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Svårt implementera avvänjning från tobak i ordinarie vårdrutin
Engelsk titel: Difficult to implement tobacco use cessation in the regular care routine Läs online Författare: Hjalmarson, Agneta ; From Attebring, Mona ; Herlitz, Johan Språk: Swe Antal referenser: 12 Dokumenttyp: Artikel UI-nummer: 12077160

Tidskrift

Läkartidningen 2012;109(26-28)1290-3 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

A smoking cessation intervention incorporated into routine care for patients awaiting elective coronary angiography was evaluated. In a pilot trial (n=45), counseling was first given when patients came to the clinic for their final check-up before their scheduled angiography. In the intervention study (n=118) initial counseling was given 1-2 days after the check-up over the telephone. At 6-months the self-reported cessation rates were 30% for smokers and 36% for snus users. Patients who did not respond to the follow-up were considered to have continued to use tobacco. Only half of patients offered treatment accepted follow-up support, and of these patients 50% stopped using tobacco. More patients in the pilot study accepted follow-up support but it was logistically difficult to fit face-to-face counseling into the final check-up before angiography. Giving smoking cessation the same status as other health care treatments could lead to an increase in patient acceptance of cessation therapy.