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최승희 ( Choi Seung-Hee ) - 서울대학교 간호대학
송경자 ( Song Kyung-Ja ) - 서울대학교병원 간호부 행정팀
최스미 ( Choi-Kwon Smi ) - 서울대학교 간호대학
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Abstract
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Purpose:The purpose of this study was to investigate the stages of change in smoking cessation after a Coronary Artery Bypass Graft(CABG) and to identify the related factors.
Methods:The subjects (n=157) were patients who underwent a CABG in a university hospital from March 1998 to October 2005 and were smokers before the CABG. Data was collected viachart review and a telephone interview, and analyzed with descriptive statistics, χ2 test, one-way ANOVA, and Kruskal-Wallis procedure by the SPSS/PC win 12.0 program.
Results:The subjects smoked for an average of 34 years (21 cigarettes per day) before surgery. Eleven percent of the subjects were in pre-contemplation, 6.4% in contemplation, 13.5% in preparation, 4.5% in action, and 64.5% in the maintenance stage. Nicotine dependence and selfefficacy were different among the groups with different stages of change in smoking cessation. Nicotine dependence was the lowest (p=0.00) and self-efficacy was the highest (p=0.00) in the maintenance stage. The number of subjects in pre- contemplation and contemplation significantly increased 6 years after surgery(p=0.05)．
Conclusion:To implement effective smoking cessation interventions for CABG patients, the intervention should be developed to accommodate individual readiness for smoking cessation, especially so for those who had a CABG more than 6 years previously.
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KeyWords
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관상동맥우회술, 금연변화단계, 니코틴 의존도, 금연관련 자기 효능감
Smoking cessation, Coronary artery bypass graft, CABG, Nicotine dependence, Self-efficacy
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원문 및 링크아웃 정보
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등재저널 정보
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