Smoking Cessation Counselling In The Hospitals: Problems And Solutions

Abstract

Studies related to smoking cessation counseling in hospitalized patients are increasing. Smokers hospitalized for a variety of reasons either temporarily stop   or reduce the amount of smoking in the hospital. It is suggested that this period be utilized as an opportunity for smoking cessation intervention while in the hospital and followed up within one month by phone after discharge. Patients who are hospitalized due to a smoking-related illness are more prone to these attempts. The efficacy of drugs other than NRT (Nicotine replacement therapy) has not been proven. In our country, family physician departments can assume bedside cigarette counseling. However, problems such as restructuring of hospital automation systems, solving drug procurement and reimbursement, setting up automated calling systems and integrating with smoking cessation hotline should be solved.

Keywords

• Smoking,counseling,bedside,automated calling systems

Hastanede Sigara Danışmanlığı: Problemler Ve Çözümler

Abstract

Hastanede yatan hastalara sigara bıraktırma danışmanlığı verilmesi ile ilgili çalışmalar artmaktadır. Hastanelerde çeşitli nedenlerle yatan hastalar sigara içmeye ya ara vermekte ya da miktarını azaltmaktadırlar. Bu süre bir fırsata dönüştürülerek hastalara yatak başında sigara bırakma danışmanlığı verilmesi ve taburcu olduktan sonra telefonla bir ay içinde takibi yapılması önerilmektedir. Sigara kullanımına bağlı bir hastalıktan dolayı yatan hastalar bu girişimlere daha yatkın olmaktadır. NRT (Nikotine replasman tedavisi) dışında ilaçların etkinliği kanıtlanmamıştır. Ülkemizde aile hekimliği ana bilim dalları yatak başı sigara danışmanlığını üstlenebilir. Ancak, hastane otomasyon sistemlerinin yeniden yapılanması, ilaç temini ve geri ödeme problemlerinin çözülmesi, otomatik arama sistemlerinin kurulması ve sigara bıraktırma hattıyla entegre çalışması gibi problemlerin çözülmeleri gerekir.

Keywords

• Sigara,danışmanlık,yatakbaşı,otomatik arama sistemleri.

References

1. 1. Rigotti NA, Munafo MR, Stead LF. Interventions for smoking cessation in hospitalized patients. Cochrane Database of Systematic Reviews 2007; CD001837: 3 doi:10.1002/14651858.CD001837
2. 2. Rigotti NA, Arnsten JH, McKool KM, et al. Efficacy of a smoking cessation program for hospital patients. Arch Intern Med. 1997;157(22):2653–60.
3. 3. Reid RD, Mullen KA, Slovinec D'Angelo ME, et al. Smoking cessation for hospitalized smokers: an evaluation of the “Ottawa Model”. Nicotine Tob Res 2010;12:11 18. doi:10.1093/ntr/ntp165
4. 4. Fiore MC, Goplerud E, Schroeder SA. The Joint Commission's new tobacco-cessation measures--will hospitals do the right thing? N. Engl. J. Med. 2012;366(13):1172-1174. 1-2 16.
5. 5. Duffy SA, Cummins SE, Fellows JL, et al. Fidelity monitoring across the seven studies in the Consortium of Hospitals Advancing Research on Tobacco (CHART). Tob. Induc. Dis. 2015;13(1):29
6. 6. Nahhas GJ, Cummings KM, Talbot V, et al. Who opted out of an opt-out smoking-cessation programme for hospitalised patients? J Smoking Cessation. 2016: 1–6
7. 7. Kotz D. Implementation of a new 'opt-out' default for tobacco treatment is urgently needed, but requires free access to evidence-based treatments. Addiction.2015;110(3):387-388.
8. 8. Nahhas GJ,Wilson D, Talbot V, et al. Feasibility of Implementing a Hospital-Based “Opt-Out” Tobacco-cessation Service, Nicotine Tob Res. 2016; 312: 1-7 DOI: https://doi.org/10.1093/ntr/ntw312

9. 9. Stead LF, Perera R, Bullen C, et.al. Nicotine replacement therapy for smoking cessation Cochrane Database of Systematic Reviews , 2008; ( 1 ), Art. No.: CD000146. doi:10.1002/14651858.CD000146.pub3
10. 10. Fidanci I, Ozturk O, Unal M. Transtheoretic model in smoking cessation. J. Exp. Clin. Med., 2017; 34(1): 7-11. d o i : 10.5835/jecm.omu.34.01.003
11. 11. Prochaska JO, DiClemente CC, Norcross JC. In search of how people change. Applications to addictive behaviours. Am Psychol.1992;47:1102.
12. 12. Rigotti NA, Clair C, Munafo MR, et al. Interventions for smoking cessation in hospitalised patients. Cochrane Database Syst Rev. 2012(5):CD001837
13. 13. Sönmez CI, Özbey Z. Nikotin Bağımlılığının Nörobiyolojisi ve Klinik Özellikleri Turkiye Klinikleri J Fam Med-Special Topics 2016;7(5):13-9
14. 14. Faseru B, Turner M, Casey G, et al. Evaluation of a hospital-based tobacco treatment service: Outcomes and lessons learned . Journal of Hospital Medicine , 2011; (6) , 143 – 150 . doi:10.1002/jhm.835
15. 15. Cahill K, Stevens S, Lancaster T. Pharmacological treatments for smoking cessation. JAMA. 2014;311(2):193–4. doi:10.1001/jama.2013.283787.
16. 16. Land T, Rigotti NA, Levy DE, et al. A longitudinal study of Medicaid coverage for tobacco dependence treatments in Massachusetts and associated decreases in hospitalizations for cardiovascular disease. PLoS Med. 2010;7(12). doi:10.1371/journal.pmed.1000375.
17. 17. Rigotti NA. Smoking cessation in the hospital setting-a new opportunity for managed care. Tobacco Control. 2000;9 Suppl 1:I54–5. doi:10.1136/ tc.9.suppl_1.i54.
18. 18. Reid ZZ, Regan s, Kelley JHK, et al. Comparative effectiveness of post-discharge strategies for hospitalized smokers: study protocol for the Helping HAND 2 randomized controlled trial BMC Public Health (2015) 15:109 DOI 10.1186/s12889-015-1484-0
19. 19. Regan S, Reyen M, Lockhart AC, et al. An interactive voice response system to continue a hospital-based smoking cessation intervention after discharge. Nicotine Tob Res. Apr 2011;13(4):255-260
20. 20. Reid RD, Pipe AL, Quinlan B, et al. Interactive voice response telephony to promote smoking cessation in patients with heart disease: a pilot study. Patient Educ Couns. 2007;66(3):319–26.
21. 21. Smith SS, Keller PA, Kobinsky KH, et al. Enhancing tobacco quitline effectiveness: identifying a superior pharmacotherapy adjuvant. Nicotine Tob Res. 2013;15(3):718–28.
22. 22. Mohiuddin SM, Mooss AN, Hunter CB, et al. Intensive smoking cessation intervention reduces mortality in high-risk smokers with cardiovascular disease. Chest 2007;131:446–52.
23. 23. Regan S, Reyen M , Richards AE et al. Nicotine Replacement Therapy Use at Home After Use During a Hospitalization Brief Report Nicotine & Tobacco Research, Volume 14, Number 7 (July 2012) 885–889
24. 24. Sonmez CI, Aydin LY, Turker Y, et al. "Comparison of smoking habits, knowledge, attitudes and tobacco control interventions between primary care physicians and nurses." Tobacco induced diseases 13.1 (2015): 37).