Smoking Cessation Counselling in the Hospitals: Problems and Solutions

Abstract

ÖZETHastanede 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 SolutionsABSTRACT 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.

WhatsApp embedded in routine service delivery for smoking cessation: effects on abstinence rates in a randomized controlled study

“…Studies using social media focus on cessation success, pharmacotherapeutic efficacy, evaluation of outpatient services and the opinions of quitters. Such studies are usually carried out in young people and are often not linked to any outpatient services [20–22]. A method embedded in the outpatient service can ease lifestyle changes and strengthen the intervention by the advantage of the technological opportunities.…”

Effect of Fasting on Smoking Addiction

“…Therefore, it is critical to employ all available means in the war against smoking including special circumstances where alteration in smoking behaviors occurs spontaneously. Some examples of these specific circumstances are pregnancy and lactation (Öztürk et al, 2018), being admitted to hospital for any reason (Ho et al, 2018; Nahhas et al, 2017; Ünal, 2017), and students visiting and staying in their parents' homes during holidays and during the holy month of Ramadan.…”