Barreiras psicológicas, sociais e clínicas para a manutenção da cessação tabágica no tratamento de usuários da atenção secundária com doenças crônicas

Abstract

Tobacco cessation importance is widely reported, but achieving and maintaining abstinence is a difficult process. For patients suffering from chronic conditions, smoke can cause even more harm, while cessation may help treatment and prevent premature death. This study aims to create an electronic record model, describe and explore the smoking cessation in patients with chronic diseases who participated in treatment meetings of a smoking cessation unit, and to analyse the potential predictors related to smoking cessation. An electronic database was created to store and manage treatment data and a telephone questionnaire to be held 6 and 12 months after the 12 weeks of treatment was designed. Data from the records of smokers referred for treatment at IMEPEN and participated in the treatment meetings held between May 2012 and December 2013 were used in this study. During this period, 98 patients with multiple chronic conditions received treatment. The mean age we 54.9 years (SD=10.3), 41 were male and 57 were female. From the data analysed, it was observed that a 76.9% cessation rate was achieved at 12 weeks of treatment, and the adherents ceased more than non-adherents. The telephone questionnaire was completed by 62 of the participants. It was found that 27.4% are former smokers, 44.4% remained around 6 months without smoking, and those who currently smoke decreased their daily cigarette consumption.