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KMID : 1231220120030010010
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Journal of the Korean Society for Research on Nicotine and Tobacco
2012 Volume.3 No. 1 p.10 ~ p.18
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The Effects of the Brief Inpatient Smoking Cessation Counseling on Quit Success and Stage of Change
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Kim Kyeong-Su
Lee Eon-Sook
Lee Jun-Hyung
Yoon Yeong-Sook
Yang Yun-Jun
Park Seon-Hyeon
Kwak Hyung-Jun
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Abstract
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Background: As smoking is the leading preventable cause of death in the world, smoking cessation is an important strategy for protecting the public health. There have been some studies on whether counseling for inpatient smoking cessation is effective in South Korea. This study aimed to evaluate the effects of the brief inpatient smoker counseling program by a nurse using the abstinence rate and progression to a higher stage of smoking cessation.
Methods: From April 1 to September 30, 2009, a randomized controlled trial for the inpatient smoking cessation program was conducted among 146 over-20-year-old smokers who had been admitted to the orthopedic department of a university hospital. The program consisted of a brief counseling session with a brochure and follow-up advice by telephone after discharge. The usual care was carried out in the control group. Twelve weeks after the first counseling session, the abstinence rates and the changes in the smoking cessation stages were evaluated through a telephone survey.
Results: The number of patients in the counseling group with progression to higher stages of smoking cessation (36.6%) was significantly higher than that in the control group (13.3%), but the smoking abstinence rates of the two groups were similar. The odds ratio of the progression to a higher smoking cessation stage in the counseling group was 3.76 times that in the control group. Brief counseling and regular exercise were found to be important factors in the smokers’ decision to quit smoking. Self-respect was found to be another factor in smoking abstinence success.
Conclusion: Brief counseling for inpatient smokers by a nurse, which is easy to implement in a hospital, effectively promoted progression to a higher stage of smoking cessation, and maybe even successful permanent smoking abstinence.
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KEYWORD
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Smoking cessation, Inpatients, Smoking cessation program, Abstinence success, Stages of change
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