Investigation of the results of a smoking cessation clinic and the factors associated with success

SAĞLAM, Leyla

Investigation of the results of a smoking cessation clinic and the factors associated with success

Leyla SAĞLAM (Atatürk Üniversitesi, Tıp Fakültesi, Göğüs Hastalıkları Anabilim Dalı, Erzurum, Türkiye)

Turkish Journal of Medical Sciences

6 0

Yıl: 2012 Cilt: 42 Sayı: 3 Sayfa Aralığı: 515 - 522 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Investigation of the results of a smoking cessation clinic and the factors associated with success

Öz:

Amaç: Bu çalışmada, sigara bırakma (SB) polikliniğimizde başarı oranını ve başarıyı artıran faktörleri araştırmayı amaçladık. Yöntem ve gereç: Çalışmamızda, 1 Ocak 2006 ve 1 Temmuz 2010 tarihleri arasında SB polikliniğimize başvuran 608 (397 erkek, 211 kadın) olgu incelendi. Olgulardan rutin biokimyasal, hematolojik testler, solunum fonksiyon testi, nefes CO ölçümü, elektrokardiografi ve postero-anterior akciğer grafi si istendi. Tüm olgulardan, sigara içme durumu, Fagerström nikotin bağımlılık testi (FTND) ve demografi k bilgilerin yer aldığı poliklinik formunu doldurmaları istendi. Altı, 12 ve 18. ayın sonunda sigara bırakma oranları gözden geçirildi. Başarıyı etkileyen faktörler, sigaraya başlama nedenleri, bırakırken karşılaşılan güçlükler ve sigara içme isteğini artıran faktörler değerlendirildi. İstatistik analizde SPSS 11 (ki-kare testi) programı kullanıldı. P < 0,05 anlamlı kabul edildi. Bulgular: İstatistiksel olarak başarıyı etkiliyen faktörler, erkek cinsiyet, sigara bırakmaları için doktor tavsiyesi alma ve düşük (6 ≤ FTND) bağımlılık olarak saptandı. Sigaraya başlamada en sık neden özenme, sigarayı bırakırken en sık karşılaşılan güçlük sinirlilik ve sigara içme isteğinin en yüksek olarak yemek sonrasında olduğu saptandı. Sonuç: Bu çalışmada başarı oranı bir yıl için % 40,4 olarak bulundu. Sigara bırakma polikliniği, başarılı sigara bırakmada etkin ve önemliydi. Elde edilen bilgilerin tütün konrolü için gelecekte yapılacak çalışmalar için yararlı olacağını düşünmekteyiz.

Anahtar Kelime:

Konular: Cerrahi

Sigara bırakma kliniği sonuçları ve başarıyı etkileyen faktörlerin araştırılması

Öz:

Aim: To investigate the success rate and factors affecting success at a smoking cessation clinic. Materials and methods: In this study, 608 patients (397 male and 211 female) admitted to a smoking cessation clinic to quit smoking between 1 January 2006 and 1 June 2010 were investigated. Routine biochemical and hematological tests, pulmonary function tests, exhaled carbon monoxide levels, electrocardiographs, and chest X-rays were obtained from all of the patients. The questionnaire forms, including the Fagerström Test for Nicotine Dependence (FTND), were filled by all of the participants. At the end of months 6, 12, and 18, the smoking cessation success rates were reviewed. Factors contributing to the success rate, causes of smoking, difficulties encountered in quitting, and factors that increased the desire to smoke were evaluated. SPSS 11 was used in the statistical analyses (chi-square test). P < 0.05 was considered statistically significant. Results: Statistically significant factors included male sex, obtaining physician advice, and an FTND score of ≤6. Inclination was the most common cause of starting to smoke, and the most commonly encountered difficulty in quitting was irritability and an increased desire to smoke in the postprandial period. Conclusion: This study found a smoking cessation success rate of 40.4% over 1 year. The clinic was effective for smoking cessation. The findings from this clinic will be valuable for future tobacco control studies.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence: a revision of the Fagerström Tolerance Questionnaire. Br J Addict 1991; 86: 1119-27.
2. Lando HA, McGovern PG, Barrios FX, Etringer BD. Comparative evaluation of American Cancer Society and American Lung Association smoking cessation clinics. Am J Public Health 1990; 80: 554-9.
3. Foulds J, Stapleton J, Hayward M, Russell MAH, Feyerabend C, Fleming T et al. Transdermal nicotine patches with lowintensity support to aid smoking cessation in outpatients in a general hospital. Arch Fam Med 1993; 2: 417-23.
4. Akkaya A, Öztürk Ö, Cobanoğlu H, Bircan HA, Şimşek Ş, Şahin Ü. Evaluation of patients followed up in a cigarette cessation clinic. Respirology 2006; 11: 311-6.
5. Zow HC, Hsu AAL, Eng PCT. Smoking cessation programme: the Singapore General Hospital experience. Singapore Med J 2004; 45: 430-4.
6. Giraud A, Fournier V, Yeu C, Logerot H, Manach D, Jolly D. Effectiveness and prognostic factors of success in 12 smoking cessation clinics in the hospitals of Assistance Publique- Hôpitaux de Paris. Int J Qual Health Care 1996; 8: 291-6.
7. Fung PR, Snape-Jenkinson SL, Godfrey MT, Love KW, Zimmerman PV, Yang IA et al. Effectiveness of hospital-based smoking cessation. Chest 2005; 128: 216-23.
8. Demir T, Tutluoğlu B, Koç N, Bilgin L. [One-year follow up results of Smoking Cessation Outpatient Clinic]. Tuberk Toraks 2004; 52: 63-8.
9. Sippel JM, Osborne ML, Bjornson W, Goldberg B, Buist AS. Smoking cessation in primary care clinics. J Gen Intern Med 1999; 14: 670-6.
10. Smith SS, McCarthy DE, Japuntich SJ, Christiansen B, Piper ME, Jorenby DE et al. Comparative eff ectiveness of 5 smoking cessation pharmacotherapies in primary care clinics. Arch Intern Med 2009; 169: 2148-55.
11. Rovina N, Nikoloutsou I, Katsani G, Dima E, Fransis K, Roussos C et al. Effectiveness of pharmacotherapy and behavioral interventions for smoking cessation in actual clinical practice. Ther Adv Respir Dis 2009; 3: 279-87.
12. Pardell H, Salto E, Ciruela J, Tresserras R, Gascon P, Salleras L. [Smoking cessation program using nicotine patch among physicians and pharmacists of Catalonia: results aft er 3-12 months]. An Med Interna 1996; 13: 16-20.
13. Lando HA, Johnson KM, Graham-Tomasi RP, McGovern PG, Solberg L. Urban Indians smoking patterns and interest in quitting. Public Health Rep 1992; 107: 340-4.
14. Warner KE, Mendez D. Tobacco control policy in developed countries: yesterday, today, and tomorrow. Nicotine Tob Res 2010; 12: 876-887.
15. Li VC, Coates TJ, Spielberg LA, Ewart CK, Dorfman S, Huster WJ. Smoking cessation with young women in public family planning clinics: the impact of physician messages and waiting room media. Prev Med 1984; 13: 477-89.
16. Eckert T, Junker C. Motivation for smoking cessation: what role do doctors play? Swiss Med Wkly 2001; 131: 521-6.
17. Ossip-Klein DJ, McIntosh S, Utman C, Burton K, Spada J, Guido J. Smokers ages 50+: who gets physician advice to quit? Prev Med 2000; 31: 364-9.
18. Gilpin EA, Pierce JP, Johnson M, Bal D. Physician advice to quit smoking: results from the 1990 California Tobacco Survey. J Gen Intern Med 1993; 8: 549-53.
19. McCullough A, Fisher M, Goldstein AO, Kramer KD, Ripley- Moffitt C. Smoking as a vital sign: prompts to ask and assess increase cessation counseling. J Am Board Fam Med 2009; 22: 625-32.
20. Lindsay EA, Ockene JK, Hymowitz N, Giffen C, Berger L, Pomrehn P. Physicians and smoking cessation. Arch Fam Med 1994; 3: 341-8.
21. Liu JLY, Tang JL. Doctors are ethically obliged to advise patients to quit smoking. BMJ 1998; 317: 1588.
22. An LC, Bluhm JH, Foldes SS, Alesci NL, Klatt CM, Center BA et al. A randomized trial of a pay-for-performance program targeting clinician referral to a state tobacco quitline. Arch Intern Med 2008; 168: 1993-9.
23. Manfredi C, Crittenden K, Cho YI, Engler J, Warnecke R. Maintenance of smoking cessation program in public health clinics beyond the experimental evaluation period. Public Health Rep 2001; 116: 120-35.
24. Aytemur Solak Z, Başoğlu OK, Erdinç E. [Success of smoking cessation in patients with chronic obstructive pulmonary disease]. Tuberk Toraks 2006; 54: 43-50.
25. Solak ZA, Göksel T, Telli CG, Erdinç E. Success of a smoking cessation program among smoking relatives of patients with serious smoking-related pulmonary disorders. Eur Addict Res 2005; 11: 57-61.
26. Czarnecki KD, Vichinsky LE, Ellis JA, Perl SB. Media campaign effectiveness in promoting a smoking cessation program. Am J Prev Med 2010; 38: 333-42.
27. Pederson LL, Bull SB, Ashley MJ, MacDonald JK. Quitting smoking: why, how, and what might help. Tob Control 1996; 5: 209-14.
28. Can G, Oztuna F, Topbaş M. Complaints related to smoking cessation. Tuberk Toraks 2007; 55: 364-9.

APA	SAĞLAM L (2012). Investigation of the results of a smoking cessation clinic and the factors associated with success. , 515 - 522.
Chicago	SAĞLAM Leyla Investigation of the results of a smoking cessation clinic and the factors associated with success. (2012): 515 - 522.
MLA	SAĞLAM Leyla Investigation of the results of a smoking cessation clinic and the factors associated with success. , 2012, ss.515 - 522.
AMA	SAĞLAM L Investigation of the results of a smoking cessation clinic and the factors associated with success. . 2012; 515 - 522.
Vancouver	SAĞLAM L Investigation of the results of a smoking cessation clinic and the factors associated with success. . 2012; 515 - 522.
IEEE	SAĞLAM L "Investigation of the results of a smoking cessation clinic and the factors associated with success." , ss.515 - 522, 2012.
ISNAD	SAĞLAM, Leyla. "Investigation of the results of a smoking cessation clinic and the factors associated with success". (2012), 515-522.

APA	SAĞLAM L (2012). Investigation of the results of a smoking cessation clinic and the factors associated with success. Turkish Journal of Medical Sciences, 42(3), 515 - 522.
Chicago	SAĞLAM Leyla Investigation of the results of a smoking cessation clinic and the factors associated with success. Turkish Journal of Medical Sciences 42, no.3 (2012): 515 - 522.
MLA	SAĞLAM Leyla Investigation of the results of a smoking cessation clinic and the factors associated with success. Turkish Journal of Medical Sciences, vol.42, no.3, 2012, ss.515 - 522.
AMA	SAĞLAM L Investigation of the results of a smoking cessation clinic and the factors associated with success. Turkish Journal of Medical Sciences. 2012; 42(3): 515 - 522.
Vancouver	SAĞLAM L Investigation of the results of a smoking cessation clinic and the factors associated with success. Turkish Journal of Medical Sciences. 2012; 42(3): 515 - 522.
IEEE	SAĞLAM L "Investigation of the results of a smoking cessation clinic and the factors associated with success." Turkish Journal of Medical Sciences, 42, ss.515 - 522, 2012.
ISNAD	SAĞLAM, Leyla. "Investigation of the results of a smoking cessation clinic and the factors associated with success". Turkish Journal of Medical Sciences 42/3 (2012), 515-522.