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Haseki Eğitim ve Araştırma Hastanesi Aile Hekimliği Sigara Bırakma Polikliniği Değerlendirilmesi ÖZET GİRİŞ: Tütün kullanımı 20.yüzyılda dünyada yüz milyon kişiyi öldürmüş olup, 21.yüzyılda bu rakamın bir milyara çıkacağı tahmin edilmektedir. Tam anlamıyla korunabilir olan bu salgını tersine çevirmek tüm dünyada halk sağlığı ve politika liderlerinin birincil önceliği olmalıdır. Bu çalışmada Haseki Eğitim ve Araştırma Hastanesi Aile Hekimliği Sigara Bırakma Polikliniğine başvuran hastaların sigarayı bırakma durumları ve bırakmada etkili olan faktörlerin araştırılması amaçlanmıştır. YÖNTEM: Araştırmaya Ocak 2016-Ocak 2017 tarihleri arasında Bakma Polikliniğine başvurmuş olup tedavi almış olan 152 hasta alındı. Nikotin bağımlılığını ölçmek için kullanılan Fagerström testi, poliklinikte kullanılmış olan anketler ve kontrol muayene anamnezleri geriye yönelik olarak incelendi. BULGULAR: Çalışmaya Ocak 2016 - Ocak 2017 tarihleri arasında polikliniğimize başvurmuş olan 152 kişi alındı, bu kişilerden %36.8’i erkek ve %63.2’si kadındı. Katılımcıların yaş ortalaması 37.7±11 yıl idi. Katılımcıların %78.4 ünün sigarayı bırakmayı isteme nedeni sağlıklı yaşam kaygısı idi. Sigara içme alışkanlıkları sorgulandığında katılımcıların günde içilen ortalama sigara sayısı 25.7±10.6, sigaraya başlama yaşı 17±4.3 yıl olup sigarayı bırakmayı deneme sayısı ortalama 2.4 kez idi. Sigara bırakmayı deneme sonrası karşılaşılan en sık zorluklar aşırı sigara içme isteği ve sinirlilik durumu idi. Katılımcıların fagerström nikotin bağımlılık test skoru ortalaması 6.2±2.3 idi. Seçilen hastaların üç aylık kontrole geldiklerinde sigarayı bırakmış olma oranı %67.7 olarak bulunmuşken, bir yıllık kontrollerde bu oran %34’lere gerilemekteydi. Günde içilen ortalama sigara sayısı arttıkça bırakma başarısı anlamlı olarak düşüyordu (p<0.001). Kullanılan ilaç gruplarının sigara bırakma oranına etkilerine bakıldığında iki ilaç grubu (bupropion ve vareniklin) arasında anlamlı bir fark saptanmadı. SONUÇ: Sigara bağımlılığı tüm dünyada olduğu gibi ülkemizde de önemli bir sorun teşkil etmektedir. Sigara bırakma poliklinikleri hastaların sigara bırakma durumuna olumlu olarak katkıda bulunuyor olsa da uzun dönem takiplerde başarı oranının gerilediği görülmektedir, bu hastaların uzun süreli takiplere çağırılması gerekmektedir. Anahtar Kelimeler: Nikotin Bağımlılığı, Sigara Bırakma, Tütün
Haseki Education and Research Hospital Family Medicine Cigarette Cancellation Clinic Assessment Summary: Tobacco use in the 20th century killed a hundred million people worldwide, and this figure is estimated to rise to a billion in the 21st century. The reversal of this epidemic, which is literally safeguardable, should be the primary priority of public health and policy leaders around the world. This study is aimed at investigating the conditions of smoking cessation of patients and the factors that are effective in the cessation of smoking. Method: From January 2016 to January 2017, 152 patients who were applied to the Care Clinic and received treatment were taken to the study. The Fagerström test used to measure nicotine dependency, the polychlinic surveys and control examination anamnesis were reviewed backward. The study was taken by 152 people who applied to our clinic between January 2016 and January 2017, of which 36.8% were men and 63.2% were women. The average age of participants was 37.7±11 years. 78.4 percent of participants wanted to quit smoking due to a healthy life worries. The average number of participants smoking per day was 25.7 ±10.6, the age of starting to smoke was 17 ±4.3 years; the average number of attempts to quit was 2.4 times. The most common difficulties faced after trying to quit smoking were excessive smoking desire and anxiety. The fagerström nicotine addiction test score of the participants was 6.2±2.3. The rate of smoking cessation was 67.7 per cent when selected patients were checked for three months, while the rate was reduced to 34 per cent in one-year checkings. As the average number of smoking consumed per day increased, the failure to quit was significantly decreased (p<0.001). With regard to the effects on the rate of cessation of the drug groups used, there was no significant difference between the two drug groups (bupropion and vareniclin). The fact is that smoking addiction is a major problem in our country, just as it is in the world. Although the cessation clinics are contributing positively to the state of cessation of patients, the success rate in long-term tracking is seen to decline, these patients need to be called for long-term tracking. Keywords: nicotine addiction, smoking, smoking
Introduction: In this study, we aimed to investigate the smoking cessation status of the patients who applied to the Haseki Family Medicine Smoking Cessation Outpatient Clinic and the factors effective in cessation. Method: The study included the patients who applied to our family medicine smoking cessation outpatient clinic between January 2016 and January 2017 and whose anamnesis notes are complete and one year smoking cessation status are known. People with missing information in the control notes were tried to be reached by phone, and those who could not be reached were excluded from the study. Fagerstrom test results which is used for assesing the intensity of physical addiction to nicotine, questionnaires and control examination patient histories used in the outpatient clinic were analyzed retrospectively. Results: 152 people were included in the study, 36,8% (n=56) of them were men and 63,2% (n=96) were women. The average age of the participants was 37,7 ± 11 years. 31.6% (n = 48) of the participants were primary school graduates and 19.1% (n = 29) were high school graduates. 64.5% (n = 98) of the participants were married. 78,4% (n=109) of participants wanted to quit smoking due to health concerns. When smoking habits were questioned, the average number of cigarettes smoked per day was 25,7 ± 10,6, and the age of starting smoking was 17 ± 4,3 years, the average number of attempts to quit smoking was 2,4 times. The most common difficulties in trying to quit smoking were excessive smoking desire and irritability. The fagerstrom nicotine dependence test score of the participants was 6,2 ± 2,3. While the rate of quitting smoking was found to be 67,7% (n=103) at the 3rd month control, this rate decreased to 33,5% (n=51) in one-year controls. As the average number of cigarettes smoked per day increased, the success of smoking cessation decreased in a statistically significant way. (p <0,001). Considering the effects of the drug groups used on the smoking cessation rate, no statistically significant difference was found between the two drug groups (p=0,747). Conclusion: In our study, the one-year smoking cessation rate in our outpatient clinic was found to be 34%, and it was found that the low number of cigarettes smoked daily significantly increased the success of smoking cessation. Family physicians, who approach people with a holistic approach and follow them constantly, can increase the success of smoking cessation by directing smokers to the smoking cessation polyclinic and following their smoking behaviors.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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