J Korean Acad Nurs.  2012 Apr;42(2):190-198. 10.4040/jkan.2012.42.2.190.

Effects of a Smoking Cessation Education on Smoking Cessation, Endothelial Function, and Serum Carboxyhemoglobin in Male Patients with Variant Angina

Affiliations
  • 1Department of Nursing, Nambu University, Gwangju, Korea. chosh@nambu.ac.kr

Abstract

PURPOSE
The aim of this study was to evaluate the effects of a smoking cessation education on endothelial function and carboxyhemoglobin levels in smokers with variant angina.
METHODS
A nonequivalent control group pretest-posttest design was used. Participants were 60 male smokers with variant angina admitted to one hospital: the control group (30) between September and December, 2009, and the experimental group (30) between February and May, 2010. Endothelial function, as defined by flow-mediated vasodilation (FMD) of the brachial artery, and serum carboxyhemoglobin (COHb) were determined at baseline and at 3 months after the initiation of education in both groups.
RESULTS
Three months after the program, smoking cessation was successful in 22 of the 30 smokers in the experimental group, but only in 4 of 30 smokers in the control group (p<.001). After the education, the experimental group showed a significant increase in FMD, and a significant decreased in serum COHb compared with the control group.
CONCLUSION
The findings indicate that this smoking cessation education program is effective for hospitalized smokers with variant angina.

Keyword

Angina pectoris; Smoking cessation; Endothelium

MeSH Terms

Adult
Angina Pectoris, Variant/blood/*physiopathology
Brachial Artery/physiology
Carboxyhemoglobin/*analysis
Endothelium, Vascular/*physiology
Humans
Male
Middle Aged
*Program Evaluation
Smoking/psychology
*Smoking Cessation
Vasodilation

Figure

  • Figure 1 Research design of this study.


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So-Yeon Kim, Min Young Kim
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Reference

1. Bonetti P.O., Lerman L.O., Lerman A. Endothelial dysfunction: A marker of atherosclerotic risk. Arteriosclerosis, thrombosis, and vascular biology. 2003. 23:168–175. http://dx.doi.org/10.1161/01.ATV.0000051384.43104.FC.
2. Chang S.O., Kim E.J., Kil S.Y., Seomun G.A., Lee S.J. Influential variables on intention and action to quit smoking between adolescent smokers and adult smokers based on the transtheoretical model. Journal of Korean Academy of Nursing. 2005. 35:1410–1419.
3. Cho S.H., Hwang S.Y., Jeong M.H. Cardiovascular risk factors predicting endothelial dysfunction in patients with variant angina. Journal of Korean Academy of Adult Nursing. 2009. 21:477–488.
4. Cho S.H., Jeong M.H., Park I.H., Choi J.S., Yoon H.J., Kim K.H., et al. Endothelial dysfunction, increased carotid artery intima-media thickness and pulse wave velocity, and increased level of inflammatory markers are associated with variant angina. Journal of Cardiology. 2009. 54:183–191. http://dx.doi.org/10.1016/j.jjcc.2009.05.003.
5. Cohen J. Statistical power analysis for the behavioral science. 1988. 2nd ed. New Jersey, NJ: Lawrence Erlbaum.
6. Ergüder I.B., Ergüder T., Özkan C., Bozkurt N., Soylu K., Devrim E., et al. Short-term effects of smoking cessation on blood antioxidant parameters and paraoxonase activity in healthy asymptomatic long-term cigarette smokers. Inhalation Toxicology. 2006. 18:575–579. http://dx.doi.org/10.1080/08958370600686325.
7. Hart C.L., Smith G.D., Hole D.J., Hawthorne V.M. Carboxyhaemoglobin concentration, smoking habit, and mortality in 25 years in the Renfrew/Paisley prospective cohort study. Heart. 2006. 92:321–324. http://dx.doi.org/10.1136/hrt.2005.065185.
8. Haustein K.O., Krause J., Haustein H., Rasmussen T., Cort N. Changes in hemorheological and biochemical parameters following short-term and long-term smoking cessation induced by nicotine replacement therapy (NRT). International Journal of Clinical Pharmacology and Therapeutics. 2004. 42:83–92.
9. Hung M.J., Cherng W.J., Cheng C.W., Li L.F. Comparison of serum levels of inflammatory markers in patients with coronary vasospasm without significant fixed coronary artery disease versus patients with stable angina pectoris and acute coronary syndromes with significant fixed coronary artery disease. American Journal of Cardiology. 2006. 97:1429–1434. http://dx.doi.org/10.1016/j.amjcard.2005.12.035.
10. Johnson H.M., Gossett L.K., Piper M.E., Aeschlimann S.E., Korcarz C.E., Baker T.B., et al. Effects of smoking and smoking cessation on endothelial function: 1-year outcomes from a randomized clinical trial. Journal of the American College of Cardiology. 2010. 55:1988–1995. http://dx.doi.org/10.1016/j.jacc.2010.03.002.
11. Jung K.Y., Yoo S.H., Ma S.H., Hong S.H., Lee Y.S., Shim U.Y., et al. Inpatient smoking cessation program and its success rate for abstinence among Korean smokers. Korean Journal of Family Medicine. 2009. 30:503–510.
12. Kang J.A., Lee Y.S., Jeong S.H., Lee J.W., Kim B.Y., Im D.S., et al. Clinical characteristics of patients with variant angina. Korean Journal of Medicine. 2002. 63:195–202.
13. Fauci A.S., Braunwald E.F., Kasper D.L., Hauser S.L., Longo D.L., Jameson J.L., et al. Harrison's principles of internal medicine. 2008. 17th ed. New York, NY: McGraw-Hill.
14. Korean Statistical Information System. Annual report on the cause of death statistics.(1999-2009). 2010. Retrieved July 15, 2010. from http://www.kosis.kr/abroad/abroad_01List.jsp?/parentld=D.
15. Lee H., Lee B.K., Bak S.J., Cho E.J., Kim M.Y., Yoon J.L. The difference of smoking rates before and after hospital admission. Journal of the Korean Academy of Family Medicine. 2006. 27:556–560.
16. Lee K.H., Jeong M.H., Ahn Y.K., Kim J.H., Chae S.C., Kim Y.J., et al. Gender differences of success rate of percutaneous coronary intervention and short term cardiac events in Korea Acute MyocardialInfaraction Registry. International Journal of Cardiology. 2008. 130:227–234. http://dx.doi.org/10.1016/j.ijcard.2007.08.044.
17. Libby P., Ridker P.M., Maseri A. Inflammation and atherosclerosis. Circulation. 2002. 105:1135–1143. http://dx.doi.org/10.1161/hc0902.104353.
18. Min S.K., Jeon W.T., Kim D.K. Quality of life of north Korean defectors in south Korea. Journal of Korean Neuropsychiatric Association. 2006. 45:269–275.
19. Ogawa T., Komukai K., Ogawa K., Kosuga T., Nagoshi T., Minai K., et al. High incidence of repeat anginal attacks despite treatment with calcium-channel blockers in patients with coronary spastic angina. Circulation journal. 2009. 73:512–515. http://dx.doi.org/10.1253/circj.CJ-08-0501.
20. Park M.K., Kang K.S., Kim N.Y. Effects of a smoking cessation program on amount of smoking and nicotine dependence and self-efficacy of smoking cessation for smoking workers. Journal of Korean Academy of Nursing. 2007. 37:1073–1079.
21. Yoo S.Y., Shin D.H., Jeong J.I., Yoon J.Y., Ha D.C., Cho S.W., et al. Long-term prognosis and clinical characteristics of patients with variant angina. Korean Circulation Journal. 2008. 38:651–658. http://dx.doi.org/10.4070/kcj.2008.38.12.651.
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