Hastanede Sigara Danışmanlığı: Problemler Ve Çözümler

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.

Anahtar Kelimeler:

Sigara, danışmanlık, yatakbaşı, otomatik arama sistemleri.

Smoking Cessation Counselling In The Hospitals: Problems And Solutions

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,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez