[Care results in a specialist stop-smoking unit]
| Autor: | Carlos A. Jiménez Ruiz, Jenaro Astray Mochales, Marisa Mayayo Ulibarri, Noelia Amor Besada, Ana Cicero Guerrero, Juan José Ruiz Martín, Maribel Cristóbal Fernández |
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| Rok vydání: | 2009 |
| Předmět: |
Fagerstrom Test for Nicotine Dependence
Male medicine.medical_specialty Pediatrics Time Factors media_common.quotation_subject Psychological intervention Ambulatory Care Facilities Pharmacological treatment chemistry.chemical_compound Continuous abstinence medicine Humans Varenicline media_common Bupropion Patient Care Team business.industry General Medicine Abstinence Middle Aged Nicotine replacement therapy Surgery chemistry Female Smoking Cessation business medicine.drug |
| Zdroj: | Archivos de bronconeumologia. 45(11) |
| ISSN: | 1579-2129 |
| Popis: | Background and objective To present the short, medium and long-term results of a stop-smoking clinic after 5 years of experience. The clinic was designed following the SEPAR Recommendations. Patients and methods Two types of clinic protocols have been applied: individual and group. Both offered of a combination of psychological intervention and pharmacological treatment. The programme included 10 visits over 12 months. The pharmacological treatment consisted of: nicotine replacement therapy (NRT) or bupropion or varenicline or a combination. The psychological intervention consisted of: self-monitoring, coping skills, cognitive-behavioural therapy and social intra-treatment support. The treatment was always offered for free. Results A total of 3920 patients were seen in the clinic. These patients made 21,418 clinic visits. 1850 smokers who attended the clinic consecutively between January 2004 and March 2007 were monitored. Their mean age was 47.83 (±11.03) and the mean Fagerstrom Test for Nicotine Dependence (FTND)-score was 6.56 (±2.41). 55.9% patients received NRT, 22.8% bupropion, 18.9% varenicline and 2.4% did not receive any pharmacological treatment. Continuous abstinence rates at 6 and 12 months follow up were 58.5% and 54.9%, respectively. These abstinence rates at 36 and 57 months follow ups were 42% and 35%, respectively. The cost in medication for each patient was 118 euros and the cost in medication for a successful abstainer at 6, 12, 36, and 57 months of follow up were 202, 215, 281 and 338 euros, respectively. Conclusions A stop-smoking clinic that is designed according to SEPAR. Good, cost-effective results in the short, medium and long-term. |
| Databáze: | OpenAIRE |
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