Smoking cessation treatment for COPD smokers: the role of counselling

Abstract

Smoking cessation is the only therapeutic intervention that can prevent COPD smokers from the chronic progression of their disorder. The most important intervention for helping these smokers to quit is a combination of counseling plus pharmacological treatment. The characteristics of the counseling should be different depending if this intervention is offered to smokers with a previous diagnosis of COPD or if the intervention is offered to smokers who have been recently diagnoses with COPD. The counseling of patients who have been recently diagnosed should include: a) explanation of the direct relationship between smoking and COPD, b) encouraging these patients to quit and c) using of spirometry and measurements of CO as a motivational tools. The counseling of patients who have been previously diagnosed should include: a) encouragement to make a serious quit attempt, b) an intervention that increases motivation, self-efficacy and self-esteem, c) and the intervention should also control depression and be directed to weight gain control.

COPD patients' medical care and support in Greece during financial crisis

“…It is estimated that, in primary care, 25%–50% of patients with COPD are current smokers,5,9 a rate far behind the one in the present study. Nevertheless, only complete cessation of smoking slows the decline in lung function in COPD.…”

“…It has been reported that in the long term, personal factors, such as self-confidence and nicotine dependence, as well as social support play a crucial role in the success of efforts to quit smoking. Patients who continue to smoke regardless of their severe lung disease are highly nicotine dependent and need more intensive strategies 9,10…”

The fight against tobacco

“…Even more difficult is the approach to patients with COPD who, despite appropriate advice and counseling, do not quit. Jimenez Ruiz reviewed for us the pharmacological and counseling strategies to be used in these difficult cases [4,5].…”