The Effect of Hypnotherapy using Induction Hanung Technique on the Level of Cigarette Dependence and Carbon Monoxide in Exhaled Breath among Active Smokers

*Margiyati Margiyati -  Department of Nursing, Diponegoro University, Indonesia
Meidiana Dwidiyanti -  Department of Nursing, Diponegoro University, Indonesia
Diyan Yuli Wijayanti -  Department of Nursing, Diponegoro University, Indonesia
Received: 10 Jul 2018; Published: 10 Jul 2018.
Open Access Copyright 2018 Holistic Nursing and Health Science
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Abstract

Background: Smoking is a habit that causes many health problems. Nicotine substances in cigarettes cause addiction and carbon monoxide inhaled is poisonous. Hypnotherapy using induction hanung technique is an alternative which can be used to change someone’s smoking behaviors. This therapy is performed by giving hypnotic suggestions combined with a massage at acupuncture points of neguan, yintang, and taiyang. 

Purpose: This study aimed to analyze the effects of hypnotherapy using induction hanung technique on the level of cigarette dependence and carbon monoxide in exhaled breath among active smokers in Kesdam IV/ Diponegoro College of Nursing, Semarang.

Methods: The present study employed a true-experimental pretest-posttest control group design. A total of 40 students were recruited as samples and randomly assigned to the intervention group (n=20) and control group (n=20). The intervention in the form of hypnotherapy using induction hanung technique was given for six times in two weeks. The instruments used were Fagerstorm Test for Cigarette Dependence (FTCD) and smokerlyzer. Data were analyzed with the Mann-Whitney test and independent t-test.

Results: The results showed a decrease in the score of cigarette dependence level in the intervention group by 1.25 after the intervention was given with pretest mean value of 1.45 (SD=1.132). The result of Mann-Whitney test showed a significant difference in the cigarette dependence score between the intervention and control groups with a pvalue of 0.028. The level of carbon monoxide in the exhaled breath also decreased by 8.80 ppm after the intervention from the pretest mean values of 12.55 (SD=6.669). The independent sample t-test result also showed a significant difference in the carbon monoxide level between the two groups with a p-value of 0.000.

Conclusion: The present findings showed that hypnotherapy using induction hanung technique affected the level of cigarette dependence and carbon monoxide in exhaled breath among the active smokers. Based on the findings, this therapy is recommended as an alternative to nursing intervention for the smoking cessation programs.

Keywords
hypnotherapy, cigarette dependence; carbon monoxide

Article Metrics:

  1. Ahsan A. Dampak Sosial Ekonomi Konsumsi Tembakau di Indonesia: The 1st Indonesia ConferensceonTobaccoorHealth. Jakarta:TCSC Indonesia;2014.
  2. Firzawati. Faktor Upaya Berhenti Merokok pada Perokok Aktif Umur 15 Tahun ke Atas di Indonesia. [Disertasi] Jakarta:Universitas Indonesia; 2015.
  3. Achadi A, Soerojo W, Barber S. The Relevance and Prospect of Advancing Tobacco Control in Indonesia. Health Policy Journal.2010;72: 333-349.
  4. Shavey O, Erickson M, Rooss H, Mackay J. Tobacco Atlas. Third Edition. Amerika: Cancer Society and World Lung Foundation;2012.
  5. WHO. Code of Practice on Tobacco Control for health Professional Organization Geneva. Who Library Catalouging In Publication Data;2004.
  6. Kumar R, Prakash S, Kushwah AS, Vijayan VK. Bearth Carbon Monoxide Devices in Smoking Cessation: Physiology, Controversies and Equipment. The Buyers Guide to Respirratory Care Product;2010.
  7. Hughes JR. Nicotine Relative Disorders. 7th edition. Comprehensive Text Book of Psychiaty;2000.
  8. Bhattacharyya D, Rai S, Neog L. Therapy for Cessation of Smoking. Medical journal Armed Forces India.2008;64:254-259.
  9. Charlotte H, Mitchel M. 100 Question and Answer How to Quit Smoking. 1st Edition. Britton and Barlett Learning;2009.
  10. WHO. Fresh And Alive, Mpower; Who report On The Global Tobacco Epidemic. Geneva:World Health Organization;2008.
  11. Anderson ET, Judith MF.Community As Partner : Theory and Practice In Nursing.3nd.Philadelphia:Lippincott Williams & Wilkins;2010.
  12. Allender, Judith A, Spradley, Barbara W.Community Health Nurssing : Concept And Practice.5thEdition.Philadelphia:Lippincott Williams & Wilkins;2004.
  13. Sarna, Linda, Bialous, Stella A. Advancing Nursing Science in Tobacco Control.Volume Editors Annual Review of Nursing Research.NewYork:Springer Publishing Company;2009.
  14. Patkar, Ashwin A.A Comparison of Smoking Habits Among Medical and Nursing Students.USA:American College of Chest Physicians;2003.
  15. Adi WG. Hypnotherapy The Art of Subconscious Restructuring. Jakarta:PT Gramedia Pustaka Utama; 2006.
  16. Hanung P. Hanung Induksi sebagai Induksi Hipnosis yang Efektif, Nyaman, dan Aman. Surakarta: Sinergy Mind Health Indonesia; 2015.
  17. Susan H. Hypnosis: Stop Smoking Within One Hour. USA:Eleven Studio; 2011.
  18. Noha AM, Seham ME. Effect of hypnotherapy on smoking cessation among secondary school students. Journal of Nursing Education and Practice. 2015;5:6777.
  19. Tiffany F, Maria HR, Miguel D. Cortisol decreases and serotonin and dopamine increase following massage therapy. Intern. j. Neuroscience. 2005;115:1397–1413.
  20. Hanung P. Advanced Hypnotherapy. Solo: Sinergy Mind Health Indonesia; 2016.
  21. Kahija. Hipnotherapi :Prinsip-prinsip Dasar Praktek Psikotherapi, Gramedia Pustaka Utama. Jakarta;2007.
  22. Dharmady A. Perception of Private University Student in Jakarta towards Harm Reduction in Drug Addiction Control Program. Global Addiction;2011.
  23. F.Joseph MC, Eric CW, Jed ER. The effects of controlled deep breathing on smoking with drawal symptoms in dependent smokers. Addictive Behaviors. 2004;29:765 – 772.
  24. Iin R, Elisna S, Agus DS. Kadar Karbon Monoksida Udara Ekspirasi pada Perokok dan Bukan Perokok serta Faktor-Faktor yang Mempengaruhi. Jurnal Respirasi Indonesia. 2014;34:180-90.
  25. Gary E, Joel M, Jeff B, M.Hasan R. Intensive Hypnotherapy for Smoking Cessation: A Prospective Study. Journal of Clinical and Experimental Hypnosis. 2006; 54: 303-315.