DOI QR코드

DOI QR Code

Factors Influencing Smoking Cessation Behavior in Patients with Ischemic Heart Disease Following Coronary Angiography

관상동맥조영술을 받은 허혈성 심장질환자의 금연 행위에 영향을 미치는 요인

  • Kim, Minju (College of Nursing, Dong-A University) ;
  • Moon, Yejin (College of Nursing, Dong-A University)
  • Received : 2021.09.30
  • Accepted : 2021.11.19
  • Published : 2021.11.30

Abstract

Purpose: The purpose of this study was to elucidate the relationship between readiness to quit smoking and smoking cessation, and identify factors associated with smoking cessation in smokers with ischemic heart disease post-coronary angiography (CAG). Methods: This descriptive study was conducted between December 1, 2020 and May 14, 2021 at a P hospital, Busan. A total of 164 subjects completed the questionnaire including general characteristics, coronary artery disease characteristics, readiness to quit smoking, and smoking cession behavior during hospitalization and 4 weeks after discharge. Results: The success rate of smoking cessation after coronary angiography in patients with ischemic heart disease was 49.4% (n = 81). In addition, 48.2% of smokers (n = 83) attempted smoking cessation after CAG, while 39.8% showed changes in smoking behavior. The readiness to quit smoking was significantly associated with smoking cessation (OR= 2.23, p< .005). Conclusion: Readiness to quit smoking was identified as an important factor associated with smoking cessation in patients with cardiovascular disease in this study. In order to increase the smoking cessation rate, it is necessary to strengthen the readiness to quit smoking, followed by a tailored program for smoking cessation in patients with ischemic heart disease.

Keywords

References

  1. National Heart, Lung, and Blood Institute. Coronary heart disease [Internet]. Bethesda: National Heart, Lung, and Blood Institute; 2021 [citied 2021 August 23]. Available from: https://www.nhlbi.nih.gov/health-topics/coronary-heart-disease.
  2. Statistics Korea. Sudden cardiac arrest investigation, rate of occurrence by detailed cause of 'disease' 2012-2019 [Internet]. Deajeon: Statistics Korea; 2021 [citied 2021 August 23]. Available from: https://kosis.kr/statisticsList/statisticsListIndex.do?menuId=M_01_01&vwcd=MT_ZTITLE&parmTabId=M_01_01&outLink=Y&entrType=.
  3. American Heart Association. Coronary artery disease-coronary heart disease; 2015. Dallas; American Heart Association; 2015 [citied 2021 August 23]. Available from: https://www.heart.org/en/health-topics/consumer-healthcare/what-is-cardiovascular-disease/coronary-artery-disease.
  4. Sim DS, Jeong MH. Differences in the Korea acute myocardial infarction registry compared with western registries. Korean Circulation Journal. 2017;47(6): 811-822. https://doi.org/10.4070/kcj.2017.0027
  5. Lee EM, Kim MY. Impact of factors coronary artery disease in adults: based on the Korean national health and nutrition examination survey 2016-2017. Journal of The Korean Society of Living Environmental System. 2019;26(6): 868-876. https://doi.org/10.21086/ksles.2019.12.26.6.868
  6. Uhm IA, Hwang SY. The impact of cluster-type risk factors on adverse clinical prognosis in patients with coronary artery disease: a secondary data analysis. Korean Journal of Adult Nursing. 2020;32(2):156-166. https://doi.org/10.7475/kjan.2020.32.2.156
  7. Jung EK, Lee SK. 2020 community health survey. Korea Disease Control and Prevention Agency (KDCA). 1st ed. Osong: Division of Chronic Disease Control in Bureau of Chronic Disease Prevention and Control; 2020. p.64-73.
  8. Kim YM. Comparison of pre and post heart attack health behavior in coronary heart disease patients. Journal of Korean Public Health Nursing. 2017;31(2): 272-283. https://doi.org/10.5932/JKPHN.2017.31.2.272
  9. Kweon MS, Lee SJ. Comparison of health behaviors and health indices according to percutaneous coronary intervention in patients with chest pain-analysis of nursing information chart and electronic medical record-. International Journal of Contents. 2019;19(12):279-288. https://doi.org/10.5392/JKCA.2019.19.12.279
  10. Choi MJ, Jeong MH, Hwang SY. Restenosis and compliance with self-care among acute coronary syndrome patients undergoing follow-up angiograms. Korean Journal of Health Promotion. 2011;11(1):34-41.
  11. Choi HS, Sohn HS, Kim YH, Lee MJ. Factors associated with failure in the continuity of smoking cessation among 6 month's smoking cessation succeses in the smoking cessation clinic of public health center. Journal of the Korea Academia-Industrial Cooperation Society. 2012;13(10):4653-4659. https://doi.org/10.5762/KAIS.2012.13.10.4653
  12. Choi SH, Seo JM, Lee HJ. Influence of stress, anxiety, and depression on the quality of sleep in patients with chest pain undergoing a coronary angiography. Global Health and Nursing. 2020;10(1):23-32. https://doi.org/10.35144/ghn.2020.10.1.23
  13. Woo SH, Eom AY, Oh EG. Symptom experience and related factors in patients with angina pectoris. Journal of Korean Academy of Fundamentals of Nursing. 2006;13(3):447-456.
  14. Kang YO, Cho YC. Factors related to knowledge, health belief and sick role behavior to the coronary artery disease among patients with coronary artery disease. Journal of the Korea Academia-Industrial Cooperation Society. 2011;12(11):4985-4994. https://doi.org/10.5762/KAIS.2011.12.11.4985
  15. Yun KS, Cho SH. Predictors of intention to quit smoking in patients with acute coronary syndrome. The Korean Journal of Health Service Management. 2019;13(2):107-119. https://doi.org/10.12811/kshsm.2019.13.2.107
  16. Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. Journal of Consult Clinical Psychology. 1983;51(3):390-395. https://doi.org/10.1037/0022-006X.51.3.390
  17. Donnelly RE, Minami H, Hecht J, Bloom EL, Tashima K, Selva Kumar D, et al. Relationships among self-efficacy, quality of life, perceived vulnerability, and readiness to quit smoking in people living with HIV. Journal of Smoking Cessation. 2021;2021:6697404. https://doi.org/10.1155/2021/6697404
  18. Chen YH, Wang PC, Ko YL, Wang HL. Effects of motivational interview and mobile social network support on smoking cessation in male patients with coronary heart disease. The Journal of nursing. 2021;68(2):53-64. https://doi.org/10.6224/JN.202104_68(2).08
  19. Kong JH, Ha YM. Effects of a smoking cessation program including telephone counseling and text messaging using stages of change for outpatients after a myocardial infarction. Journal of Korean Academy of Nursing. 2013;43(4):557-567. https://doi.org/10.4040/jkan.2013.43.4.557
  20. Kwak MY, Hwang EJ. The effects of smoking cessation coaching program based on motivation stage to stop smoking of patients at a public hospital. Journal of the Korea Academia-Industrial cooperation Society. 2016;17(4):188-198. https://doi.org/10.5762/kais.2016.17.4.188
  21. Layoun N, Hallit S, Waked M, Aoun Bacha Z, Godin I, Dramaix M, et al. Predictors of readiness to quit stages and intention to quit cigarette smoking in 2 and 6 months in Lebanon. Journal of Research Health Sciences. 2017;17(2):e00379.
  22. Gensini GG. A more meaningful scoring system for determining the severity of coronary heart disease. The American Journal of Cardiology. 1983;51(3):606. https://doi.org/10.1016/S0002-9149(83)80105-2
  23. Rustin TA, Tate JC. Measuring the stages of change in cigarette smokers. Journal of Substance Abuse Treatment. 1993;10(2):209-20. https://doi.org/10.1016/0740-5472(93)90046-5
  24. Division of Korean National Health and Nutrition Examination Survey. Health survey guidelines for disclosure 2019. The 8th 1st year (2019). Osong: Division of Korean National Health and Nutrition Examination Survey in Bureau of Chronic Disease Prevention and Control; 2019. p.93-100.
  25. No Smoke Guide. Non-smoking policy-smoking cessation support project [Internet]. Sejong: No Smoke Guide; 2017 [citied 2021 August 23]. Available from: https://www.nosmokeguide.go.kr/lay2/bbs/S1T33C36/H/21/view.do?article_seq=355&tag_name=&cpage=1&rows=10&condition=&keyword=&cat=&rn=1.
  26. Judge K, Bauld L, Chesterman J, Ferguson J. The English smoking treatment services: short-term outcomes. Addiction 2005;100(Suppl 2):46-58. https://doi.org/10.1111/j.1360-0443.2005.01027.x
  27. Ramotowski B, Dziekan-Wislawska K, Lenarczyk E, Dzida M, Budaj A. Smoking cessation after coronary angiography. European Journal of Preventive Cardiology. 2021;28(Suppl 1):zwab061.295. https://doi.org/10.1093/eurjpc/zwab061.295
  28. Tabbalat RR, Hammoudeh RA, Khader Y, Hammoudeh AJ. Smoking cessation in the Middle East after percutaneous coronary intervention. Results from the first Jordanian percutaneous coronary intervention registry (JoPCR1). World Journal of Cardiovascular Diseases. 2016;6(7):202-210. https://doi.org/10.4236/wjcd.2016.67022
  29. Biener L, Abrams DB. The contemplation ladder: validation of a measure of readiness to consider smoking cessation. Health Psychology. 1991;10(5):360-365. https://doi.org/10.1037/0278-6133.10.5.360
  30. Abar B, Baumann BM, Rosenbaum C, Boyer E, Ziedonis D, Boudreaux ED. Profiles of importance, readiness and confidence in quitting tobacco use. Journal of Substance Use. 2013;18(2):75-81. https://doi.org/10.3109/14659891.2011.606351
  31. Abbasi MA, Malik S, Ali K. Smoking cessation after counselling in patients presenting with acute coronary syndrome. Journal of Ayub Medical College. 2018;30(2):229-223.
  32. Snaterse M, Scholte Op Reimer WJ, Dobber J, Minneboo M, Ter Riet G, Jorstad HT, et al. Smoking cessation after an acute coronary syndrome: immediate quitters are successful quitters. Netherlands Heart Journal. 2015;23(12):600-607. https://doi.org/10.1007/s12471-015-0755-9
  33. Jung KS, Min HS. The relations among self-care, symptom experiences, and disease status of the patient with liver cirrhosis. Korean Journal of Adult Nursing. 2007;19(12):318-328.
  34. Avci A, Fidan S, Tabakci MM, Toprak C, Alizade E, Acar E, et al. Association between the Gensini score and carotid artery stenosis. Korean Circulation Journal. 2016;46(5):639-645. https://doi.org/10.4070/kcj.2016.46.5.639
  35. Yano M, Miura S, Shiga Y, Miyase Y, Suematsu Y, Norimatsu K, et al. Association between smoking habits and severity of coronary stenosis as assessed by coronary computed tomography angiography. Heart and Vessels. 2016;31(7):1061-1068. https://doi.org/10.1007/s00380-015-0716-7
  36. Jung KY, Yoo SH, Ma SH, Hong SH, Hong YS, Lee UY, et al. Inpatient smoking cessation program and its success rate for abstinence among korean smokers. Korean Journal of Family Medicine. 2009;30(7):503-510. https://doi.org/10.4082/kjfm.2009.30.7.503
  37. Kim KS, Lee ES, Lee JH, Yoon YS, Yang YJ, Park SH, et al. The effects of the brief inpatient smoking cessation counseling on quit success and stage of change. Journal of the Korean Society for Research on Nicotine and Tobacco. 2012;3(1):10-18. https://doi.org/10.25055/JKSRNT.2012.3.1.10