One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking

KARĞI, Aysel; KURT, Özlem Kar; TALAY, Fahrettin; YAŞAR, Zehra

One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking

Zehra YAŞAR, (Abant İzzet Baysal Üniversitesi, İzzet Baysal Tıp Fakültesi, Göğüs Hastalıkları ve Tüberküloz Anabilim Dalı, Bolu, Türkiye)

Özlem Kar KURT, (Abant İzzet Baysal Üniversitesi, İzzet Baysal Tıp Fakültesi, Göğüs Hastalıkları ve Tüberküloz Anabilim Dalı, Bolu, Türkiye)

Fahrettin TALAY, (Abant İzzet Baysal Üniversitesi, İzzet Baysal Tıp Fakültesi, Göğüs Hastalıkları ve Tüberküloz Anabilim Dalı, Bolu, Türkiye)

Aysel KARĞI (Islahiye Devlet Hastanesi, Göğüs Hastalıkları Kliniği, Gaziantep, Türkiye)

Solunum

5 1

Yıl: 2014 Cilt: 16 Sayı: 2 Sayfa Aralığı: 99 - 104 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking

Öz:

Amaç: Bu çalışmada, sigara bırakma polikliniğinde takip edilen hastalarda sigara bırakma başarısını etkileyen faktörleri ve polikliniğimizin sigara bırakma hızlarını araştırmayı amaçladık. Yöntemler: Haziran 2011-Haziran 2012 tarihleri arasında, sigara bırakma polikliniğine başvuran 320 olgudan 12 aylık takipleri tamamlanabilen 241 olgu çalışmaya alındı. Olgulardan rutin biyokimyasal ve hematolojik testler, solunum fonksiyon testi, elektrokardiyografi ve posteroanterior akciğer grafisi istendi. Ayrıca tüm olgulardan, Fagerström nikotin bağımlılık testi, anksiyete ve depresyon değerlendirme ölçekleri ile demografik verilerin yer aldığı poliklinik formunun doldurulması istendi. Kullandıkları ilaçlar ve süreleri kaydedildi. Hastaların sigara bırakma başarıları ve başarıya etki eden faktörler değerlendirildi. Bulgular: Genel olarak 1. yıl sonunda sigara bırakma hızı %37,3 idi. Sigara bırakan ve bırakamayan grup arasında değerlendirmede demografik özellikler benzerdi. Bırakamayan grupta konsantrasyon güçlüğü, sinirlilik, Fagerström bağımlılık derecesi (p<0,001) ve iş- yerinde içilen sigara sayısı daha fazlaydı (p<0,001). Sigara bırakan grupta kilo artışı daha fazla idi. Olguların %27,4'üne davranışsal eğitim (DE), %56'sına davranışsal eğitim ve Nikotin replasman tedavisi (DE+NRT), %9,5'ine DE+Bupropion, %2,5'ine DE+ Vareniklin, %4,6'sına DE+ Bupropion+NRT başlanmıştı. Bırakma hızları sırasıyla %15,2, %43,7, %52,2, %66,7 ve %45,5 idi. Yeterli sürede farmakolojik tedavi verilmesi ile bırakma hızlarıda anlamlı olarak artmaktaydı (p<0,001). Sonuç: Sigara bırakma süreci, her olgu için bireysel değerlendirilmesi gereken zor bir süreçtir. Bu süreçte yeterli davranışsal eğitim ve uygun bireylere yeterli sürede farmakolojik destek tedavi verilmesi başarı hızını arttıracaktır.

Anahtar Kelime:

Konular: Solunum Sistemi

Bir Yıllık Sigara Bırakma Poliklinik Sonuçlarımız: Sigara Bırakmada Etkili Olan Faktörler

Öz:

Objective: The aim was to investigate the factors affecting the quitting smoking success of the patients followed in the smoking cessation outpatient clinic and the rate of quitting smoking in this clinic.Methods: From the 320 cases who applied to the smoking cessation clinic, 241 cases with a 12 month follow-up completed between June 2011 and June 2012 were included in the study. Routine biochemical and hematological tests, respiratory function test, electrocardiography, and posteroanterior chest radiography were requested from the cases. Moreover, the cases were requested to complete the Fagerstrom nicotine dependence test, anxiety and depression assessment scale and the outpatient clinic's form, including demographic data. The medicines taken and the duration of use were recorded. The quitting smoking success of the patients and the factors affecting this success were evaluated.Results: Generally, at the end of the first year, the rate of quitting smoking was 37.3%. The demographic characteristics of the groups who quit smoking and who failed to quit smoking were similar. Fagerstrom dependence degree (p<0.001) and the number of cigarettes smoked at the workplace (p<0.001) were higher. The individuals included in the group who quit smoking put on more weight. Overall, 27.4% of the patients received behavioural education (BE), 56% of them received behavioural education and nicotine replacement therapy (BE+NRT), 9.5% of them received BE+Bupropion, 2.5% of them received BE+Varenicline, and 4.6% of them received BE+Bupropion+NRT treatments. The rates of quitting smoking were 15.2%, 43.7%, 52.2%, 66.7% and 45.5%, respectively. With the administration of pharmacological treatment for a sufficient time, the rates of quitting smoking rose meaningfully (p<0.001).Conclusion: Quitting smoking is a difficult process that has to be evaluated individually for every case. In this process, the administration of sufficient behavioural education and pharmacological treatment with sufficient time for appropriate individuals will increase the success rate

Anahtar Kelime:

Konular: Solunum Sistemi

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

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APA	YAŞAR Z, KURT Ö, TALAY F, KARĞI A (2014). One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. , 99 - 104.
Chicago	YAŞAR Zehra,KURT Özlem Kar,TALAY Fahrettin,KARĞI Aysel One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. (2014): 99 - 104.
MLA	YAŞAR Zehra,KURT Özlem Kar,TALAY Fahrettin,KARĞI Aysel One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. , 2014, ss.99 - 104.
AMA	YAŞAR Z,KURT Ö,TALAY F,KARĞI A One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. . 2014; 99 - 104.
Vancouver	YAŞAR Z,KURT Ö,TALAY F,KARĞI A One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. . 2014; 99 - 104.
IEEE	YAŞAR Z,KURT Ö,TALAY F,KARĞI A "One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking." , ss.99 - 104, 2014.
ISNAD	YAŞAR, Zehra vd. "One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking". (2014), 99-104.

APA	YAŞAR Z, KURT Ö, TALAY F, KARĞI A (2014). One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. Solunum, 16(2), 99 - 104.
Chicago	YAŞAR Zehra,KURT Özlem Kar,TALAY Fahrettin,KARĞI Aysel One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. Solunum 16, no.2 (2014): 99 - 104.
MLA	YAŞAR Zehra,KURT Özlem Kar,TALAY Fahrettin,KARĞI Aysel One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. Solunum, vol.16, no.2, 2014, ss.99 - 104.
AMA	YAŞAR Z,KURT Ö,TALAY F,KARĞI A One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. Solunum. 2014; 16(2): 99 - 104.
Vancouver	YAŞAR Z,KURT Ö,TALAY F,KARĞI A One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking. Solunum. 2014; 16(2): 99 - 104.
IEEE	YAŞAR Z,KURT Ö,TALAY F,KARĞI A "One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking." Solunum, 16, ss.99 - 104, 2014.
ISNAD	YAŞAR, Zehra vd. "One-Year Follow-up Results of Smoking Cessation Outpatient Clinic: Factors Affecting the Cessation of Smoking". Solunum 16/2 (2014), 99-104.