The Impact of Aversive Advice During Percutaneous Coronary Intervention on Smoking Cessation in Patients With Acute Coronary Syndrome
- Title
- The Impact of Aversive Advice During Percutaneous Coronary Intervention on Smoking Cessation in Patients With Acute Coronary Syndrome
- Author
- 신진호
- Keywords
- CARDIOVASCULAR-DISEASE; COTININE; RISK; METAANALYSIS; PREVENTION; INFARCTION; BUPROPION; THERAPY; TRIAL
- Issue Date
- 2019-09
- Publisher
- ELSEVIER SCIENCE INC
- Citation
- GLOBAL HEART, v. 14, NO 3, Page. 253-257
- Abstract
- Background: Smoking cessation is important to prevent recurrence of acute coronary syndrome (ACS), but even in patients with ACS, smoking is hard to quit.
Objectives: This study hypothesized that aversive advice during the percutaneous coronary intervention (PCI) procedure works effectively to promote smoking cessation in patients with ACS.
Methods: This study was conducted as a prospective, single-blinded, randomized controlled trial. A total of 66 patients were randomly assigned to an aversive advice group or a control group and instructed to visit the outpatient clinic 1, 4, and 24 weeks after discharge. In the aversive advice group, a physician who did not participate in the patient follow-up said the following 3 sentences to the patients during the PCI procedure: "Smoking caused your chest pain"; "If you do not stop smoking right now, this pain will come again"; and "The next time you feel this pain you will probably die." All patients received usual advice on the importance of quitting smoking.
Results: At 24 weeks after discharge, the smoking cessation rate was higher in the aversive advice group than in the control group. In a multivariable logistic regression analysis, after adjustment for age, smoking quantity, alcohol consumption, and disease severity, the result was maintained (odds ratio = 4.47, 95% confidence interval: 1.50 to 13.34).
Conclusions: Aversive advice during a PCI procedure is effective at smoking cessation in patients with ACS. A physician's attention and involvement during the PCI procedure improves the rate of smoking cessation in patients with ACS.
- URI
- https://www.sciencedirect.com/science/article/pii/S2211816019300651?via%3Dihubhttps://repository.hanyang.ac.kr/handle/20.500.11754/110899
- ISSN
- 2211-8160; 2211-8179
- DOI
- 10.1016/j.gheart.2019.04.001
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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