Effects of Home Visit Program for Promoting Smoking Cessation at Mai Naree Tombon Health Promoting Hospital, Kampang Subdistrict, Nonthai district, Nakhon Ratchasima Province

Abstract

This quasi-experimental research aimed to study the effectiveness of a home-visit program for promoting smoking cessation at Mai Naree Tambon Health Promoting Hospital, Nonthai district, Nakhon Ratchasima province. The samples were selected using purposive sampling according to specified criteria. The samples which included 60 current smokers were divided into 2 equal groups, 30 samples in each group. The experimental group received a smoke cessation program and home visit program together with family medicine practice care for 4 times (weeks 1^st,2^nd, 4^th and 6^th). The control group received regular smoking cessation program at Nonthai Hospital for 4 times as well. The smoking cessation programs were consisted of knowledge materials, medications used in smoking cessation clinic, carbon monoxide breath test devices, a three-part questionnaire including personal data, smoking behaviors, and attitudes towards their family members, and smoking behavior monitoring form used by care team including carbon monoxide breath test at weeks 1^st,2^nd, 4^th and 6^th. Data were analyzed using descriptive and t-test statistics.

The results revealed that the smoking cessation success rate of the experimental group were significantly higher than those in the control group (53.33% and 23.33%, respectively) at p<0.05. The average number of cigarettes smoking per day in experimental group (1.85±2.41 cigarettes per day) was significantly lower than those from the control group (3.00±2.48 cigarettes per day) at p<0.05. The average level of exhaled CO of the experimental group (3.17±2.73 ppm) was significantly lower than that of the control group (6.07±4.52 ppm) at p<0.05. In conclusion, the home visit program for promoting smoking cessation applying the family medicine practice care by family care team was successful in helping clients quit smoking. Therefore, smoking cessation services together with home visit program by family care team should be provided in all primary care settings.