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Yıl:2019; Cilt: 6; Sayı: 4>> Özet
TAM METİN
Addicta: The Turkish Journal on Addictions; 2019;6(4):257-271
Sigarayı Bırakmak İsteyenlerde Anksiyete Düzeyleri ve İlişkili Faktörler
ST Karaman, Ç Şimşek, D Toprak
Şişli Hamidiye Etfal Training and Research Hospital, İstanbul
Bu çalışmada, sigarayı bırakmak için tedavi arayan kişilerdeki anksiyeteyi saptamayı ve anksiyete ile bağımlılık seviyeleri ve sosyodemografik faktörler arasındaki ilişkiyi belirlemeyi amaçladık. Çalışma prospektif, kesitsel ve iki merkezli olarak tasarlandı. 01/06/2015 - 30/07/2015 tarihleri arasında, Aile Hekimliği Kliniklerine bağlı Sigara Bırakma Polikliniklerine başvuran 18 yaş ve üstündeki sigara içicileri çalışmaya dahil edildi. Her hastanın sosyo-demografik verileri, sağlık durumları ve sigara içme öyküleri kaydedilirken Fagerström Nikotin Bağımlılık Testi (FNBT), Beck Anksiyete Ölçeği (BAÖ), Durumluk ve Sürekli Kaygı Envanteri (DSKE) uygulandı. Çalışmaya katılan 214 kişinin çoğu erkek idi (%68,2, n=146). Günlük içilen sigara sayısı ortalama 23±11,5 idi. FNBT’ne göre katılımcıların %58,4’ü (n=125) orta derecede nikotin bağımlısı iken, BAE’ne göre %46,7’si (n=100) anksiyete bazında normal idi. %53.3’ünde (n=114) herhangi bir seviyede anksiyete mevcuttu. FNBT sonuçları ile BAÖ ve DSKE arasında anlamlı ilişki bulunmadı. Bu çalışma, sigara bırakma polikliniklerine başvuran katılımcıların yaklaşık yarısının anksiyetesi olduğunu ortaya çıkardı. Kadın cinsiyet, düşük eğitim seviyeleri ve bekar olmak sigara içenler arasında anksiyete için risk faktörleri olarak belirlendi. Bu da sigara bırakma tedavisinin yarar zarar dengesi göz önüne alındığında önemlidir. Sigara bırakma tedavisi için başvuran kişileri değerlendirirken tedavinin ilerlemesini ve başarısını etkileyebileceğinden anksiyete parametreleri göz önünde bulundurulmalıdır.
Anxiety Levels and Related Factors in People Who Want To Quit Smoking
In this study, we aimed to determine anxiety in people seeking treatment to stop smoking and investigate the relationships between anxiety with addiction levels and socio-demographic factors. The study was designed to be prospective, cross-sectional and two-centered. Smokers aged 18 and over, who visited smoking-cessation outpatient policlinics at the Family Medicine Department between 01/06/2015 and 30/07/2015, were included in the study. Socio-demographic data, health status and smoking history were recorded, while the Fagerstrom Test for Nicotine Dependence (FTND), Beck Anxiety Inventory (BAI), and State and Trait-Anxiety Inventory (STAI) were applied, for each patient. The average number of cigarettes smoked per day was 23±11.5. According to the FTND, 58.4% (n=125) of the participants scored medium for nicotine dependence, whereas 46.7% (n=100) were normal in terms of anxiety, according to the BAI test. No significant correlation was found between the FTND result and the BAI or STAI. This study revealed that nearly half of the participants visiting smoking-cessation outpatient policlinics had anxiety. Female gender, low levels of education, and being single were determined to be risk factors for anxiety among smokers, which is important when considering the benefit versus risk balance of smoking-cessation treatment. While evaluating people who applied for smoking-cessation therapy, anxiety parameters should be considered, as they can affect the progress and success of treatment.

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