ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Treatment And Follow-up In The Smoking Cessation Polyclinic: Review
Dr. Funda ÖZTUNAa
aGöğüs Hastalıkları ve Tüberküloz AD, Karadeniz Teknik Üniversitesi, Tıp Fakültesi, TRABZON
Tobacco is a noxious organic substance containing over 4000 chemicals, several of which the long-term effects remain to be discerned. There are two dimensions compounding the use of tobacco. These are the harmful effects exerted upon both population health and the economy. Tobacco smoking is the cause of 85% of all lung cancers, chronic bronchitis and emphysema. Tobacco is also the most common cause of death in adults 35 years and over. In 1995, approximately 3 million people died from diseases directly related to tobacco use. The World Bank estimates that the additional cost of treating smoking-related diseases to be in excess of US$200 billion per year. Most smokers do not desist from smoking upon hearing about the dangers to their health. Nevertheless, all tobacco users need to be warned about these dangers and the urgent need to stop, even when patients do not have a tobacco-related illness. Tobacco dependence is a chronic disease with remission and relapse. Therefore, clinicians should treat tobacco dependence as such.
There are two main smoking cessation procedures, namely brief and intensive clinical interventions. Both are effective. Intensive intervention, however, appears to be more effective than brief treatment. Clinicians involved in such programs should be specialized practitioners. Assessment, type and number of clinicians, program format and intensity, type of counseling and behavioral therapies, and pharmacotherapy are important parameters for the success of intensive intervention. The development of these treatment modalities is summarized in this review.Keywords: Tobacco use disorder, smoking cessation,therapeuticsTurkiye Klinikleri J Med Sci 2005, 25:546-550
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