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다요소 금연 프로그램이 성인골절 환자의 금연 및 골유합에 미치는 효과 분석

The Effect of a Multi-component Smoking Cessation Program on Bone Union in Adult Patients with Fracture

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Purpose: This study was done to examine the effect of a multi-component cessation program on bone union by comparing the union time between the experimental group and the control group. Methods: A non-equivalent control group posttest design was used. The subjects were 33 patients in the experimental group and 33 patients in the control group, 66 patients in total. The subjects of the experimental group were provided with a face-to-face multi-component smoking cessation program. After the discharge, telephone consultation was provided once a week for 10 weeks. Results: Bone union time was 51.6±10.9 days in the experimental group and 60.9±13.83 days in the control group (p=.003). Among 33 subjects who participated in the smoking cessation program, the average union period of the participants who succeeded in quitting smoking was 44.56 days, the participants who reduced smoking were 50.67 days, and failed to quit smoking group was 60.11 days (p=.006). Conclusion: This study indicated the importance of smoking cessation in patients with fracture and the decrease in the union time by providing smoking cessation education. If the multi-component smoking cessation program is used as a nursing intervention in clinical practice, it will be effective for bone union by increasing the smoking cessation rate of patients with fracture.

Abstract

Purpose: This study was done to examine the effect of a multi-component cessation program on bone union by comparing the union time between the experimental group and the control group. Methods: A non-equivalent control group posttest design was used. The subjects were 33 patients in the experimental group and 33 patients in the control group, 66 patients in total. The subjects of the experimental group were provided with a face-to-face multi-component smoking cessation program. After the discharge, telephone consultation was provided once a week for 10 weeks. Results: Bone union time was 51.6±10.9 days in the experimental group and 60.9±13.83 days in the control group (p=.003). Among 33 subjects who participated in the smoking cessation program, the average union period of the participants who succeeded in quitting smoking was 44.56 days, the participants who reduced smoking were 50.67 days, and failed to quit smoking group was 60.11 days (p=.006). Conclusion: This study indicated the importance of smoking cessation in patients with fracture and the decrease in the union time by providing smoking cessation education. If the multi-component smoking cessation program is used as a nursing intervention in clinical practice, it will be effective for bone union by increasing the smoking cessation rate of patients with fracture.

참고문헌 (27)

  1. Al-Hadithy, N., "The effect of smoking on fracture healing and on various orthopaedic procedures", Acta Orthopaedica Belgica, 78(3), pp.285~290 (2012)
  2. 배서영, "장관골 간부 골절에서 흡연이 골절 유합에 미치는 영향", 대한정형외과학회지, 39(4), pp.366~372 (2004), 대한정형외과학회
  3. Bhandari, M., "Variability in the definition and perceived causes of delayed unions and nonunions : A cross-sectional, multinational survey of orthopaedic surgeons", Journal of Bone & Joint Surgery, 94(15), pp.109~ (2012)[DOI]
  4. Calori, G. M., "Risk factors contributing to fracture non-unions", Injury International Journal of the Care of the Injured, 38S, pp.S11~S18 (2007)[DOI]
  5. Chen, F., "Smoking and bony union after ulna-shortening osteotomy", American Journal of Orthopaedics (Belle Mead N.J.), 30(6), pp.486~489 (2001)
  6. 조숙희, "금연교육이 이형 협심증 남성 흡연 환자의 금연, 혈관내피세포 기능 및 혈청 일산화탄소헤모글로빈에 미치는 효과", Journal of Korean Academy of Nursing, 42(2), pp.190~198 (2012), 한국간호과학회[DOI]
  7. Fauci, A. S., "Harrison's principles of internal medicine", pp.2736~2739 (2007), McGraw-Hill
  8. "Results of the analysis of decision-making data from 2004 to 2008 for 5years" (2009)[URL]
  9. 정기윤, "입원 환자를 대상으로 한 체계적 금연 교육과 금연 성공률", Korean Journal of Family Medicine, 30(7), pp.503~510 (2009), 대한가정의학회
  10. 김혜경, "금연", 흡연예방 프로그램의 방법에 따른 효과성 평가: 최근 3년 간 국내학술지 논문에 대한 체계적 문헌고찰, 2013, pp.30(5), 61~77[DOI]
  11. 김성수, "교합성 골수강내 금속정 치료 후 발생한 대퇴골 간부 골절의 불유합의 원인 및 치료", 대한골절학회지, 20(2), pp.5~5 (2007), 대한골절학회
  12. Krannitz, K. W., "The effect of cigarette smoking on radiographic bone healing after elective foot surgery", Journal of Foot and Ankle Surgery, 48(5), pp.525~527 (2009)[DOI]
  13. 이병수, "서울 위생 병원 5일 금연 학교를 방문한 우리나라 흡연 자의 특성 및 입원 금연 교육 프로그램의 효과", Tuberculosis and Respiratory Diseases, 57(5), pp.411~418 (2004), 대한결핵및호흡기학회
  14. 이준영, "원위 비골 골절의 수술 후 발생한 불유합의 관련 인자", 대한족부족관절학회지, 22(3), pp.95~99 (2018), 대한족부족관절학회[DOI]
  15. Little, C. P., "Failure of surgery for scaphoid non-union is associated with smoking", Journal of Hand Surgery, 31B(6), pp.252~255 (2006)[DOI]
  16. 모은희, "40세 이후 남성의 골밀도 관련 요인과 골다공증의 유병률", 한국콘텐츠학회 논문지, 8(10), pp.241~250 (2008), 한국콘텐츠학회
  17. Moghaddam, A., "Cigarette smoking influences the clinical and occupational outcome of patients with tibial shaft fractures", Injury, 42(12), pp.1435~1442 (2011)[DOI]
  18. 박경현, "불유합의 원인과 치료", 대한정형외과학회지, 53(1), pp.19~28 (2018), 대한정형외과학회[DOI]
  19. 박삼국, "골유합 부전의 대사적, 역학적 원인", 대한골절학회지, 30(1), pp.40~51 (2017), 대한골절학회
  20. 박삼국, "대퇴 원위부 관절내 골절 치료 후 중기 추시 결과", 대한골절학회지, 29(4), pp.242~249 (2016), 대한골절학회
  21. 박성희, "성인 흡연자의 금연 프로그램 효과: 무작위대조군 실험연구의 체계적 문헌고찰", 보건교육건강증진학회지, 29(3), pp.1~14 (2012), 한국보건교육건강증진학회
  22. Scolaro, J. A., "Cigarette smoking increase complications following fracture: A systematic review", Journal of Bone & Joint Surgery, 96(8), pp.674~681 (2014)[DOI]
  23. 신현대, "불유합을 유발하는 요소", 대한골절학회지, 21(2), pp.180~185 (2008), 대한골절학회
  24. 손욱진, "불유합의 비수술적 치료", 대한골절학회지, 27(4), pp.338~347 (2014), 대한골절학회
  25. Sloan, A., "The effects of smoking on fracture healing", The Surgeon, 8(2), pp.111~116 (2010)[DOI]
  26. 송제일, "국내 치과대학병원에서 시행한 단기 금연진료에 대한 조사", Journal of Oral Medicine and Pain, 35(4), pp.245~258 (2010), 대한안면통증∙구강내과학회
  27. Zura, R., "Biological risk factors for nonunion of bone fracture", Journal of Bone & Joint Surgery Reviews, 4(1), pp.1~12 (2016)[DOI]

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