Korean J Health Promot.  2016 Mar;16(1):48-55. 10.15384/kjhp.2016.16.1.48.

Continuous Abstinence Rates from Smoking Over 12 Months according to the Frequency of Participation in a Hospital-based Smoking Cessation Program among Patients Discharged after Acute Myocardial Infarction

• Lee YH
• Han MH
• Lee MR
• Jeong JW
• Kim NH
• Oh SK
• Yun KH
• Rhee SJ
• Ko JS
• Oh GJ

• KMID: 2247038
• DOI: http://doi.org/10.15384/kjhp.2016.16.1.48

Abstract

BACKGROUND
This study evaluated the continuous abstinence rates from smoking at 12-month after a hospital-based smoking cessation program was applied for smokers hospitalized for acute myocardial infarction.
METHODS
Among those who are hospitalized for acute myocardial infarction from January 2012 to December 2013, ninety-eight smokers agreed to quit smoking were eligible for follow up to 12 months. Each of them underwent six consecutive sessions (first during admission, the other 5 sessions after discharge) of behavioral modification, counseling for withdrawal symptoms, and anti-smoking advices by a trained nurse. Exhaled carbon monoxide measurements less than 6 ppm were used to confirm the smoking cessation status of each participant.
RESULTS
Mean age of all participants was 55.2±10.8 years old, and their continuous abstinence rates at 1, 3, 6, 12 months were 63.3%, 49.0%, 43.9%, and 37.8% for each. The continuous abstinence rate from smoking after 12 months was 69.7% and significantly higher in those who completed the 6 sessions than 21.5% in those who completed 5 sessions or less (P<0.001). After adjustment for general and smoking-related characteristics, multivariate logistic regression analysis revealed that full participation relative to 5 or less participation was significantly associated with higher continuous abstinence rate from smoking at 12 months (odds ratio: 7.96; 95% confidence interval: 2.07-30.55).
CONCLUSIONS
The consistency of participating in a hospital-based smoking cessation program, described herein, significantly improved success rates of smoking cessation in patients discharged after acute myocardial infarction. Hospital-based smoking cessation program based on education and counseling should be included as an important part of patient management for acute myocardial infarction.

Keyword

Smoking cessation; Myocardial infarction; Hospitals

MeSH Terms

Carbon Monoxide
Counseling
Education
Follow-Up Studies
Humans
Logistic Models
Myocardial Infarction*
Smoke*
Smoking Cessation*
Smoking*
Substance Withdrawal Syndrome
Carbon Monoxide
Smoke

Figure

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  Figure 1. Continuous abstinence rates from smoking decreased from 63.3% at 1 month to 37.8% at 12 month in patients discharged after acute myocardial infarction who participated in hospital-based smoking-cessation program.

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  Figure 2. Continuous abstinence rates from smoking were higher in patients discharged after acute myocardial infarction who participated in smoking-cessation program of 6 times versus ≤5 times.

Reference

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