Journal of Health And Care
Volume 21, Issue 2 (summer 2019)
JHC 2019, 21(2): 99-107 |
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Badrooh A, Mozaffari N, Barikani A, Dadkhah B. Comparison of the Effect of Group and Individual Training on Smoking Cessation Motivation in Coronary Artery Disease Patients. JHC 2019; 21 (2) :99-107
URL: http://hcjournal.arums.ac.ir/article-1-922-en.html
URL: http://hcjournal.arums.ac.ir/article-1-922-en.html
Department of Nursing, Faculty of Nursing and Midwifery, Ardabil University of Medical Sciences, Ardabil, Iran
Abstract: (3088 Views)
Background & objectives: Quitting smoking significantly reduces the risk of cardiovascular disease and other illnesses associated with smoking. Training seems to be effective in motivating cessation of smoking. The aim of this study was to investigate and compare the effect of individual and group training on the smoking cessation motivation in coronary artery disease (CAD) patients admitted to Avesina Hospital in Qazvin.
Methods: This study was a semi-experimental study conducted on smoker patients with diagnosis of CAD who were admitted to Avesina Hospital in Qazvin. 255 patients were enrolled in the study through available sampling. Patients were divided into three groups: individual training, group training and control. A standard two-part questionnaire, which included demographic data and a questionnaire of motivation to quit smoking, was used to collect data. The information was collected before training, and four and three months after the completion of the training. Data were analyzed using SPSS v.24 through descriptive statistic (mean and standard deviation), and chi-square test and one-way analysis of variance.
Results: The mean of motivation score for smoking cessation before intervention in 3 groups of control, individual and group training were 9.4±2.7, 8.5±2.3, 8.7±2.4, respectively. At the first follow-up (4 weeks after intervention), these amounts in 3 groups of control, individual training and group training were 8.76±2.9, 13.5±2.5, and 5.2±14 (p= 0/001) and in the second follow-up (3 months after intervention), were 8.18±3.3, 13.3±2.8 and 14±2.7, respectively.
Conclusion: The results showed that group training program resulted in increased motivation for smoking cessation. So, designing a group training program can have a significant effect on increasing motivation and creating lasting behavior for smoking cessation in CAD patients.
Methods: This study was a semi-experimental study conducted on smoker patients with diagnosis of CAD who were admitted to Avesina Hospital in Qazvin. 255 patients were enrolled in the study through available sampling. Patients were divided into three groups: individual training, group training and control. A standard two-part questionnaire, which included demographic data and a questionnaire of motivation to quit smoking, was used to collect data. The information was collected before training, and four and three months after the completion of the training. Data were analyzed using SPSS v.24 through descriptive statistic (mean and standard deviation), and chi-square test and one-way analysis of variance.
Results: The mean of motivation score for smoking cessation before intervention in 3 groups of control, individual and group training were 9.4±2.7, 8.5±2.3, 8.7±2.4, respectively. At the first follow-up (4 weeks after intervention), these amounts in 3 groups of control, individual training and group training were 8.76±2.9, 13.5±2.5, and 5.2±14 (p= 0/001) and in the second follow-up (3 months after intervention), were 8.18±3.3, 13.3±2.8 and 14±2.7, respectively.
Conclusion: The results showed that group training program resulted in increased motivation for smoking cessation. So, designing a group training program can have a significant effect on increasing motivation and creating lasting behavior for smoking cessation in CAD patients.
Keywords: Group Training, Individual Training, Motivation of Smoking Cessation, Coronary Artery Disease
Type of Study: quasi-experimental |
Received: 2018/04/5 | Accepted: 2019/05/21 | Published: 2019/06/21
Received: 2018/04/5 | Accepted: 2019/05/21 | Published: 2019/06/21
References
1. Pirdehghan A, Vakili M, Arab M, Aghakoochak. Frequency and modeling the underlying predicting factors of tobacco smoking among high school students in Yazd city. Journal of Shahrekord University of Medical Sciences. 2015;16(5):56-65 Persian.
2. Ayoub M, Larrouy P, Dominique Morsomme D. The effect of smoking on the fundamental frequency of the speaking voice. Journal of Voice. 2018;4(2):1-6. [DOI:10.1016/j.jvoice.2018.04.001] [PMID]
3. Frazer K, McHugh J, Callinan JE, Kelleher C. Impact of institutional smoking bans on reducing harms and second hand smoke exposure. Cochrane Database of Systematic Reviews. 2016;5(1):118-56. [DOI:10.1002/14651858.CD011856.pub2]
4. Katz MJ, Ness SM. Coronary Artery Disease (CAD). Journal of Wild Iris Medical Education. 2015;1(1):2-89.
5. Silva AP, Scholz J, Abe TO, Pinheiro GG, Gaya PV, Pereira A, et all. Influence of smoking cessation drugs on blood pressure and heart rate in patients with cardiovascular disease or high risk score: real life setting. BMC Cardiovascular Disorders. 2016;16(2):2-6. [DOI:10.1186/s12872-015-0180-4] [PMID] [PMCID]
6. Abedein h, Abdollahi A, Behnampour N, Salehi A. relationship between numbers of involved coronary artery with some risk factors by angiography. Journal of Shahid Beheshti University of Medical Sciences. 2016;6(5):383-91 Persian.
7. Emami H, Bahadori M, Ramezankhani A, Sharifkashani B, Sharifi H, Tafti S, et al. Tabaco control. Educational and Research Journal of Tobacco Control. 2017;8(11):1-37 Persian.
8. Farsalinos K, Cibella F, Caponnetto P, Campagna M, Morjaria JB, Battaglia E. Effect of continuous smoking reduction and abstinence on blood pressure and heart rate in smokers switching to electronic cigarettes. Journal of International Emergency Medicine. 2016;8(11):85-94. [DOI:10.1007/s11739-015-1361-y] [PMID] [PMCID]
9. Kazemzadeh Z, Manzari Z, Vaghee S, Ebrahimi M, Mazlom R. The impact of smoking cessation training-counseling programs on success of quitting smoking in patients with acute coronary syndrome. Journal of Evidence Based Care. 2016;6(3):67-76.
10. Schulte DM, Duster M, Warrack S, Valentine S, Jorenby D, Shirley D, et al. Feasibility and patient satisfaction with smoking cessation interventions for prevention of healthcare-associated infections in inpatients. Journal of Substance Abuse Treatment, Prevention, and Policy. 2016;11(15):2-9. [DOI:10.1186/s13011-016-0059-0] [PMID] [PMCID]
11. Mancine D. Frequency of nurse led tobacco cessation interventions and Influencing factors. International Journal of Nursing. 2015;2(2):158-69.
12. Sterling LH, Windle SB, Filion KB, Touma L, Eisenberg MJ. Varenicline and adverse cardiovascular events: a systematic review and meta-analysis of randomized controlled trials. Journal of the American Heart Association. 2016;5(2):28-49. [DOI:10.1161/JAHA.115.002849] [PMID] [PMCID]
13. Perski O, Herd N, Brown J, West R. Does consistent motivation to stop smoking improve the explanation of recent quit attempts beyond current motivation? a cross-sectional study. Journal of Addictive Behaviors. 2018;8(1):12-16. [DOI:10.1016/j.addbeh.2018.01.037] [PMID] [PMCID]
14. Ahmadi A, Abramloo S, Golmohammadi SH, khoshnevisan M. Barriers to active participation of senior dentistry students in smoking cessation program. Journal of Dental School, Shahid Beheshti University of Medical Sciences. 2011;29(3):199-206 Persian.
15. Mullen KA, Manuel DG, Hawken SJ, Pipe AL, Coyle D, Hobler LA, et al. Effectiveness of a hospital-initiated smoking cessation program: 2-year health and healthcare outcomes. Journal of Tab control published online (BMJ). 2016;1(0):1-7.
16. Sheban M, Nejati E, Mehran A, Sidi J. The effect of counseling on smoking cessation in patients with chronic obstructive pulmonary disease. Hayat. 2007;11(4):73-81 Persian.
17. 17 -Piñeiro B, López-Durá A, Fernández Del Río E, Martínez U. Motivation to quit as a predictor of smoking cessation and abstinence maintenance among treated Spanish smokers. Journal of Addictive Behaviors. 2016;53(2):40-45. [DOI:10.1016/j.addbeh.2015.09.017] [PMID]
18. Sotoudeh TR, Noroozi A. Effect of education by health volunteers on reducing water-pipe use among women in bushehr: an application of health belief model. Hayat. 2016;22(1):50-64 Persian.
19. Halterman J, Borrelli B, Conn K, Tremblay P, Blaakman S. Motivation to quit smoking among parents of urban children with asthma. Journal of Patient Education and Counseling. 2010;79(1):152-55. [DOI:10.1016/j.pec.2009.09.004] [PMID] [PMCID]
20. Kim SH, Lee JA, Kim KU, Cho HJ. Results of an inpatient smoking cessation program: 3-month cessation rate and predictors of success. Korean Journal of Family Medicine. 2015;12(36):34-39. [DOI:10.4082/kjfm.2015.36.2.50] [PMID] [PMCID]
21. MohammadiZeidi E, Pakpour A, Karbord A, MohammadiZeidi B. Effectiveness of an educational intervention based on the Trans theoretical model in order to smoking cessation in patients referred to dental clinics. Journal of Dental Medicine-Tehran University of Medical Sciences. 2015;28(2):146-58 Persian.
22. Baghianimoghadam M, Karimizarehi M. Routine or verbal- illustrative education on nicotine dependency in men after coronary artery bypass graft (CABG). The Journal of toloo-e-behdasht. 2011;11(2):95-101.
23. Khodadadizadeh A, Ameri F. Educational effect on smoking cessation and attitude towards smoking in patients admitted to the CCU department of Imam AbuTalib Medical Center. Journal of Rafsanjan University of Nursing and Midwifery and Paramedicine. 2007;1(3):15-22 Persian.
24. Rahimimande M, Abbaspoor A. Investigating the relationship between teaching methods (group discussion, question and answer, scientific presentation and vocabulary), motivating progress in students. Journal of Educational Psychology. 2016;12(39):1-24 Persian.
25. Pbert L, Druker S, DiFranza JR, Gorak D, Reed G, Magner R, Sheetz AH, Osganian S. Effectiveness of a school nurse-delivered smoking-cessation intervention for adolescents. Journal of National Institutes of Health (NIH). 2011;128(5):926-36. [DOI:10.1542/peds.2011-0520] [PMID] [PMCID]
26. Hekmatpoue OM. Effect of educational program bases on transtheortical model constructs on cognitive and beharioral processes for smoking cessation. Journal of Urmia Nursing and Midwifery. 2016;9(2):593-605 Persian.
27. Garniera V, Meyerb M, Leuppic J. Smoking cessation counseling: impact of chart stickers and resident training. Journal of Swiss Medical Weekly. 2010;140(11):175-80.
28. Herie M, Selby P. Getting beyond "Now is not a good time to quit smoking" Increasing motivation to stop smoking. Journal of Smoking Session. 2007;1(2):140-46.
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