The Impact of Aversive Advice During Percutaneous Coronary Intervention on Smoking Cessation in Patients With Acute Coronary Syndromeopen access
- Authors
- Kim, Byung Sik; Lim, Young-Hyo; Shin, Jeong Hun; Kim, Seok Hyeon; Roh, Sungwon; Choi, Yeon Woo; Shin, Jinho; Park, Jin-Kyu; Kim, Kyung-Soo
- Issue Date
- Sep-2019
- Publisher
- UBIQUITY PRESS LTD
- Citation
- GLOBAL HEART, v.14, no.3, pp.253 - 257
- Indexed
- SCIE
SCOPUS
- Journal Title
- GLOBAL HEART
- Volume
- 14
- Number
- 3
- Start Page
- 253
- End Page
- 257
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/13200
- DOI
- 10.1016/j.gheart.2019.04.001
- ISSN
- 2211-8160
- 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.
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