Sigara bağımlısı check-up hastalarında sözel öneri ya da medikal tedavi sonrası sigarayı bırakma başarısını etkileyen faktörler
Küçük Resim Yok
Tarih
2021
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
CC0 1.0 Universal
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Sigara bırakma planı olmayan hastalarımıza sigaranın zararları bir kez daha hatırlatılıp, bağımlılıktan kurtulmayı başarabileceği telkin edilerek sigarayı bırakmalarına destek olunmaya çalışılmıştır. Bu hastaların sigarayı bırakma başarılarını etkileyen faktörleri tespit edip, bundan sonra polikliniğimizde bakılacak hastalarımızı sigara bağımlılıklarından kurtulmaya daha donanımlı olarak teşvik etmek amaçlanmıştır. Materyal ve Metodlar: Mayıs 2019- Ekim 2020 tarihleri arasında hastanemiz check-up polikliniğine başvurmuş hasta dosyaları geriye doğru taranarak sigarayı bırakmayı deneyeceğini söyleyen hastalar saptandı. Bu hastalar telefonla aranarak bağımlılık düzeyleri, sigarayı bırakabilmesini etkileyebilecek faktörler, bu süreçte farmakoterapi uygulayıp uygulamadığı sorgulandı. Sigarayı bırakan, % 50’den fazla azaltan ve bırakamayan olgular özellikleri ve aldıkları tedaviler yönünden karşılaştırıldı. Bulgular: On sekiz aylık zaman diliminde polikliniğimize başvurmuş 385 sigara bağımlısı hastamızın %16,6’sı sigara bırakmaya ikna edildi, ikna edilen hastaların %81,2’sine telefonla ulaşılabildi. Toplamda 18 hasta bupropion kullanmıştı. Dokuz hasta sigarayı tamamen bırakmış, 9 tanesi % 50’den fazla azaltmıştı. Hala sigara kullanmaya devam eden 33 hastanın 14 tanesi (%42,4) bir kez daha denemeye sıcak baktı. Sigarayı bırakmada etkili bulunan tek faktör içilen sigara paket yıl miktarı bulundu (p=0,02). Sigarayı bırakmak hiç aklında olmayan 385 hastanın %4,67’sinin küçük bir destekle bağımlılığından kurtulması sağlanmıştır. Sonuç: Sigaranın bırakılması zor bir süreçtir. Bu süreçte tüm sigara içen kişilere yeterli davranışsal eğitimin yanında farmakolojik destek tedavisi de verilebilir. Tamamen farklı bir nedenle doktora gitmiş olan hastaya halihazırda zaten bildiği sigaranın zararlarının bir kez daha anlatılması faydalı olabilir
Aim: The harms of smoking were once again reminded to our patients who did not have a smoking cessation plan. These patients were suggested to be able to get rid of addiction, and they were encouraged to quit smoking. It was aimed to identify the factors affecting the smoking cessation success of these patients and to encourage our patients, who will be treated in our outpatient clinic, to be better equipped to get rid of smoking addiction.. Materials and Methods: The files of the patients who applied to our check-up outpatient clinic between May 2019 and October 2020 were retrospectively scanned, and patients who said they would try to quit smoking were identified. These patients are phoned and the level of smoking addiction, the factors that may affect ability to quit smoking, and whether applied pharmacotherapy during this period were questioned. The cases who quit smoking, who reduce smoking more than 50% and who could not quit were compared in terms of their characteristics and the treatments they received. Results: In a period of eighteen months, 16.6% of 385 smokers who applied to our outpatient clinic were persuaded to smoking cessation, and 81.2% of the persuaded patients could be reached by phone. A total of 18 patients had used bupropion. Nine patients quit smoking completely, 9 of them reduced more than 50%. Of the 33, 14 (42.4%) who were still smoking, they wanted to try again. The only factor effective in smoking cessation was the number of cigarette pack years (p = 0,02). It was ensured that 4.67% of 385 patients who had no idea to quit smoking got rid of their addiction with a little support. Conclusion: Smoking cessation is a difficult process. In this process, all smokers can be given pharmacological support treatment as well as adequate behavioral training. It may be beneficial to tell the patient who went to the doctor for a completely different reason, the harms of smoking once again, which already known.
Aim: The harms of smoking were once again reminded to our patients who did not have a smoking cessation plan. These patients were suggested to be able to get rid of addiction, and they were encouraged to quit smoking. It was aimed to identify the factors affecting the smoking cessation success of these patients and to encourage our patients, who will be treated in our outpatient clinic, to be better equipped to get rid of smoking addiction.. Materials and Methods: The files of the patients who applied to our check-up outpatient clinic between May 2019 and October 2020 were retrospectively scanned, and patients who said they would try to quit smoking were identified. These patients are phoned and the level of smoking addiction, the factors that may affect ability to quit smoking, and whether applied pharmacotherapy during this period were questioned. The cases who quit smoking, who reduce smoking more than 50% and who could not quit were compared in terms of their characteristics and the treatments they received. Results: In a period of eighteen months, 16.6% of 385 smokers who applied to our outpatient clinic were persuaded to smoking cessation, and 81.2% of the persuaded patients could be reached by phone. A total of 18 patients had used bupropion. Nine patients quit smoking completely, 9 of them reduced more than 50%. Of the 33, 14 (42.4%) who were still smoking, they wanted to try again. The only factor effective in smoking cessation was the number of cigarette pack years (p = 0,02). It was ensured that 4.67% of 385 patients who had no idea to quit smoking got rid of their addiction with a little support. Conclusion: Smoking cessation is a difficult process. In this process, all smokers can be given pharmacological support treatment as well as adequate behavioral training. It may be beneficial to tell the patient who went to the doctor for a completely different reason, the harms of smoking once again, which already known.
Açıklama
Anahtar Kelimeler
Bupropion, fagerström bağımlılık testi, sigara bırakma, Bupropion, fagerström addiction test, smoking cessation
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
13
Sayı
1
Künye
Akgün,S., Dikyol, B., Thomas, D. ve Demir, Ş. (2021). Sigara bağımlısı check-up hastalarında sözel öneri ya da medikal tedavi sonrası sigarayı bırakma başarısını etkileyen faktörler / Factors affecting the success of smoking cessation after oral advice or medical treatment in smoking addicted check-up patients. Maltepe Tıp Dergisi, Maltepe Üniversitesi. 13(1), s. 1-4.
