The Effects of Smoking Cessation Coaching Program based on Motivation Stage to Stop Smoking of Patients at a Public Hospital

Abstract

This study examined the effects of a smoking cessation coaching program based on the motivation stage applying the Transtheoretical Model to stop the smoking of patients in terms of the amount of smoking, nicotine dependence, CO level, and urine cotinine. The study design was a multi-repeat multiple repeat intermittent time series study with one-group, a pre-post design. The participants were 47 smoking patients (44 males and 3 females), who were treated at a public hospital in N city. The participants were 4 (8.51%) subjects in the action stage and 43 subjects (91.49%) in the preparation stage of the motivation stage. The coaching program intervention was conducted at the first day, second week, and 6th week. The smoking cessation maintenance of the subjects was checked at the 12th week. A chi-square test and t-test were used to analyze the data. The subjects in the action stage were kept under the condition of no smoking and nicotine dependence. After the program of subjects in the preparation stage, the amount of smoking, nicotine dependence, and CO level were significantly lower compared to the pre-test (p<.001). The findings suggest that the coaching program based on the motivation stage was effective in improving the smoking cessation for patients who smoke. On the other hand, the patients in the smoking cessation program may require much more financial assistance than those of healthy people. A greater workforce and budget will be needed for patients to stop smoking.

Successful Smoking Cessation among Women Smokers Based on Utilizing National Smoking Cessation Service Type in Korea

“…Even if women smokers experience withdrawal symptoms, they may find it difficult to request help from others [ 8 , 9 ]. These social effects can influence women smokers to become passive toward direct smoking cessation counseling [ 10 ].…”

Smoking Awareness and Intention to Quit Smoking in Smoking Female Workers: Secondary Data Analysis

“…As previously described, female smokers show a passive attitude toward visiting treatment centers for smoking cessation [ 31 ], and lack information on specific therapeutic approaches to quit smoking [ 29 ]. In addition, those who are reluctant to disclose their smoking behaviors to others experience difficulties in asking for help, and hesitate to participate in active treatment in their attempt to quit smoking [ 32 ]. Our data showed that 77.5% of women who smoked had never undergone smoking cessation education, and a low number had access to smoking cessation education, which is the first step in smoking cessation.…”

Analysis of Factors Associated with Subjective Mild Cognitive Impairment (MCI) among Older Adults Resident in the Community

“…Kumboyono et al [ 21 ] stated that smoking increased the premature associated senescence phenotype of circulating endothelial progenitor cells (EPCs), which may contribute to the diminished bioavailability of the mature EPCs of the smoker, thereby reducing the potency of vascular maintenance and repair. Smoking lowers the oxygen concentration in the blood, leading to hypoxia [ 22 ], weakening blood vessel function [ 21 ], and worsening bodily functions. In addition, it can be confirmed that smoking is closely related to many predictors of MCI in older adults, such as psychologically induced depression [ 23 ].…”