SİGARA BIRAKMA POLİKLİNİĞİNE BAŞVURANLARDA TEDAVİ SONUÇLARINI VE SİGARAYI BIRAKMA SÜRECİNİ ETKİLEYEN FAKTÖRLERİN DEĞERLENDİRİLMESİ

Abstract

Amaç: Sigarayı bırakmak, sigaranın neden olabileceği sağlık sorunlarını önleyecektir. Bu çalışmanın amacı, sigarayı bırakma başarısını etkileyen faktörleri ve sigarayı bırakma sürecini değerlendirmektir. Gereç ve Yöntem: Sigara bırakma polikliniğine 1 Ocak 2017 ile 30 Aralık 2019 tarihleri arasında1812 hasta başvurdu, ancak çalışma kriterlerine uyan 957 hasta değerlendirmeye alındı. Tüm katılımcılar motivasyonel ve farmakolojik tedavi programına dahil edildi. Hasta kayıtları geriye dönük olarak incelendi. Şubat 2020 ile Ağustos 2020 tarihleri arasında hastaların kayıtlı telefon numaraları aranarak mevcut sigara içme durumları ve bunu etkileyen faktörler hakkında bilgi alındı. Bulgular: Katılımcıların %26,4'ünün (n=253) sigarayı bıraktığı, %18,6'sının (n=178) bırakmadığı, %55'inin (n=526) sigarayı bırakıp yeniden başladığı belirlendi. Daha önce bırakmayı denemiş olanlar (p=0,032), işsiz olanlar (p<0,001), ücretsiz tedavi görenler (p=0,007) ve üç aylık tedavi programına uyanlar (p<0,001) anlamlı olarak daha başarılı olmuştur. Motivasyonun, süreci en çok kolaylaştıran faktör olduğunu bildirenler anlamlı derecede daha başarılı olmuştur (p<0,001). Su içmek, sigara içme dürtüsüne karşı koymanın en etkili yolu olarak bulunmuştur (p<0,001). En yaygın zorlayıcı faktör sigara içme dürtüsü, en yaygın nüksetme nedeni ise stresti. Sonuç: Çalışmamızda motivasyon, üç aylık tedavi programına uyum ve su içme yoluyla sigara içme dürtüsüne direnmenin, sigara bırakma başarısını en çok artıran faktörler olduğu bulunmuştur.

Keywords

• sigara bırakma
• Tütün kullanım bozukluğu
• görüşme
• tedavi

EVALUATION OF FACTORS AFFECTING TREATMENT RESULTS AND SMOKING CESSATION PROCESS IN THOSE WHO APPLIED TO THE SMOKING CESSATION OUTPATIENT CLINIC

Abstract

Aim: Quitting smoking will prevent health problems that can be caused by smoking. This study aimed to evaluate the factors that influence the success of quitting smoking and the process of quitting smoking. Materials and Methods: In the presented study, 1812 patients applied to the smoking cessation outpatient clinic between January 2017 and December 2019. This study was completed with 957 patients. All participants were included in the motivational and pharmacological treatment program. Patient records were reviewed retrospectively. Between February 2020 and August 2020, patients' registered telephone numbers were called to ask about their current smoking status and the factors influencing it. Results: It was found that 26.4% (n=253) of the participants quit smoking, 18.6% (n=178) did not quit, and 55% (n=526) quit and started again. Those who had tried to quit once (p=0.032), those who were unemployed (p<0.001), those who received free treatment, (p=0.007) and those who adhered to the three-month treatment program (p<0.001) were significantly more successful. Those who reported that motivation was the factor that most facilitated the process were significantly more successful (p<0.001). Drinking water was found to be the most effective way to resist the urge to smoke (p<0.001). The most common compelling factor was the urge to smoke, and the most common cause of relapse was stress. Conclusion: Our study found that motivation, adherence to the three-month treatment program, and resisting the urge to smoke with drinking water were the factors that most increased quitting success.

Keywords

• smoking cessation
• Tobacco use disorder
• interview
• treatment

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