The Evaluation of
Initiating Tobacco Cessation Services in the Military-Based Hospital,
Northeastern Thailand= Challenges and
Chaikoolvatana A Pheunpha P Puchcharanapaponthorn P Chaikoolvatana C Saisingh N Suwannakoot P Mingkhwan B
- Siriraj Med J
- Research article (National)
Objective= It aims to evaluate the effectiveness of the
initial smoking cessation services at the military based hospital in
Materials and Methods= It is a prospective, descriptive design. Totally, there were 1,094 conscripts participated
in the 6-month cessation program.
Patient history data was collected via a patient history record divided
into three different periods of time at, 1st visit, 2nd
visit (3-month), and 3rd visit (6-month). Each participant underwent ‘going cold
turkey’ with tobacco cessation approach.
Sociodemographic characteristics and continuous variables (e.g., age,
duration of smoking) were analyzed via descriptive statistics. Spearman correlation coefficient was used the
relation between predictor and dependent variables (quit success). The relations between sociodemographic data
and the prospects of quitting smoking were analyzed via multiple logistic regression.
Results= Most participants were males (99.84%), regular drinkers
(55.50%). They usually smoked 12.37 rolls per day. For first visit, every participant underwent
‘going cold turkey’ with tobacco cessation approach to quit smoking (from 1st
to 3rd visit). An average CO
level was 3.23 ppm. Around twelve
percent of participants used 0.5% sodium nitrate mouthwash. At the second visit (3-month), numbers of
cigarettes decreased to 5.48 roll/day and numbers of participants were
decreased to 792 personnel. Only 150
persons continue to quit smoking (18.95%).
At the last visit (6-month), a total number of participants were 688
personnel. Numbers of cigarettes were
decreased to 5.48 rolls per day. Only 78
persons completely quit smoking (11.34%), and approximately 18.02% of
participants still used 0.5% sodium nitrate mouthwash. Additionally, only three sociodemographic
data including, CO level, duration of counseling, and use of first line treatment
were statistically related to the prospects of quitting smoking (p<.05, .001
respectively). The equation of the
prospect of quit smoking was statistically related to those sociodemographic
Conclusion= Tobacco cessation services
in military based hospital were well received and short term outcome of
conscripts seeking help was encouraging.
The integration of tobacco cessation with existing healthcare services
in the military based hospitals is necessary.
Finally, further evaluations of the effectiveness of cessation services
among conscripts in the military-based hospitals need to be conducted.