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전화상담과 문자메시지 제공이 허혈성 심질환자의 금연에 미치는 효과 원문보기

  • 저자

    최혜옥

  • 학위수여기관

    경상대학교 대학원

  • 학위구분

    국내석사

  • 학과

    간호학과 임상간호학

  • 지도교수

  • 발행년도

    2014

  • 총페이지

    vii, 74p.

  • 키워드

    금연 전화 문자 허혈성 심질환자;

  • 언어

    kor

  • 원문 URL

    http://www.riss.kr/link?id=T13534371&outLink=K  

  • 초록

    Purpose: This research is an Quasi-experimental Design of nonequivalent control group to investigate the effects of smoking cessation program provided by text message and telephone counseling on smoking self-efficacy, nicotine dependence, expired of carbon monoxide levels, and nonsmoking success. Method: Data was collected from experimental group no.1 (20 people), experimental group no.2 (20 people) and control group (20 people) targeting ischemic heart disease patients hospitalized in Cardiology at G university hospital in J city from July 30, 2013 to March 30, 2014. For the procedure of data collection, general characteristics, characteristics related to smoking, smoking self-efficacy, nicotine dependence, expired of carbon monoxide levels of the experimental group no.1 and no.2 and the control group were measured before executing telephone counseling and smoking cessation program to be provided by text message. For the experimental group no.1, telephone counseling was given once a week from 1st to 12th week, three times a day from 1st to 2nd week and twice a day from 3rd to 4th week and text message was sent once a day from 5th to 12th week. For the control group, general telephone counseling provided by cardiovascular center was given once a month from 1st to 12th week and no text messages were sent. After executing the smoking cessation program, smoking self-efficacy, nicotine dependence, expired of carbon monoxide levels, and nonsmoking success of the experimental group no.1 and no.2 and the control group were measured to measure the effects. Data was analysed in errors, percentage, average, standard deviation, Shapiro-Wilk test , χ²test with Fisher's exact test, One way ANOVA, Duncan's Multiple Range Test, and z sore, using SPSS 21.0. Results: A result of this research is as follows. Hypothesis 1: "Smoking self-efficacy of the experimental group no.1 and no.2 that have participated in the telephone counseling and the smoking cessation program provided by text message will increase compared to the control group that have not." Since the experiment groups showed a significant difference in smoking self-efficacy by group (F=13.669, p=.000), the first hypothesis was supported. Hypothesis 2: "Nicotine dependence of the experimental group no.1 and no.2 that have participated in the telephone counseling and the smoking cessation program provided by text message will decrease compared to the control group that have not." Since the experiment groups showed a significant difference in nicotine dependence by group (F=3.423, p=.039), the second hypothesis was supported. Hypothesis 3: "Expired of carbon monoxide levels of the experimental group no.1 and no.2 that have participated in the telephone counseling and the smoking cessation program provided by text message will decrease compared to the control group that have not." Since the experiment groups showed a significant difference in expired of carbon monoxide levels by group (=15.600, p=.000), the third hypothesis was supported. Hypothesis 4: Nonsmoking success of the experimental group no.1 and no.2 that have participated in the telephone counseling and the smoking cessation program provided by text message will increase compared to the control group that have not. Since the experimental group no.1 (85.0%)and no.2 (40.0%) showed significantly higher Nonsmoking success of smoking cessation than the control group (25.0%) did, the fourth hypothesis was supported. Conclusion: In conclusion, the telephone counseling and smoking cessation program provided by text message executed in this research were verified to give a significant effect in increasing nonsmoking success. An execution of smoking cessation program by taking the intensity into account is considered to increase the success rate of smoking cessation of ischemic heart disease patient, and therefore, it is recommended to apply such in clinical practice. key word: smoking cessation, telephone, text message, ischemic heart disease


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