Effectiveness of health education and counseling on stages of change, decisional balance, and smoking cessation self-efficacy: A prospective self-control study.

Autor: Wei FC; School of Nursing, Taipei Medical University, Taipei, Taiwan; Department of Nursing, Cathay General Hospital, Taipei, Taiwan. Electronic address: wfc@cgh.org.tw., Huang CH; Department of Cardiovascular Center, Cathay General Hospital, Taipei, Taiwan. Electronic address: hchbox@cgh.org.tw., Huang CY; Department of Nursing, Cathay General Hospital, Taipei, Taiwan. Electronic address: cad@cgh.org.tw., Tsai YP; Department of Nursing, Cathay General Hospital, Taipei, Taiwan. Electronic address: cgh315960@cgh.org.tw., Jeng C; School of Nursing, Taipei Medical University, Taipei, Taiwan. Electronic address: chii@tmu.edu.tw.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Jun; Vol. 123, pp. 108206. Date of Electronic Publication: 2024 Feb 14.
DOI: 10.1016/j.pec.2024.108206
Abstrakt: Objective: To examine the effectiveness of health education and counseling on the stages of change, decisional balance, and smoking cessations elf-efficacy in smokers with no intention of quitting.
Methods: A prospective self-controlled design was conducted between December 2020 and December 2022. The research period was divided into a control stage (first to fourth weeks) and an experimental stage (fifth to eighth weeks). Patients with coronary artery disease (CAD) and habitually smoked were recruited. Pearson correlation and a one-factor repeated-measurement analysis were performed to assess the effectiveness of the intervention.
Results: In total, 108 male CAD patients with a mean age of 58.1 years were recruited. After 4 weeks of the intervention, 55 (51%) exhibited behavior change (X 2 = 18.03, p = .001). The decisional balance and smoking cessation self-efficacy scores significantly improved in the experimental stage. No significant differences were observed in the control stage.
Conclusions: Four weeks of health education and counseling could effectively improve participants' stage of change, decisional balance, and smoking cessation self-efficacy.
Practice Implication: Healthcare professionals can play key roles in helping CAD patients successfully quit smoking through individual education and counseling.
Competing Interests: Declaration of Competing Interest The authors declare that we have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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