Opinião de pacientes psiquiátricos internados sobre o hábito de fumar

Abstract

Este é um estudo exploratório-descritivo com abordagem quantitativa e qualitativa, cujo objetivo foi conhecer a opinião dos pacientes acerca do fumar na internação e o grau de dependência dos fumantes. Utilizou-se a entrevista semiestruturada e questionário de Fagerström nos fumantes. Foram observados 25 pacientes: 44,0% com transtorno de humor, 28,0% esquizofrenia; 52,0% 10 ou mais anos de doença; 64,0% 1 a 5 internações. Desses, 24,0% eram fumantes, 83,3% apresentavam grau elevado de dependência. A maioria dos não fumantes concordou em proibir o fumo em ambientes coletivos, sem privilégios para doentes mentais. Os fumantes mostraram-se contrários a políticas antifumo, mas favoráveis à terapêutica de reposição de nicotina na internação. É esperado o investimento da equipe no ambiente livre de cigarros, nos serviços de saúde e na conscientização do fumante, para buscar tratamento antitabágico.

Prevalence and Treatment of Tobacco Use among Patients Being Treated for Mental Disorders

“…Moreover, there is enough evidence suggesting that treatment for mental disorders and quitting tobacco use are most effective when integrated (Scherer et al, 2012;Thornton et al, 2012).…”

“…People with mental disorders are among the groups that are most susceptible to tobacco use and smoking (Johnson et al, 2010;Scherer, Scherer, Azevedo, & Durão, 2012). The course and treatment of these disorders are negatively affected by tobacco use (Mackowick, Lynch, Weinberger, & George, 2012;Thornton et al, 2013,), making it an even more serious problem for these patients' health (Degenhardt & Hall, 2001;Thornton et al, 2012).…”

“…Research indicates that the most frequent reason for tobacco use cited by patients with mental disorders is that it offers a way of coping with psychiatric symptoms and the side effects of prescribed medications (Degenhardt & Hall, 2001;Scherer et al, 2012;Thornton et al, 2012). Therefore, tobacco is employed as a coping strategy and can take on an important role in the lives of patients with mental disorders (Scherer et al, 2012).…”

“…Although considered co-occurring disorders, psychiatric treatment and treatment for tobacco use are rarely integrated even though literature shows that treatment for mental disorders and substance abuse are more effective when treated jointly in a single clinical program rather than separately (Thornton et al, 2012). Scherer et al (2012) indicate that the failure to integrate tobacco quitting strategies into the routine of mental health services interferes with the treatment for controlling tobacco use for these patients.…”

O uso de tabaco entre usuários de centros de atenção psicossocial e serviços residenciais terapêuticos

“…For many years, the impact of smoking in this population has been neglected due to failure to recognize that smoking is an addiction. Studies show that smoking in people suffering from mental disorders is higher than in the general population, including higher levels of tolerance and dependence (10) .…”