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THE ASSESSMENT OF THE EFFICIENCY OF COGNITIVE BEHAVIORAL ADVISORY METHODS FOR SMOKING CESATION IN FAMILY MEDICINE PRACTICE
Selvedina Sarajlić
; Edukativni centar porodične medicine, Dom zdravlja Zenica, 72 000 Zenica, BiH
Nurka Pranjić
orcid.org/0000-0001-6145-1137
; Katedra za medicinu rada, Medicinski fakultet Univerziteta u Tuzli, 75 000 Tuzla, BiH
Sabina Bećirović
; Katedra za medicinu rada, Medicinski fakultet Univerziteta u Tuzli, 75 000 Tuzla, BiH
Senad Huseinagić
; Zavod za javno zdravstvo Zeničko- Dobojskog kantona, 72 000 Zenica, BiH
Sažetak
Introduction The benefits of patient`s cessation smoking are important in any age. The goal of the research is a comparative evaluation and assessment of outcome of the three most commonly used cognitive behavioral- pharmacological interventions during smoking cessation procedures regarding 5A model in the daily work of a family medicine physicians. Methods and patients: The behavioral cognitive intervention of cessation smoking was conducted in a Family medicine centre at the Primary health care home in Zenica among registered patients-smokers aged >17 years, from 2005 to 2009. A total of 8366 interventions were realized counseling. Interventions were carried out in three stages using various activities whose end result quitting recorded and evaluated for each particular: 1 brief interview about smoking status and systematic identification of smoking status in 375 medical records of patients and evaluation of treatment effectiveness (re-test) with repeated activity in the period of 6-12 months later; second individual short-term counseling for a period of 3-10 minutes in the framework of a therapeutic relationship and evaluation of treatment effectiveness (retest) with repeated activity for a period of 6-12 months later, 3 continuous, controlled advising smokers to schedule visits for smoking cessation support to achieve the goal. This method includes five stages: Initiated before thinking, reflection, preparation, action and maintenance of smoking cessation. Effects of continuous counseling smokers to schedule visits were observed in 100 patients, the research group. Results: Applying the results of individual brief counseling in the therapeutic relationship physicianpatient achieves a satisfactory effect of smoking cessation in 11% or 655 of the total of 5984 patients. The best efficiency is achieved by smoking cessation applying continuous, controlled counseling smokers to schedule visits for support because the 55% or 55 out of 100 patients to stop smoking. Conclusion: The gold standard in the fight against smoking is planned promotional continuously advising smokers to schedule a visit.
Ključne riječi
behavioral cognitive intervention for cessation smoking; 5A model; promotional continuously advising method; support activities
Hrčak ID:
112893
URI
Datum izdavanja:
15.7.2013.
Posjeta: 2.226 *