Factors Associated with Smoking Cessation Behavior among Patients at the Smoking Cessation Clinic, Central Chest Institute of Thailand
Main Article Content
Abstract
Background and Objective: Chronic diseases represent a major public health problem, with smoking being a primary risk factor for disease exacerbation and complications. Smoking cessation among chronic lung and heart disease patients with long-term nicotine dependence is complex and challenging due to chemical addiction and behavioral habituation. Understanding the factors influencing successful cessation is essential for developing effective therapeutic interventions. This study aimed to examine the factors associated with and the predictors of successful smoking cessation among patients with chronic lung and heart diseases at the Smoking Cessation Clinic, Central Chest Institute of Thailand.
Methods: This cross-sectional survey recruited a purposive sample of 158 patients with chronic diseases. Inclusion criteria were patients with chronic lung and heart diseases receiving services at the Smoking Cessation Clinic, Central Chest Institute of Thailand, having a history of smoking with long-term nicotine dependence, and willing to participate in the study. The research instrument was a questionnaire validated for content validity (IOC = 0.96) and reliability (Cronbach’s alpha = 0.71–0.94). Data were analyzed using descriptive statistics, Chi-square tests, and logistic regression analysis.
Results: The study found that all aspects of health belief models and social support were significantly associated with smoking cessation behavior (p < .05). Multivariate analysis revealed two significant predictors of successful cessation (p < .05):
1) Nicotine Dependence Level: Patients with low-to-moderate dependence were 33.30 times more likely to succeed in quitting compared to those with high dependence (OR = 33.30, 95% CI: 2.01-551.40).
2) Perceived Self-Efficacy: Patients with high levels of perceived self-efficacy were 5.63 times more likely to succeed (OR = 5.63, 95% CI: 2.39-13.25).
These findings highlight that even among chronic disease patients with long-term smoking history (mean = 35.09 years), managing biological dependence alongside psychological confidence is a crucial key to success.
Conclusion and Recommendations: Nurses should prioritize in-depth assessment of nicotine dependence in conjunction with emotional barriers. Integrating self-efficacy enhancement programs within a Healing Environment is recommended to improve sustainable smoking cessation rates among patients with chest diseases.
Article Details
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- เนื้อหาและข้อมูลในบทความที่ลงพิมพ์กับวารสารโรคหัวใจและทรวงอกถือเป็นข้อคิดเห็น และความรับผิดชอบของผู้เขียนบทความโดยตรงซึ่งกองบรรณาธิการวารสารไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ
- บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวารสารสถาบันโรคทรวงอกถือเป็นลิขสิทธิ์ของวารสารวิชาการ หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่ง ส่วนใดไปเผยแพร่ กรุณาอ้างอิงบทความนั้น ๆ
References
World Health Organization. WHO report on the global tobacco epidemic, 2023: Protect people from tobacco smoke. Geneva: World Health Organization; 2023.
Wateesathogkit K, Tantaweewong A. Lessons learned from the smoke-free hospital project: The center for solving tobacco and health problems. Bangkok: Action on Smoking and Health Foundation Thailand; 2010. (in Thai)
Wateesathogkit K. Manual for tobacco dependence treatment for nurses. Bangkok: Monpreeya Graphic; 2016. (in Thai)
Rosenstock IM. Historical origins of the Health Belief Model. Health Educ Monogr 1974;2(4):328-35.
Janz NK, Becker MH. The Health Belief Model: A decade later. Health Educ Q. 1984;11(1):1-47.
Bandura A. Self-efficacy: The exercise of control. New York: W. H. Freeman and Company; 1997.
Anggreani D, Ahsan A, Sudiana IK. Factors affecting smoking cessation behavior: A systematic review. J Public Health Res 2022;11(2):1-9.
Mala K, Klangcharnnarong T, Thienprasert ST. Selected factors based on Health Belief Model associated with smoking cessation behavior among patients with non-communicable diseases. Journal of Nursing and Health Care 2024;42(1):1-15. (in Thai)
Tawfik AG, Hassan MS, Hamed AF. Factors associated with smoking cessation success among smokers attending a smoking cessation clinic. Egypt J Bronchol 2022;16(1):1-9.
Prochaska JO, Redding CA, Evers KE. The transtheoretical model and stages of change. In: Glanz K, Rimer BK, Viswanath K, editors. Health behavior and health education: Theory, research, and practice. 4th ed. San Francisco: Jossey-Bass; 2008. p. 97–121.
Sirimanassakul K, Jiewramonaikul T. Evaluation of the integrated smoking cessation service data report system (Fah Sai Clinic Program V. 2). Journal of Medical and Public Health Region 4 2025;14(1):115-24. (in Thai)
Taniguchi C, Narisada A, Ando H, Hashimoto A, Nakayama A, Ito M, et al. Smoking cessation behavior in patients with a diagnosis of a non-communicable disease: The impact of perceived disease severity of and susceptibility to the disease. Tob Induc Dis 2023;21(125):1-9.
Kuru Sönmez I, Can G, Sonmez A, Ozturk A. Evaluation of factors affecting smoking cessation success and relapse. J Subst Use 2024;29(1):45-52.
