뇌졸중은 국내의 단일질환으로 사망원인 1위를 차지하며, 뇌졸중 발병환자수는2005년 44만명에서2010년53만명 으로18.5%나증가하였다(Korea National Statistics Office [KNSO], 2012). 특히 뇌졸중 발병 평균연령은 2000년에는 63.4세에 비해 2010년에는 67.4세로 연령이 높아지고 있다 (Kwon, Chang, Choi, & Yoon, 2012). 이는의학의발달로 인한 인간의 평균수명연장과 우리나라의 인구고령화 추세를 감안한다면 2030년에는 뇌졸중 발생률이 35만 건으로 현재보다 약 3배 더 발생할 것으로 추정되고 있어 우리사회의 중 요한 보건문제가 될 것이다(Clinical Research Center for Stroke [CRCS], 2013).
Purpose: The purpose of this study was to explore the intention to quit smoking and related factors in patients with a stroke. Methods: Data were collected by structured questionnaires from 182 patients in three different hospitals located in D and K metropolitan city, Korea. All of the patients had a stroke and continued to smoke. Data were analyzed using descriptive statistics, t-test, one-way ANOVA, Scheffe?test, Pearson's correlation, and Hierarchical regression analyses. Results: The major variables of planned action theory and intention to quit smoking showed positive correlations with attitude toward the behavior of quit smoking (direct) (r=.57, p<.001), attitude toward the behavior of quit smoking (indirect) (r=.25, p<.001), subjective norm (direct) (r=.45, p=.001) and perceived behavior control (direct) (r=.71, p<.001). Variables such as age, being employed, family type, perceived behavior control (direct), attitude toward behavior to quit smoking (direct) and subjective norm (direct) explained 66% of variance in intention to quit smoking. Conclusion: According to the above results, a specific education program for patients with a stroke who smoke is needed to increase perceived behavioral control, attitude toward the behavior of quit smoking and subjective norm.
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