Bir Sigara Bırakma Polikliniğine Başvuran Hastaların Özellikleri

AMAÇ:Sigara, önlenebilir ölüm ve hastalıkların en sık nedenidir. Ülkemiz, Avrupa bölgesinde sigara içme oranı yüksek ülkelerden biridir. Toplumsalbilinçlenme, eğitim ve sosyal durumlar nedeniyle sigara kullananların,sigara bırakma polikliniklerine başvuruları arttırmaktadır. Bu çalışmada, hem sigara polikliniğimizdeki sigara bırakma durumunu hem de sigara bırakma için 12 haftalık standart bir vareniklin rejimini ve 10 haftalık standart bir transdermal nikotin replasman tedavisi (NRT) rejiminin bırakma üzerindeki etkisini tartışmayı amaçladık. MATERYAL METOD: Bu çalışmaya Ocak 2015 ve Ocak 2018 yılları arasında sigara bırakma polikliniğine başvuran, sigara bırakma tedavisi başlanmış 845 hasta retrospektifolarak incelendi. BULGULAR: Çalışmaya dahil edilen hastalarda yaş ve cinsiyet açısından istatiksel olarak anlamlı sonuç elde edilmedi (p=0.622, p=0.241). Sigara bırakan gruptaFNBS 6.12±0.9 iken, sigara bırakmayan grupta 8.45±1.1 idi ve gruplar arasında istatiksel olarak anlamlı farklılık saptandı (p=0,04). Hastaların %80.5’ivareniklin, %19.5’i nikotin bandı kullanmıştı. Sigara bırakmada Vareniklin ve nikotin bandı arasında istatistiksel anlamlı fark saptanmadı (p=0.709, p=0.710). SONUÇ: Yaş ve cinsiyet gibi verilerin sigara bırakmayı etkilemediği, ancak FNBS düşük olmasının sigarayı bırakmada etkili olduğu görüldü. Tümsigara içenlere davranışsaleğitimin yanında uygun farmakolojik destek tedavisi de verilmelidir.

Anahtar Kelimeler:

Sigara Bırakma, Vareniklin, Nikotin Replasman Tedavisi

Characteristics of Patients Admitted to a Smoking Cessation Policlinic

BACKGROUND: Smoking is the most common cause of preventable death and illness. Our country is one of the countries with a high rate of smoking in the European region. Due to social awareness, education and social conditions, the applications of smokers to smoking cessation outpatient clinics are increasing. In this study, we aimed to discuss both the smoking cessation status in our smoking outpatient clinic and the effect of a standard 12-week vareniclin eregimen for smoking cessation and a standard 10-week transdermal nicotine replacement therapy (NRT) regimen on cessation. METHODS: 845 patients who applied to smoking cessation clinic between January 2015 andJanuary 2018 were started retrospectively. RESULTS: No statistically significant results were obtained in terms of age and gender in the patients included in the study (p=0.622, p=0.241). FNBS was 6.12 ± 0.9 in the smoking group, and 8.45 ± 1.1 in thenon-smoking group, and a statistically significant difference was found between the groups (p = 0.04). 80.5% of the patients used varenicline, 19.5% used nicotine patch. There was no statistically significant difference between varenicline and nicotine band (p = 0.707). CONCLUSİONS: It was observed that data such as age and gender did not affect smoking cessation, but low FNBS was effective in quitting smoking. All smokers should be given appropriate pharmacological support therapy, in addition to behavioral training.

Keywords:

Smoking Cessation, Varenicline, Nicotine Replacement Therapy,

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