Background
: Smoking is one of the most significant etiologic factors of carious cardio-pulmonary diseases. For the proper management and good outcome, smoking cessation is thought to be even more important than pharmacologic treatment in these diseases. We studied the proportion of physicians who recommended quitting smoking, the ways of rec-ommendations they did, and the effectiveness of recommendations.

Methods : We performed questionnaire survey by mail twice for the 349 patients who admitted in AMC for COPD, angina or MI from July, 1994 to July, 1995. Among the total 109 respondents(response rate:37.%), we analysed the 49 patients who had been smoking by the time of admission.

Results : The average age of the subjects was 57.0, and the number of men was 41. In hospital the number of patients who were told about smoking cessation by the physicians were 45(97.8%). Among them, those patients who were told to reduce to smoking amount were 6(13.0%), and those who were told just to "quit smoking"were 27(63.0%), and those who were taught how to stop smoking were 11(23.9%). After the recommendations to quit smoking amount were 14(32.6%). The frequency of admission, the number of physicians who recommended and the number of recommendations did no affect the patients' smok-ing. The rate of smoking cessation was significantly higher for concrete recommendations than simple recommendations.

Conclusion : To the patients with smoking-related diseases, most physicians recommended to quit smoking. And for the smoking cessation, concrete and practical educations brought better outcomes than simple recommendations.