Araştırma Makalesi
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The Effect of Smoking on Family Functions

Yıl 2022, Cilt 12, Sayı 5, 705 - 709, 30.09.2022
https://doi.org/10.16899/jcm.1147330

Öz

Aim: Family is the most natural environment where people can meet their needs of love, compassion, affection and care for mental and physical health. In this study, we aim to investigate the relation between smoking and family functions. Material and Method: Ninety seven patients between 18-60 years age who were admitted to the Ankara Training and Research Hospital, live with at least one family member and agreed to participate in the study were included in this study. Cross-sectional, observational and analytic methods were applied. The recorded data of the participants were as follows: age, sex, occupation, marital status, education level, the family members whom living with, the status of smoking at home, chronic diseases and current medication. McMaster Model of Family Functioning (MMFF) and Fagerström Test for Nicotine Dependence (FTND) were used. Results: Statistically significant differences between MMFF scores of smoking patients in the subscales of “Roles” and “Affective Involvement” were found (p=0.004, p= 0.002, respectively). We have seen in the subscale of “Problem Solving” that single members were negatively affected (p=0.033). The negative effects of smoking were found to be decreasing by age in the “Communication” subscale (p=0.002). The “Roles” subscale was observed to be negatively disturbed in the group of smokers with chronic diseases(p=0,050). We also found that being single and having a chronic disease negatively affected “Affective Responsiveness” subscale (p=0.050, p=0.020, respectively). Conclusion: Smoking affects the family functions negatively. Thus, the fight against smoking might be thought to make a favorable effect on the family functions.

Kaynakça

  • Epperson AE, Wallander JL, Song AV, et al. Gender and racial/ethnic differences in adolescent intentions and willingness to smoke cigarettes: Evaluation of a structural equation model. J Health Psychol 2019;1359105319829536.
  • Johns TL, Metzger K, Lawrence E. Smoking Cessation Counseling in Family Medicine:Changing Patient Perceptions. J Prim Care Community Health 2014;5(3):194-7.
  • Coste J, Quinquis L, D'Almeida S, Audureau E. Smoking and health-related quality of life in the general population. Independent relationships and large differences according to patterns and quantity of smoking and to gender. PLoS One 2014;9(3):e91562.
  • Cook BL, Wayne GF, Kafali EN, Liu Z, Shu C, Flores M. Trends in smoking among adults with mental illness and association between mental health treatment and smoking cessation. JAMA 2014;311(2):172-82.
  • Jozefiak T, Greger HK, Koot HM, Klöckner CA, Wallander JL. The role of family functioning and self-esteem in the quality of life of adolescents referred for psychiatric services:a 3-year follow-up. Qual Life Res 2019;28(9):2443-52.
  • Barrett AE, Turner RJ. Family structure and mental health:the mediating effects of socioeconomic status, family process, and social stress. J Health Soc Behav 2005;46(2):156-69.
  • Kusnanto H, Agustian D, Hilmanto D. Biopsychosocial model of illnesses in primary care:A hermeneutic literature review. J Family Med Prim Care 2018;7(3):497-500.
  • Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence:a revision of the Fagerström Tolerance Questionnaire. Br J Addict 1991;86(9):1119-27.
  • Uysal MA, Kadakal F, Karşidağ C, Bayram NG, Uysal O, Yilmaz V. Fagerstrom test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks 2004;52(2):115-21.
  • Georgiades K, Boyle MH, Jenkins JM, Sanford M, Lipman E. A multilevel analysis of whole family functioning using the McMaster Family Assessment Device. J Fam Psychol 2008;22(3):344-354.
  • Bulut I. Aile değerlendirme ölçeği el kitabı. Ankara:Özgüzeliş Matbaası, 1990, 6.8.
  • Şen N, Arslan GG, Çoban A, Güngör N, Kulbakan S, Solar M. Sigara İçme Durumunun Üniversite Öğrencilerinin Yaşam Kalitesi Üzerine Etkisinin İncelenmesi. Toraks Derg 2008;9(2):68-73.
  • Zahran HS, Zack MM, Vernon-Smiley ME, Hertz MF. Health-related quality of life and behaviors risky to health among adults aged 18-24 years in secondary or higher education--United States, 2003 2005. J Adolesc Health 2007;41:389-97.
  • Fakhfakh R, Aouina H, Gharbi L, Hsairi H, Achour N, Lagrue G. Smoking dependence and symptoms of anxiety and depression among Tunisian smokers. Rev Mal Respir 2003;20:850-7.
  • Gulec M, Bakir B, Ozer M, Ucar M, Kilic S, Hasde M. Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res 2005;134(3):281­-6.
  • Ghamari, M. "Family Function and Depression, Anxiety, and Somatization among College Students." Int. J. Acad. Res. Business Soc. Sci 2012;2:101-105.
  • Akfert SK, Çakıcı E, Çakıcı M. Üniversite öğrencilerinde sigara-alkol kullanımı ve aile sorunları ile ilişkisi. Anadolu Psikiyatri Derg 2009;10:40-7.
  • Branstetter JE, Domian EW, Williams PD, Graff JC & Piamjariyakul U. Communication themes in families of children with chronic conditions. Issues in Comprehensive Pediatric Nursing, 2008;31:171–84.
  • Fazlıoğlu K, Hocaoğlu Ç, Sönmez FM ve Cansu A. Epilepsi tanısı konan çocukların aile işlevleri, anne-babalarındaki kaygı ve başa çıkma tutumları. New Symposium J 2010;48(3):198–206.

Sigara Kullanma Durumunun Aile Içi Fonksiyonlara Etkisi

Yıl 2022, Cilt 12, Sayı 5, 705 - 709, 30.09.2022
https://doi.org/10.16899/jcm.1147330

Öz

Amaç: Aile, insanların ruh ve beden sağlığı için sevgi, şefkat ve bakım ihtiyaçlarını karşılayabilecekleri en doğal ortamdır. Bu çalışma ile, sigara ile aile işlevleri arasındaki ilişkiyi araştırmayı amaçladık. Gereç ve Yöntem: Bu çalışmaya Ankara Eğitim ve Araştırma Hastanesi'ne başvuran, en az bir aile üyesi ile yaşayan ve çalışmaya katılmayı kabul eden 18-60 yaş arası 97 hasta dahil edildi. Kesitsel, gözlemsel ve analitik yöntemler uygulandı. Katılımcıların: yaş, cinsiyet, meslek, medeni durum, eğitim durumu, birlikte yaşadığı aile bireyleri, evde sigara içme durumu, kronik hastalıkları ve kullandığı ilaçları kaydedildi. Katılımcılara Mc Master Aile İçi Fonksiyon ölçeği ve Fagerström Nikotin Bağımlılık Ölçeği uygulandı. Bulgular: Sigara içen hastaların ‘Roller’ ve ‘Gereken ilgiyi gösterme’ alt ölçeklerinde Mc Master ölçek skorları arasında istatistiksel olarak anlamlı fark bulundu (sırasıyla, p=0,004, p= 0,002). ‘Problem çözme’ alt ölçeğinde bekar olanların olumsuz etkilediği görüldü (p=0,033). ‘İletişim’ üzerine sigaranın olumsuz etkisinin yaş ilerledikçe azaldığı tespit edildi (p=0,002). Kronik hastalığı olan sigara içicisi grupta ‘roller’ alt ölçeğinin olumsuz etkilendiği bulundu (p=0,050). ‘Duygusal tepki verme’ alt ölçeğinin bekar olunması ve kronik hastalık varlığından olumsuz etkilendiği saptandı (sırasıyla, p=0,050, p= 0,020). Sonuç: Sigara, aile fonksiyonlarını olumsuz yönde etkilemektedir. Bu nedenle sigarayla mücadelenin aile işlevlerine iyileştirici yönde etki yapacağı düşünülebilir.

Kaynakça

  • Epperson AE, Wallander JL, Song AV, et al. Gender and racial/ethnic differences in adolescent intentions and willingness to smoke cigarettes: Evaluation of a structural equation model. J Health Psychol 2019;1359105319829536.
  • Johns TL, Metzger K, Lawrence E. Smoking Cessation Counseling in Family Medicine:Changing Patient Perceptions. J Prim Care Community Health 2014;5(3):194-7.
  • Coste J, Quinquis L, D'Almeida S, Audureau E. Smoking and health-related quality of life in the general population. Independent relationships and large differences according to patterns and quantity of smoking and to gender. PLoS One 2014;9(3):e91562.
  • Cook BL, Wayne GF, Kafali EN, Liu Z, Shu C, Flores M. Trends in smoking among adults with mental illness and association between mental health treatment and smoking cessation. JAMA 2014;311(2):172-82.
  • Jozefiak T, Greger HK, Koot HM, Klöckner CA, Wallander JL. The role of family functioning and self-esteem in the quality of life of adolescents referred for psychiatric services:a 3-year follow-up. Qual Life Res 2019;28(9):2443-52.
  • Barrett AE, Turner RJ. Family structure and mental health:the mediating effects of socioeconomic status, family process, and social stress. J Health Soc Behav 2005;46(2):156-69.
  • Kusnanto H, Agustian D, Hilmanto D. Biopsychosocial model of illnesses in primary care:A hermeneutic literature review. J Family Med Prim Care 2018;7(3):497-500.
  • Heatherton TF, Kozlowski LT, Frecker RC, Fagerström KO. The Fagerström Test for Nicotine Dependence:a revision of the Fagerström Tolerance Questionnaire. Br J Addict 1991;86(9):1119-27.
  • Uysal MA, Kadakal F, Karşidağ C, Bayram NG, Uysal O, Yilmaz V. Fagerstrom test for nicotine dependence: reliability in a Turkish sample and factor analysis. Tuberk Toraks 2004;52(2):115-21.
  • Georgiades K, Boyle MH, Jenkins JM, Sanford M, Lipman E. A multilevel analysis of whole family functioning using the McMaster Family Assessment Device. J Fam Psychol 2008;22(3):344-354.
  • Bulut I. Aile değerlendirme ölçeği el kitabı. Ankara:Özgüzeliş Matbaası, 1990, 6.8.
  • Şen N, Arslan GG, Çoban A, Güngör N, Kulbakan S, Solar M. Sigara İçme Durumunun Üniversite Öğrencilerinin Yaşam Kalitesi Üzerine Etkisinin İncelenmesi. Toraks Derg 2008;9(2):68-73.
  • Zahran HS, Zack MM, Vernon-Smiley ME, Hertz MF. Health-related quality of life and behaviors risky to health among adults aged 18-24 years in secondary or higher education--United States, 2003 2005. J Adolesc Health 2007;41:389-97.
  • Fakhfakh R, Aouina H, Gharbi L, Hsairi H, Achour N, Lagrue G. Smoking dependence and symptoms of anxiety and depression among Tunisian smokers. Rev Mal Respir 2003;20:850-7.
  • Gulec M, Bakir B, Ozer M, Ucar M, Kilic S, Hasde M. Association between cigarette smoking and depressive symptoms among military medical students in Turkey. Psychiatry Res 2005;134(3):281­-6.
  • Ghamari, M. "Family Function and Depression, Anxiety, and Somatization among College Students." Int. J. Acad. Res. Business Soc. Sci 2012;2:101-105.
  • Akfert SK, Çakıcı E, Çakıcı M. Üniversite öğrencilerinde sigara-alkol kullanımı ve aile sorunları ile ilişkisi. Anadolu Psikiyatri Derg 2009;10:40-7.
  • Branstetter JE, Domian EW, Williams PD, Graff JC & Piamjariyakul U. Communication themes in families of children with chronic conditions. Issues in Comprehensive Pediatric Nursing, 2008;31:171–84.
  • Fazlıoğlu K, Hocaoğlu Ç, Sönmez FM ve Cansu A. Epilepsi tanısı konan çocukların aile işlevleri, anne-babalarındaki kaygı ve başa çıkma tutumları. New Symposium J 2010;48(3):198–206.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Dilek NURLU USLU>
Ankara Training and Research Hospital
0000-0002-9260-288X
Türkiye


İsmail ARSLAN>
Ankara Training and Research Hospital
0000-0002-0551-3484
Türkiye


Sadettin USLU>
manisa şehir hastanesi
0000-0001-6266-2454
Türkiye


Gülay GÜLMEZ>
Ankara Training and Research Hospital
0000-0002-3222-1831
Türkiye


Şevin DEMİR> (Sorumlu Yazar)
MALTEPE ÜNİVERSİTESİ
0000-0002-9541-5676
Türkiye


Oğuz TEKİN>
Ankara Training and Research Hospital
0000-0002-3793-825X
Türkiye

Erken Görünüm Tarihi 11 Temmuz 2022
Yayımlanma Tarihi 30 Eylül 2022
Kabul Tarihi 10 Ağustos 2022
Yayınlandığı Sayı Yıl 2022, Cilt 12, Sayı 5

Kaynak Göster

AMA Nurlu Uslu D. , Arslan İ. , Uslu S. , Gülmez G. , Demir Ş. , Tekin O. The Effect of Smoking on Family Functions. J Contemp Med. 2022; 12(5): 705-709.