Özet:

The aim of the present study was to investigate the effect of family and social support on smoking cessation during the first six months after the cessation attempt. Methods: The files of 312 patients who were admitted to the Smoking Cessation Outpatient Clinic of Family Medicine Department, The University Faculty of Medicine between January 2011 and January 2012 were reviewed and their socio-demographic data, smoking characteristics, Fagerström Nicotine Dependence Test (FNDT) score and treatment methods were recorded. Participants were called in a five-minute structured interview and their quit rate was investigated. They were also evaluated for the support they received from the family and social environment during the cessation period with a ten-point Likeert Scale (0 = Never, 10= Excellent) Findings: Of the cases, 190 (61%) were male and 122 (39%) were female. While the average FNBT score of the group was 5.1 ± 1.7 , the package / year value was 22.3 ± 18.7. Forty four out of 209 participants (21%) who were started medication (Varenicline or Bupropion) and 23 out of 127 participants (%18%) who were started Nicotine Replacement Therapy (NRT) had been smoking for six months. There was not a statistically significant difference between genders with regard to overall social and family support scores (male = 41,3 ± 15,3, female = 44,4 ± 16,0, t = 1,495, p = 0,136). According to a multivariate binary logistic regression model, overall social and family support score (OR = 1,044), age (OR = -1,038), and presence of another smoker family member (OR = 0,501) were found as independent factors on smoking cessation. Family and social support are important factors for both gender during making a decision for smoking cessation, during smoking cessation and after smoking cessation and detailed studies are needed. Purpose: This study aims to investigate the impact of support from the family and social environment on the decision to try to quit smoking and the effect of smoking over the first six months of the following period. Instruments and Methods: On the 9th May University School of Medicine Family Medicine Cigarette Cancellation Clinic in January 2011-January 2012 by scanning the files of 312 applicants, the social demographic data of the individuals, the characteristics of smoking, the Fagerstrom Nicotine Addiction Test (FNBT) score and the methods of treatment they received were recorded. Those people were asked by telephone for a five-minute structured conversation and the rates of cessation of smoking were investigated. In the interview they also received support from the family and social environment at the stage of smoking and while smoking was assessed by a ten Likert Scale (0=No, 10=Excellent). Results: 190 of the respondents (61%) were men and 122 (39%) women. The group’s average FNBT score was 5.1±1.7 while the pack/year value was 22.3±18.7. 44 of the 209 participants who started the drug (Vareniklin or Bupropion) therapy (21%) and 23 of the 127 participants who started the nicotine replacement therapy (NRT) (18%) had not smoked for six months (x2=0,283, p=0,868). The total social support and family support points obtained by both sexes were not statistically meaningful (men = 41,3±15,3, women = 44,4±16,0, t = 1,495, p = 0,136). According to the multivariate binary logistic regression model, the total social and family support score (OR= 1,044), age (OR= -1,038) and the absence of smoking in the home of a smoking addict (OR= -0,501) were found as independent factors on smoking. The conclusion: Family support and social support is an important factor for both gender and the decision to quit smoking is a need for detailed research on this.

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