Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Predictors of Intention to Quit Smoking among Patient with Coronary Heart Disease

관상동맥질환자의 금연의도에 영향을 미치는 요인

  • Published : 2002.06.01
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Abstract

The purpose of this study was to examine the level of intention to quit smoking and to identify factors influencing intention to quit among patients with coronary heart disease. Method: The subjects consisted of 80 male patients with coronary heart disease (angina pectoris, myocardial infarction) at three hospitals in Seoul. The data were collected with self reporting in a structured questionnaire. Stepwise multiple regression was used to identify predictors of intention to quit. Included variables were attitudes toward smoking cessation, subjective norms, perceived behavioral control, usefulness of smoking cessation, and previous attempts to quit. Result: 1. The mean score for intention to quit was 11.1($\pm$6.1) which was lower than median score of the scale. 2. There were significant correlations between the all predictive variables and the intention to quit(r=.24-.48, p<.05). 3. usefulness of smoking cessation, perceived behavioral control, and previous attempts to quit explained 34.6% of the variance for intention to quit. Conclusion: usefulness of smoking cessation, perceived behavioral control, and previous attempts to quit were identified as important variables in explaining the intention to quit smoking among patients with coronary heart disease. Thus, it is necessary to try to enhance this factors for increasing intention to quit among patients with coronary heart disease.

Keywords

References

  1. Ajzen, I. (1985). From Intentions to Actions : A theory of planned behavior. In J. Kuhl & J. Beckmann(Eds). Action control from cognition to behavior. New York; Springer-Verlag
  2. Bandura, A (1977). Self-efficacy : toward a unifying theory of behavioral change. Psychol Rev, 84(2), 191-315
  3. Choi, J. M (2000). Development of a predictive model of adolescent smoking. Unpublished doctoral dissertation. Seoul National University, Seoul
  4. Choi, J. S. (1999). The effects of smoking cessation program applying the cognitive behavior therapy. Unpublished doctoral dissertation Seoul National Umversity, Seoul
  5. Clark, M. A, Kviz, F. J., Prohaska, T. R., Crittenden, K S. & Warnecke, R. B. (1995). Readiness of older adults to stop smoking in a televised intervention. J Aging Health, 7(1), 119-138
  6. Coppotelli, H C., & Orleans, C. T. (1985). Partner support and other determinants of smoking cessation maintenance among women J Consult Clin Psychol, 53(4), 455-460
  7. DiClements, C C., Prochaska, J. O., Fairhurst, S. K, Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation : an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol, 59(2), 295-304
  8. Doll, R, & Peto, R (1976). Mortality in relation to smoking : 20 years observations on male british doctors. Br Med J, 4, 1526-1536
  9. Epstein, L. H, & Perkins, K A (1988). Smoking, stress, and coronary heart disease. J Consult Clin Psychol, 56(3), 342-349
  10. Hennrikus, D. J., Jeffery, R. W., & Lando, H (1995). The smoking cessation process : longitudinal observations in a working population. Prev Med, 24, 235-244 https://doi.org/10.1006/pmed.1995.1039
  11. Herlitz, J., Bengtson, A, Hjalmarson, A, & Karlson, B. W. (1995). Smoking habits in consecutive patients with acute myocardial infarction : pronosis in relation to other risk indicators and to whether or not they quit smoling. Cardiology, 86(6), 496-502
  12. Hyun, H J. (1998). Testing the theory of planned behavior in the prediction and intention of smoking cessation behavior. J Community Nurs, 9(1), 117-127
  13. Jee, Y. O. (1993). Testing theory of planned behavior in the prediction of smmoking cessation behavior among military smokers. Unpublished doctoral dissertation Yonsei University, Seoul
  14. Kannel, W. B., McGee, D. L., & Castelli, W. P. (1984). Latest perspectives on cigarette smoking and cardiovascular disease : The framingham study. J Cardiac Rehabil, 4, 267-277
  15. Kim, H S., & Nam, E. S. (1997). Prediction of breastfeeding intention and behavior : an application of the theoy of planned behavior. J Korean Acad Nurs, 27(4), 796-806
  16. Kim, M. H, & Pack, K S. (1993). Testing the theory of planned behavior in the prediction of contraceptive behavior among married women J Korean Acad Nurs, 28(3), 550-5632
  17. Lennox, A S. (1992). Determinants of outcome in smoking cessation. Br J Gen Pract, June, 247-252
  18. Lichtenstein, E. Weiss, S. M., Hitchcock, J. L., Leveton, L B., O'ConneIl, K A, & Prochaska, J. O. (1986). Pattern of smoking relapse. Health Psychol, 5(suppl 1), 29-40
  19. Marshall, P. (1990). 'Just one more...!' a study into the smoking attitudes and behavior of patients following first myocardial infarction. Int J Nurs Study. 27(4), 375-387
  20. Moon, J. S. (1990). A study of instrument development for health belief of Korean adults. Unpublished doctoral dissertation. Yonsei University, Seoul
  21. Nam, E. S. (1994). The effect of an educational program based on the theory of planned behavior on breastfeeding behavior. Unpublished doctoral dissertation. Yonsei University, Seoul
  22. National Statistical Office (2001a). Summary report of the cause of death statistics in 2000. http://www.nso.go.kr
  23. National Statistical Office (2001b). Percentage of smokers by region, sex and age in 1995. http://www.nso.go.kr
  24. Nguyen M., Potvin, L., & Otis, J. (1997). Regular exercise in 30 to 60 year old men : combining the stages of change model and the theory of planned behavior to identify determinants for targeting heart health interventions. J Community Health, 22(4), 233-347
  25. Parish, S., Collins, R., & Peto. R(1995). For the international studies of infarct survival(ISIS). cigarette smoking, tar yields, and non-fatal myocardial infarction : 14,000 cases and 32,000 controls in the United Kingdom. Br Med J, 311, 471-477
  26. Park, J. E. (1997). The effects of smoking on circulation Korean J Med, 52(suppl. 1), 21-24
  27. Robert, S. C. (1976). Behavioral concepts and nursing throughout the life span. New Jersey : Prentice-Hall Co
  28. U.S. Department of Health and Human Services. (2000). Treating tobacco use and dependence : A report of the surgeon general. http://www.surgeongeneral.gov
  29. Vlietstra, R. E, Kronmal, R. A, Oberman, A, Frye, R. L., & Killip, T. (1986). Effect of cigarette smoking on survival of patients with angiographically documented coronary artery disease. Report from the CASS registry. JAMA, 255(8), 1023-1027
  30. Willemsen, M C., Vries, H D., Breukelen, G. V., & Oldenburg, B. (1996). Determinants of intention to quit smokmg among Dutch employees : The influence of the social environment. Prev Med, 25, 195-202 https://doi.org/10.1006/pmed.1996.0046