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KMID : 0928320160160010048
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Korean Journal of Health Promotion and Disease Prevention
2016 Volume.16 No. 1 p.48 ~ p.55
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Continuous Abstinence Rates from Smoking Over 12 Months according to the Frequency of Participation in a Hospital-based Smoking Cessation Program among Patients Discharged after Acute Myocardial Infarction
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이영훈:Lee Young-Hoon
한미희:Han Mi-Hee/이미림:Lee Mi-Rim/정진원:Jeong Jin-Won/김남호:Kim Nam-Ho/오석규:Oh Seok-Kyu/윤경호:Yun Kyeong-Ho/이상재:Rhee Sang-Jae/고점석:Ko Jum-Suk/오경재:Oh Gyung-Jae
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Abstract
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Background: This study evaluated the continuous abstinence rates from smoking at 12-month after a hospital- based smoking cessation program was applied for smokers hospitalized for acute myocardial infarction.
Methods: Among those who are hospitalized for acute myocardial infarction from January 2012 to December 2013, ninety-eight smokers agreed to quit smoking were eligible for follow up to 12 months. Each of them underwent six consecutive sessions (first during admission, the other 5 sessions after discharge) of behavioral modification, counseling for withdrawal symptoms, and anti-smoking advices by a trained nurse. Exhaled carbon monoxide measurements less than 6 ppm were used to confirm the smoking cessation status of each participant.
Results: Mean age of all participants was 55.2±10.8 years old, and their continuous abstinence rates at 1, 3, 6, 12 months were 63.3%, 49.0%, 43.9%, and 37.8% for each. The continuous abstinence rate from smoking after 12 months was 69.7% and significantly higher in those who completed the 6 sessions than 21.5% in those who completed 5 sessions or less (P＜0.001). After adjustment for general and smoking-related characteristics, multivariate logistic regression analysis revealed that full participation relative to 5 or less participation was significantly associated with higher continuous abstinence rate from smoking at 12 months (odds ratio: 7.96; 95% confidence interval: 2.07-30.55).
Conclusions: The consistency of participating in a hospital-based smoking cessation program, described herein, significantly improved success rates of smoking cessation in patients discharged after acute myocardial infarction. Hospital-based smoking cessation program based on education and counseling should be included as an important part of patient management for acute myocardial infarction.
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KEYWORD
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Smoking cessation, Myocardial infarction, Hospitals
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