COVID-19 Salgını Döneminde Sigara Bağımlılığı Tedavisine Ara Verilen Hastaların Değerlendirilmesi


Tezin Türü: Tıpta Uzmanlık

Tezin Yürütüldüğü Kurum: Ankara Yıldırım Beyazıt Üniversitesi, Tıp Fakültesi, Aile Hekimliği Ana Bilim Dalı, Türkiye

Tezin Onay Tarihi: 2021

Tezin Dili: Türkçe

Öğrenci: Nedimhan YAKUT

Danışman: BASRİ FURKAN DAĞCIOĞLU

Özet:

Introduction and Purpose: Smoking cessation clinics are important for stopping smoking. When psychosocial support treatment and pharmacological treatment are used in suitable patients, it provides serious benefits in smoking cessation. COVID-19 infection first appeared on December 19, 2019 in Wuhan, China. Smoking is an important risk factor for the prognosis of the 21st-century pandemic, COVID-19. Since it is transmitted by respiratory route and droplets, isolation measures have played an important role in preventing the transmission and spread of COVID-19 infection. Isolation measures are taken in terms of disease control play a restrictive role in many social areas such as access to collective environments and transportation to hospitals. In this process, most smoking cessation polyclinics were closed and health policies were concentrated against the COVID-19 pandemic. In this study, we aimed to evaluate the patients who were interrupted from smoking cessation treatment in the COVID-19 pandemic. Materials and Methods: This study is a cross-sectional descriptive study, and 162 patients who applied to the Smoking Cessation Outpatient Clinic of Ankara City Hospital Family Medicine Department between 17.09.2019 and 24.03.2020 were included. In our study, patient files were examined. A questionnaire consisting of 31 questions was applied by calling the patients and obtaining their consent. The data were analyzed by recording in the database created in the SPSS 23.0 program, p<0.05 value was accepted as statistical significance. Results: In our study, a statistically significant relationship was found between the education levels of the participants and their smoking cessation status (p=0.029). The smoking status of the participants with an education level of high school and below was found to be higher than those with an education level above high school. Besides, in our study, smoking cessation status was found to be significantly lower in those who were given only psychosocial support therapy. (p=0.027) The non-smoking status was found to be statistically significant in those who were recommended psychosocial support treatment with varenicline as treatment. (p=0.013) In our study, gender, marital status, whether or not to have children, who requested to be referred to the smoking cessation clinic, FNBT score, number of pack-years, number of cigarettes smoked per day, working status during the pandemic period, presence of a cigarette smoker at home, desire to smoke during the pandemic period. , the motivation to quit smoking during the pandemic period and the thought of re-applying to the smoking cessation clinic do not affect smoking cessation (p>0.05). Conclusion: Smoking cessation treatments are effective when administered by professionals in smoking cessation outpatient clinics. Patients who could not apply to outpatient clinics due to the COVID-19 pandemic could not start their treatment or their therapy was left incomplete. Re-opening of smoking cessation outpatient clinics is of great importance for patients to receive cognitive-behavioral and pharmacological treatments.