Samtal om tobak och kvalificerad rökavvänjning – sjukdomsförebyggande arbete i klinisk praxis
Engelsk titel: Communication about tobacco and qualified smoking cessation - disease prevention work in clinical practice
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Författare:
Larsson, Mats
Email: matz.larsson@regionorebrolan.se
Språk: Swe
Antal referenser: 24
Dokumenttyp:
Artikel
UI-nummer: 17060258
Sammanfattning
Smoking-cessation support and anti-tobacco-legislation have the potential to generate substantial health improvements, and reduce socioeconomic differences. It is exceedingly cost-effective. Current smoking is an important risk-indicator, influencing prognosis and treatment e.g. in patients with rheumatoid arthritis, heart disease, air-way diseases, and before elective surgery. Raising the question timely, empathy and professional support are crucial factors. It is essential to ask and document tobacco habits of all patients, including ex-smokers and never users. Behavioral counseling and pharmacotherapy, given in combination, significantly increase long-term abstinence rates. First-line pharmacotherapy to support quit attempts are nicotine replacement therapy, bupropion and varenicline. Health-care professionals are trusted and have unique possibilities to raise the tobacco issue in meetings with patients and in the society debate.