이영훈1,2,3, 한미희3, 이미림2, 정진원2,4, 김남호2,4, 오석규2,4, 윤경호2,4, 이상재2,4, 고점석2,4, 오경재1,2,3

1원광대학교 의과대학 예방의학교실 및 원광의과학연구소, 2원광대학교병원 전북권역심뇌혈관질환센터, 3원광대학교병원 전북금연지원센터, 4원광대학교 의과대학 및 원광대학교병원 순환기내과학교실

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.
Korean J Health Promot 2016;16(1):48-55
Keywords: Smoking cessation, Myocardial infarction, Hospitals