Aim: The purpose of this study was to explore the relationship between self-efficacy and continuation of smoking cessation among outpatients visiting a clinic for smoking cessation over the 12 weeks treatment period.
Methods: Data was collected for 81 outpatients who provided consent between July and November 2013. The data collected included the following: motive for and confidence in smoking cessation, as well as selfefficacy at the first visit, treatment contents such as the number of a clinic visits, and the status of continuation of smoking cessation after 12 weeks. Relationships to confidence in smoking cessation and self-efficacy were analyzed between the smoking cessation continuation and non-continuation groups.
Results: A total of 44 individuals (54.3%) had continued smoking cessation. Compared to the non-continuation group, the smoking cessation continuation group had a significantly higher proportion of outpatients responded “wanted more strongly than before to quit smoking” of their motive for smoking cessation. Also, the group had a significantly higher proportion of outpatients who had more than five visits of a clinic and a significantly higher median score for the "anxiety about failure" on the subscale of self-efficacy.
Discussion: Outpatients assessment in motives for smoking cessation and self-efficacy at initial visit was considered useful for support for continuation of smoking cessation.
Conclusion: Outpatients who continued smoking cessation 12 weeks after the start of this program was approximately 50%. For the smoking cessation continuation of outpatients, it was useful to promote a routine visit to a clinic and to support of improving their self-efficacy.

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Aim: We compared recognition of the issue of secondhand smoke among student nurses according to the levels of anti-smoking education they had received before nursing school entry.
Method: We analyzed student nurses’ self-reported questionnaires.
Results: The smoking rate among all subjects was 1.3%. Overall, 67.1% of all subjects were trying to avoid secondhand smoke. In terms of recognition of the harm caused by secondhand smoke, students who understood “the influence on pregnant women” and the relationship between secondhand smoke and “bronchial asthma” and “periodontal disease” had received significantly more education sessions about secondhand smoke than had those who did not understand these issues. Moreover, among students who had first received education sessions at elementary school about secondhand smoke, significantly more students understood “the influence on pregnant women” and the relationship between secondhand smoke and “periodontal disease” than did not understand these issues. Furthermore, students who had first received education sessions at elementary school about secondhand smoke understood significantly more harmful effects of passive smoking than did students who had not received such education. However, there were no significant differences in rates of avoidance of secondhand smoke and the number of times anti-smoking education had been received before nursing school entry.
Discussion: The anti-smoking education received before entry to nursing school may influence a student nurse’s knowledge and recognition of the issues associated with secondhand smoke.
Conclusion: To raise student recognition of secondhand smoke issues, continuous and developmental education from an early stage is important.

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[in Japanese]

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