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Amaç: Ülkemizde yetişkin nüfusunun önemli bir kısmı %29,2 sigara içmekte ve tütünle mücadelede “sigara bıraktırma çalışmaları” önemli yer tutmaktadır. Bağımlıların çoğunluğu bırakmak istemesine rağmen sadece çok küçük bir kısmı başarılı olabilmektedir. Çalışmamızda sigara bırakma merkezinin SBM başvuru sonrası uzun dönemdeki 24 ay bırakma başarısı ve etkili faktörler belirlenmiştir.Gereç ve Yöntemler: Retrospektif kohort çalışmadır. Devlet hastanesine bağlı SBM’ne bir yıl içinde başvuran 980 kişi çalışmaya alınmıştır. Başvurudan 24 ay sonra kişilere ulaşılarak uzun dönemli bırakma durumu araştırılmıştır. Bırakma üzerine etkili faktörler incelenmiştir.Bulgular: Başvuranların yaş ortalaması 41,3, sigaraya başlama yaşı 16,4’dür. Ortalama sigara tüketimi 26,6 paket/yıldır. Başvuranların %3,6’sı doktor önerisiyle kliniğe başvurmuştur. Başvuru sonrası kontrole gelme oranı oldukça düşüktür %18,5 . Uzun dönemli >24 ay sigarayı bırakma oranı %21,5’dir. Başvuranların %25,5’i bırakmış ancak sonradan tekrar başlamıştır. Sigarayı bırakma iki grupta anlamlı düzeyde yüksek bulunmuştur. Nikotin bağımlığı düşük olanlarda 2,2 kat ve 50 yaş üzeri kişilerde 1,6 kat bırakma daha fazladır p
A significant percentage of the adult population in our country is 29.2 percent smoking, and the “release work” is an important role in the fight against tobacco. Although the majority of addicts want to leave, only a very small portion of them can succeed. Our study has determined the success of the long-term 24 months after the SBM application of the smoking center and the effective factors.Reasons and methods: Retrospective cohort is the study. 980 people who apply to the SBM associated with the state hospital within a year have been taken to work. 24 months after the application, the long-term resignation status has been investigated. The average age of applicants is 41.3, the age of starting to smoke is 16.4. The average smoking consumption is 26.6 packs per year. 3.6 percent of applicants applied to the clinic on the doctor’s recommendation. The revenue rate after the application is quite low 18.5%. The rate of long-term >24 months smoking is 21.5%. 25,5 percent of applicants left but later started again. Cigarette smoking has been significantly high in two groups. Nikotine dependency is 2.2 times higher in people with low nicotine dependency and 1.6 times higher in people over the age of 50
Objective: A significant portion 29.2% of the adult population is addicted to smoking in our country. Smoking cessation programmes are important in the fight against smoking. Although the majority of smokers would like to quit smoking, only a small part of them are able to achieve this. In this study, the influencing factors and the long-term 24 months success of quitting at a smoking cessation centre SCC was evaluated.Material and Methods: This was a retrospective cohort study. The study population consisted of applicants to this center within one year 980 persons . The long-term 24 months after the application success in quitting was determined. The influencing factors were investigated. Results: The mean age of the applicants was 41.3 years and the age of starting smoking was 16.4 years. The average cigarette consumption was 26.6 packs/year. 3.6% of the applicants had applied to the SCC at a doctor's recommendation. The rate of coming for follow-up was very low 18.5% .Smoking cessation success was determined as 21.5%. Also, 25.5% of the applicants declared that they quit smoking and then restarted. Analyses demonstrated that two main factors were influential on the success. The success rate was higher in smokers aged 50+ 1.6 times and those with low nicotine dependence 2.2 times . The therapeutics used for treatment, the treatment cost and the specialization of the doctor had no significant effect on the success. Conclusion: The long-term smoking cessation success rate was found to be 21.5%. The success rate was higher in smokers aged 50+ and those with low nicotine dependence. These target groups may be the priority. In our country, where nine physician visits are performed per person per year, the rate of referring smokers to SCCs by physicians is quite low 3.6% . It was also important that the follow-up rate of the patients was rather low. The rate of restarting after quitting was high. Increased follow-up may decrease restarting and may increase the success of smoking cessation.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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