| Original Article
| | | | | | Factors Influencing Intention to Quit Smoking in Stroke Patients: Based on the Theory of Planned Behavior | Jin-hyun Bae,1Eun Su Do,2and Young Sook Seo*3 | 1College of Nursing, Catholic University of Daegu, Daegu, Korea.
| 2Department of Nursing, College of Daegu Health, Daegu, Korea.
| 3Department of Nursing, Gyeongju University, Gyeongju, Korea.
| *Corresponding author: Seo, Young Sook. Department of Nursing, Gyeongju University, 188 Taejong-ro, Gyeongju 780-712, Korea. Tel: +82-54-770-5167, Fax: +82-54-770-5322, Email: seo1657@naver.com | | Received November 08, 2013; Revised February 03, 2014; Accepted March 23, 2014.
| This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
| | Abstract |
PurposeThe purpose of this study was to explore the intention to quit smoking and related factors in patients with a stroke. MethodsData were collected by structured questionnaires from 182 patients in three different hospitals located in D and K metropolitan city, Korea. All of the patients had a stroke and continued to smoke. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Scheffétest, Pearson's correlation, and Hierarchical regression analyses. ResultsThe major variables of planned action theory and intention to quit smoking showed positive correlations with attitude toward the behavior of quit smoking (direct) (r=.57, p<.001), attitude toward the behavior of quit smoking (indirect) (r=.25, p<.001), subjective norm (direct) (r=.45, p=.001) and perceived behavior control (direct) (r=.71, p<.001). Variables such as age, being employed, family type, perceived behavior control (direct), attitude toward behavior to quit smoking (direct) and subjective norm (direct) explained 66% of variance in intention to quit smoking. ConclusionAccording to the above results, a specific education program for patients with a stroke who smoke is needed to increase perceived behavioral control, attitude toward the behavior of quit smoking and subjective norm. |
| | Keywords: Stroke, Smoking, Intention, Attitude, Perceived behavior control. |
| |
| Table 1 Differences by the General Characteristics in Intention to Quit Smoking (N=182) |
|
| |
| Table 2 Descriptive statistics of the Variables (N=182) |
|
| |
| Table 3 Correlations between Major Variables and Intention to Quit Smoking (N=182) |
|
| |
| Table 4 Variance in Intention to Quit Smoking by Demographic-Social Variables and Theory of Planned Behavior (N=182) |
|
This manuscript is based on a part of the first author's master's thesis from Kyungpook National University of Korea. | | 1. | Ajzen I, Albarracin D, Hornik R. Prediction and change of health behavior. Mahwah, NJ: Lawrence Erlbaum Associates; 2007.
| | 2. | Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Englewood Cliffs, NJ: Prentice Hall, Inc; 1980.
| | 3. | Ajzen I, Madden TJ. Prediction of goal-directed behavior: Attitudes, intention, and perceived behavioral control. J Exp Soc Psychol 1986;22:453–474.
| | 4. | Cho KS. Prevalence of hardcore smoking and its associated factors in Korea. Health Soc Welf Rev 2013;33(1):603–628.
| | 5. | Clinical Research Center for Stroke. Clinical practice guidelines for stroke. 2013 Feb;Retrieved February 4, 2013
| | 6. | Faul F, Erdfelder E, Lang AG, Bunchner A. Gpower 3: A flexible statistical power analysis program for the social, behavioral, and biochemical sciences. Behav Res Methods 2007;39:175–191.
| | 7. | Godin G, Valosis P, Lepage I. The pattern of influence of perceived behavioral control upon exercising behavior; An application of Ajzen's theory of planned behavior. J Behav Med 1993;16(1):81–102.
| | 8. | Jee YO. Instrument development for the application ofthe theory of planned behavior. Korean J Nurs Query 1993;20(2):102–115.
| | 9. | Kim CG, Park HA. Development and evaluation of a web-based education program to prevent secondarystroke. J Korean Acad Nurs 2011;41(1):47–60.
| | 10. | Kim EK, Kim MJ, Song MR. Predictors of intention to quit smoking among patient with coronary heart disease. J Korean Acad Nurs 2002;32(3):355–363.
| | 11. | Kim HJ, Kim OK. The lifestyle modification coaching program for secondary stroke prevention. J Korean Acad Nurs 2013;43(3):331–340.
| | 12. | Kim JS, Yu JO, Kim MS. Factors contributing to the intention to quit smoking in community-dwelling elderly smokers. J Korean Acad Community Health Nurs 2012;23(4):358–365.
| | 13. | Kim MS. A study on health related quality of life, smoking knowledge, smoking attitude, and smoking cessation intention in male smokers. J Korean Acad Nurs 2005;35(2):344–352.
| | 14. | Kim SO. Predictive factors of tobacco cessation behavior. J Korean Acad Psychiatr Ment Health Nurs 2009;18(3):231–239.
| | 15. | Kim SY. Effects of the secondary stroke prevention program on acute stroke patients. Jeonju: Chonbuk National University; 2009.
| | 16. | Korea Centers for Disease Control and Prevention. In-depth analyses of the third national health and nutrition examination survey: The health interview and health attitude survey part. Seoul: Author; 2007 Jun.
| | 17. | Korea National Statistics Office. 2011 Report on cause of death statistics. 2012 Sep 13;Retrieved September 13, 2012
| | 18. | Kwon YD, Chang HJ, Choi YJ, Yoon SS. Nationwide trends in stroke hospitalization over the past decade. J Korean Med Assoc 2012;55(10):1014–1025.
| | 19. | Park SA. Development and evaluation of smoking cessation program based on the theory of planned behavior for female college student smokers. Daegu: Keimyung University; 2006.
| | 20. | Park TH, Kim MK, Lee KB, Park JM, Lee SJ, Jung KH, et al. Prevalence of risk factors for ischemic stroke in Korean: A systematic review. J Korean Neurol Assoc 2009;27(1):19–27.
| | 21. | Park TH, Kim MK, Oh HG, Oh MS, Yu KH, Hong KS, et al. Antiplatelet therapy for secondary stroke prevention: 2012 focused update of Korean clinical practice guidelines for stroke. Korean J Stroke 2012;14(1):1–5.
| | 22. | Rincon F, Sacco RL. Secondary stroke prevention. J Cardiovasc Nurs 2008;23(1):34–41.
| | 23. | Son GY. Analysis of influencing factors on elderly smoker's smoking-cessation intention based on theory of planned behavior. Daegu: Keimyung University; 2010.
| | 24. | Song MR, Kim SL. Testing of theory of planned behavior in the prediction of smoking cessation intention and smoking cessation behavior among adolescent smokers. J Korean Acad Community Health Nurs 2002;13(3):456–470.
| | 25. | Sung SJ. Comparative analysis of gender difference in life style and dietary-related risk factors of the stroke patient. Daegu: Kyungpook National University; 2005.
| | 26. | Yeon JW, Kim HS, Lee KS, Chang SH, Choi HJ, Ham EM, et al. Factors affecting preparation stage to quit smoking in men. J Korean Acad Nurs 2012;42(3):377–384.
| | 27. | Zhang Y, Tuomilehto J, Jousilahti P, Wang Y, Antikainen R, Hu G. Lifestyle factors on the risks of ischemic and hemorrhagic stroke. Arch Intern Med 2011;171(20):1811–1818.
| |
|
|
|
|
|