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Yıl:2004; Cilt: 14; Sayı: 4>> Özet
TAM METİN
Klinik Psikofarmakoloji Bülteni; 2004;14(4):198-203
Nikotin bağımlılarında nikotin yerine koyma tedavisinin sigara bırakma programını sürdürme üzerine etkisi
A Türkcan, D Çakmak
Bakırköy Ruh ve Sinir Hast. Hatsanesi, İstanbul
Amaç: Sigara bırakma programında eğitim seansları nüks önlemede
çok önemlidir. Sigara içenler eğitim ile yüksek riskli durumlarla başa
çıkma becerilerini geliştirebilir. Bu çalışmanın amacı, nikotin yerine
koyma tedavisinin eğitim seanslarına devam etme üzerine etkisini incelemektir.
Yöntem: Bir sigara bırakma polikliniğinde 67 ardışık sigara içicisinin
kayıtları geriye dönük olarak incelendi. Tüm hastalar DSM-IV ölçütlerine
göre nikotin bağımlılığı tanısı aldı. Bu sigara bırakma programı,
haftada bir kez olmak üzere 4 grup eğitim seansı ile hasta ve klinisyenin
tercihiyle saptanan ilaç tedavisinden (nikotin yerine koyma tedavisi
veya ilaçsız) oluşmaktaydı. Eğitim seanslarına katılma sıklığı nikotin
The effect of nicotine replacement therapy on the attendance of smoking cessation program among nicotine dependent outpatients
Objective: Education sessions are very important in relapse
prevention in smoking cessation programs. Smokers can improve
their coping skills to deal with high-risk situations by education. The
aim of this study was to examine the effectiveness of the nicotine
replacement therapy (NRT) on the participation in education sessions.
Method: The records of 67 consecutive smokers were assessed
retrospectively in a smoking cessation outpatient clinic. All outpatients
were diagnosed as nicotine dependence according DSM-IV criteria.
The smoking cessation program was consisted of four weekly group
education sessions and pharmacotherapy as determined by the
patient and clinician preference (nicotine replacement or drug free). The
relation of NRT use and attendence to education sessions was investigated.
Results: Thirty-two outpatients who received NRT (transdermal
nicotine patch and/or nicotine chewing gum) were compared with 35
outpatients who did not receive NRT with respect to the frequency of
attendance at education sessions. We found that outpatients who
received NRT (25%), attended more sessions than did outpatients who
did not receive NRT (5.7%) (p<0.05).
Conclusions: NRT in outpatient smokers increase the attendance rate
to the education sessions. Smokers should be encouraged to use NRT
by clinicians.

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