นโยบายงานวิจัย /จรรยาบรรณนักวิจัย /ระดับคุณภาพบทความวิจัยตีพิมพ์ /ระดับคุณภาพผลงานวิชาการ /แหล่งทุน /ดาวน์โหลด /ฐานข้อมูลวิจัย /วิเคราะห์-สังเคราะห์งานวิจัย /ลิขสิทธิ์ /ข่าว


Screening and Counseling on Smoking Cessation by Hospital Pharmacist in the Outpatient Service


Author

-

Kunawaradisai N, Surapat W.


Journal

- Thai Journal of Hospital Pharmacy

Volume

- 2

Year

- 21

Publication type

- Research article (National)

Page list

- 126-137

Abstract

   

This quasi-experimental research was conducted with an aim to determine the effect of screening and counseling on smoking cessation using “5A” technique by pharmacist at the outpatient service, Sappasittiprasong Hospital, Ubon Ratchathani province. The data were collected using self-administered questionnaires for knowledge and attitude tests (Kuder-Richardson = 0.63 and Cronbach’s alpha coefficient = 0.77) in 35 patients with cardiovascular diseases who were current smokes and came to outpatient clinic during December 2007-August 2008. All subjects were followed consecutively at 1 week, 1 month, 2-3 months, and within 4 months after counseling. The result revealed that all subjects smoked 8.4±5.5 cigarettes per day for 28.1±15.9 years. The level of nicotine dependence in 94.3 percent of subjects was low (FTND score of 0-4) while 40.0 percent enjoyed their smoking after meals and at parties. Additionally, 80.0 percent of subjects quitted smoking at least once and 71.4 percent used cold turkey method. However, the re-acquisition was caused by craving (37.1 percent) and seeing friends smoked (34.3 percent). After 4 consecutive follow up, the results indicated that the readiness to quit smoking (using transtheoretical model of change) was improved in 17 patients (48.6 percent) while 13 subjects (37.1 percent) stopped smoking. In addition, the amounts of cigarette smoking per day in all subjects and in current smokers were significantly decreased after counseling (p-value < 0.05). In terms of knowledge and attitude towards smoking cessation, it was found that patients’ knowledge and attitude were significantly improved after smoking cessation counseling (knowledge 7.4±1.1 vs. 5.5±2.0, p-value < 0.001 and attitude 44.4±4.8 vs. 41.3±4.9, p-value = 0.001). Overall, the results from this study imply that screening and counseling on smoking cessation plays an important role in assisting smokers to stop smoking.


Keywords

   

Smoking, pharmacist, screening, counseling