ผลของโปรแกรมการเสริมสร้างแรงจูงใจในผู้ป่วยโรคไม่ติดต่อเรื้อรัง (NCDs) ต่อการเลิกบุหรี่ในโรงพยาบาลส่งเสริมสุขภาพตำบล

Kasem Damnok; Aekkachai  Fatai

Authors

Kasem Damnok Dongplong Sub-district Health Promoting Hospital, Chakkarat district, Nakhonratchasima Health Provincial Office, Nakhon Ratchasima
Aekkachai Fatai Princess Agrarajakumari College of Nursing, Chulabhorn Royal Academy, Lak Si, Bangkok

Keywords:

smoking cessation, NCDs patients, motivation, sub-district health promoting hospital

Abstract

This quasi-experimental study aimed to determine the effect of a motivational interviewing program on patients with non-communicable diseases (NCDs) by comparing smoking cessation between the motivational interviewing group and the usual care group. The sample was selected by purposive selection from patients with four major chronic non-communicable diseases, including heart disease, hypertension, chronic obstructive pulmonary disease (COPD), and diabetes, who were 18 years old or over at Dong Phlong Sub-district Health-Promoting Hospital in Nakhon Ratchasima province. Sixty participants were divided into a control group and an experimental group of 30 each. The data were collected through a smoking cessation interview form. The evaluation was made by following up on smoking cessation during the 7-day point prevalence of abstinence at 3 months after joining the program. The data were analyzed using descriptive statistics, Fisher exact test, and the Mann-Whitney U test.

The results showed that non-communicable disease patients in the experimental group after receiving the smoking cessation program at 3 months had a statistically significantly higher proportion of quitting smoking than those in the control group (p < .05). The experimental group had 8 people who were able to quit smoking out of 30 people (26.67 %), and the control group was able to quit smoking only 1 person out of 30 people (3.33 %). In addition, the experimental group had a lower average number of cigarettes smoked per day than the control group as well (p < .05). Therefore, sub-district health-promoting hospitals or other agencies can apply this motivational interviewing program to promote smoking cessation among patients with 4 chronic non-communicable diseases, namely heart disease, hypertension, COPD, and diabetes.

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