بررسی و مقایسه اثر آموزش کلامی– تصویری و آموزشهای روتین بر وابستگی به نیکوتین در بیماران سیگاری پس از عمل بای پاس عروق کرونر

  Background: Smoking contributes to more than 5million deaths in the world annually. More than 70% of these deaths occurs in the developing and 30% in the developed countries. the important way to stop these deaths, is to quit smoking. Despite the perceived risk, more than 40% of smokers that had heart attack , began smoking after leaving the hospital. This indicates that inadequacy of awareness in them. The aim of this study was to study Routine or verbal-illustrative Education on nicotine dependency in men after Coronary Artery Bypass Graft (CABG)  Methods: This was a clinical trials study,conducted on 100 patients that were candidates for heart surgery at Afshar hospital in Yazd. The participants were randomly divided into two groups .The data were collected by two questionnaires before and after the heart surgery. The first questionnaire included questions about demographic variables, such as date of surgery , address, telephone number, standard test of nicotine dependence (Fagerstrom) and standard test of self – efficacy (Prochaska- DiClemente) . After collecting the data at the begining , the case group was treated on routine and verbal education of quit smoking by three pictures about clogging of arteries in 5 minutes. The control group was treated with the routine education. Then the questionnaires were completed 3 months after surgery. The questions of these questionnaires were about quitting smoking , and date of the onset of smoking after surgery. All the registered data were transferred into SPSS software and analyzed.  Results : Before intervention the two the groups were same in terms of demographic variables. The mean ages the of case and control groups were 53.55±8.9 and 55.6±8.4 respectively. Their mean age of beginning with smoking was 21.6±6. The extent of nicotine in dependency in the case group was 5.25 and in the control groups 4.86. after 3 months of surgery the extent of quit smoking in case group turned out to be 79.6% and in control groups 66%. There was no significant difference between two groups in quitting smoking.   Conclusion :The data indicated that the effect of education through showing picture is more than the routine education.