Efficacy of Forest-Thermal Combined Therapy for Anxiety and Stress among Smoking-Cessation Attempters
	    		
		   		
		   			
		   		
	    	
    	 
    	10.7586/jkbns.2022.24.4.227
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Youngran CHAE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Sunhee LEE
			        		
			        		;
		        		
		        		
		        		
			        		So-yeon KIM
			        		
			        		;
		        		
		        		
		        		
			        		Jungkee CHOI
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. College of Nursing, Kangwon National University, Chuncheon, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:Journal of Korean Biological Nursing Science
	            		
	            		 2022;24(4):227-234
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:English
 
            
            
            	- 
		        	Abstract:
			       	
			       		
				        
				        	 Purpose:Smoking is a way of coping with anxiety and stress. This study aimed to identify the effects of forest-thermal combined therapy on anxiety and depression in smokers who desire to quit smoking.  
				        	
				        
				        	Methods:Thirty participants were included in the study, 15 in the experimental group and 15 in the control group. Those in the experimental group participated in a three-day forest-thermal combined therapy program. The program includes forest walks, meditation and thermal therapy in the charcoal kiln.  
				        	
				        
				        	Results:Before and after the program, physiological indicators such as cortisol, heart rate variability, and serotonin anxiety level using the state-trait anxiety inventory (STAI), and stress level using the psychosocial well-being index (PWI) were measured in both groups. The differences in STAI (p = .012) and PWI (p = .006) scores between the experimental and control groups were statistically significant. However, cortisol, heart rate variability, and serotonin were not significantly different between the two groups after the program.  
				        	
				        
				        	Conclusion:These results show that forest-thermal combination therapy effectively reduces anxiety and stress in smokers. It suggests that forest-thermal therapy can potentially increase smoking cessation rates.