The effective of 5A, 5D, 5R, and STAR techniques on smoking rate reduction in chronic diseases. Patient who come to the clinic at Nong Phok Hospital Roi et Province

Abstract

Purposes: To evaluate 5A, 5D, 5R and STAR techniques in diabetes mellitus, hypertension, asthma and emphysema patients for reduction of smoking, Nong Phok hospital, Roi ET Province.

Design: Quasi-experimental research

Materials and method:  All of the 42 samples who recruit in the research with both inclusion and exclusion criteria, and serviced at The chronic diseases clinic, Nong phok Hospital between 1^st March – 31^th August 2020. All of them are divided in control and experimental groups. The experimental group was intervened with 5A, 5D, 5R, and STAR techniques, while the control group used conventional counseling and a normally services. The tool and instrument involved in questionnaires consisted of 2 parts: 1) general information, 2) smoking behavior and using the Fagerstrom smoking addiction test form.  The data was analyzed using descriptive statistics: percentage, mean, standard deviation and inferential statistics: paired samples t-test and Independent t-test.

Main findings : The mean score of the experimental were higher than control groups at 1.57 and statistically significant (95%CI; 0.94,4.10).  And the result of all Fisher’s exact test between groups were not significantly.

Therefore, care should be taken of this group of patients. By establishing a guideline for referring chronic disease patients to the smoking-fast clinic in the organization And organize learning activities And exchange of knowledge between smokers and smokers When the patient is able to reduce smoking, it will reduce the development of dangerous complications.

Conclusion and recommendations: The result of this study indicated that; 5A, 5D, 5R and STAR techniques had effectiveness to reduction smoking behavior in chronic patients. And the Chronic disease clinic in the hospital should be integrated this technique in health services for improvement their quality of life.