which have influence on smoking cessation among the entrants of smoking cessation clinic in a public health center. Methods: A total of 253,136 male smokers who received smoking cessation services for more than six(6) months in a smoking cessation clinic of public health center from July 16, 2007 to July 15, 2008 were examined. For technical analysis, SPSS Version 2.0 has been used. For multilevel analysis on smoking cessation determinants, in addition, HLM 7.0 has been adopted. Results: According to the unconditional model of multilevel analysis, the success rates of smoking cessation among the entrants of a smoking cessation clinic were 47.3%. In an unconditional slope model test to which regional variables were added, a negative effect was observed in average smoking amount, total smoking period, nicotine dependence and services while a positive effect was found in age, stress and type of social security in terms of the log of the odds of smoking cessation. In a conditional model test, a positive effect was observed in Non-Smoking Campaigns (NSC) and Frequency of Counseling (FC) in terms of the log of the odds of smoking cessation in regional variables. Conclusions: It is important to approach smokers individually and, at the same time, build healthy environment for a local community to increase smoking cessation rates among the entrants of smoking cessation clinic in a public health center.

• 한국간호교육학회지
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• 제11권2호
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• pp.177-183
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• 2005

Purpose: The purpose of this study was to identify factors which differentiate ex-smokers from smokers among patients with cardiovascular disease. Ex-smokers were patients who abstained from smoking for at least 6 months. Method: The subjects were 92 male cardiovascular patients who try to quit. The stepwise discriminant analysis was used to identify predictors of smoking cessation. Result: 1. The ex-smokers(n=47) and smokers(n=45) were significantly different regarding the age, duration after diagnosis, nicotine dependence, family support for smoking cessation, and intention-to-quit. 2. The family support for smoking cessation, intention-to-quit, nicotine dependence, and age were the predictors which differentiate ex-smokers from smokers among cardiovascular patients. The percentage of grouped cases correctly classified was 92.4%. Conclusion: The higher the family support for smoking cessation, intention-to-quit, age and the lower the nicotine dependence, the more likely these smokers were to success smoking cessation.

• 보건교육건강증진학회지
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• 제28권1호
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• pp.49-56
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• 2011

Objectives: This study focuses on the effectiveness of a five-day target youth smoking cessation program in terms of smoking behavior, psychological characteristics, physiological changes, and 1-month maintenance of non-smoking. Methods: The participants in this one-group pre-posttest study were 91 youth smokers registered to a smoking cessation school at a hospital in Seoul. Data analyses performed include descriptive statistics, x2-test, paired t-test, and ANOVA. Results: A five-day smoking cessation program significantly decreased expired carbon monoxide level, stress, and depression. In post-intervention urine test, urine cotinine was detected in 14 of 91 participants(15.4%). In a one-month follow-up telephone survey 80.2% responded maintaining non-smoking. Conclusion: This study demonstrated the effect of a five-day smoking cessation program for adolescent smokers.

• 보건교육건강증진학회지
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• 제33권3호
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• pp.61-70
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• 2016

Objectives: The aim of this study was to investigate the effectiveness of a hospital-based smoking cessation intervention for increasing continuous abstinence rate from smoking in patients with cerebral infarction. Methods: One-hundred and two smokers with cerebral infarction who decided to quit smoking were enrolled in the smoking cessation intervention from December 2012 to February 2015. The smokers underwent six consecutive times of individual intervention with nurse specialist on smoking cessation including education on behavioral modification, counseling for withdrawal symptoms, and anti-smoking advice over a 12-month period. Results: Among the total participants, the continuous abstinence rate from smoking changed from 79.4% at 1 month to 60.8% at 12 months after discharge. The continuous abstinence rate from smoking after 12 months was 88.5% in participants who completed the entire program (6 times), while 51.3% in participants who did not complete the entire program (${\leq}5$ times) (P=0.001). After adjustment for general and smoking-related characteristics, complete implementation of hospital-based smoking cessation intervention was significantly associated with continuous abstinence from smoking after 12 months (odds ratio: 5.93; 95% confidence interval: 1.45-24.22). Conclusions: The hospital-based smoking cessation intervention might be effective for smoking cessation in patients with cerebral infarction, especially when the intervention was implemented thoroughly.

• 한국콘텐츠학회논문지
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• 제19권10호
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• pp.442-451
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• 2019

본 연구는 캠퍼스 금연 교육 프로그램에 참여하고 금연에 성공한 대학생들의 장기금연 효과를 파악하기 위하여 실시되었다. 연구 대상자들은 2016년부터 2018년까지 서울시 소재 일개 대학에서 36주에 걸쳐 진행되는 캠퍼스 금연 교육 프로그램의 2차 자료와 참여 후 금연에 성공한 전체 금연성공자중, 연구에 참여하기로 동의한 30명이었다. 캠퍼스내에서의 흡연이 전면 금지되어 있는 서울시내 일개 대학교의 금연 교육 프로그램은 금연관련 교육과 상담, 주1회 소변 내 Cotinine 검사, 금연장학금 지급으로 구성되었다. 참여자의 평균 금연 성공률은 1차시 50.17%, 2차시 44.16%, 3차시 77.30%로 나타났으며, 2차 성공이후에 금연이 고착화되는 경향이 관찰되었다. 본 연구에서 금연에 성공한 이후, 12개월 이상 금연을 유지하고 있는 참여자는 51.22%, 흡연 재발한 참여자는 무응답 흡연자를 포함하여 48.78%이었다. 금연유지의 가장 큰 성공요인은 금연의지(28.57%)였으며, 금연유지의 가장 큰 실패요인은 스트레스(66.67%)로 나타났다 대학생을 위한 캠퍼스 주도적 금연 교육 프로그램은 대학생 흡연자의 금연유도 뿐 아니라 금연을 습관화하여 장기금연 유지자로 전환시키는데 효과적인 프로그램임을 확인할 수 있었다.

• 한국학교ㆍ지역보건교육학회지
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• 제13권2호
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• pp.59-76
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• 2012

Objectives: This study Development of a healthy college life, and effective for smoking cessation programs for education is to utilize as a basis for. Methods: The study employs frequency analysis, cross-analysis and correlation analysis through SPSS Win 17.0 on 296 (84.6% of total participants) from the entire participants of 350. The significance test is delivered with ${\chi}^2$-test. Results: 1) The participants consist of 47.7% (147) males and 52.3% (161) females. 78.2% (241) has experience of smoking cessation program at high school. 61.7% (190) has parents who are smoking. 40.9% (126) answers that they are currently smoking while 59.1% (182) answers that they are not. 2) When asked about their perception on quitting smoking, 81.2% (250) says that non-smokers are distressed by others' smoking. 74.0% (228) has unpleasant experience with cigarette smoke. 3) The analysis of the relation between smoking cessation program at high school and smoking shows that 63.8% of the ones who have experience of the program are non-smokers while 68.7% of those with no experience of the program are smokers. 4) Among those who have tried to quit smoking, 73.9% have experience of smoking cessation program at high school. 31.8% of these participants also reveal their interest in the cessation program. 5) In the analysis of the correlation between smoking habits, the experience of smoking cessation program at high school is closely related to non-smoking while current smoking habit is highly related to the strong interest in participation of cessation program. Also, the more interest they have in participating, the stronger needs they feel for smoking prevention program at college. Conclusion: Therefore, the last phase of education-related courses at the University of educated and credits granted through open non-smoking pledge, non-smoking club, non-smoking camps, training programs, such as smoking in non-smoking education and programs for students interested in openness and participation must be done will.