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Evaluation of Nicotine Dependence Level and Factors Affecting the Success of Smoking Cessation in an Outpatient Clinic
1Department of Family Medicine, Başkent University Faculty of Medicine, Ankara, Turkey
2Department of Pulmonary Diseases, Başkent University Faculty of Medicine, Ankara, Turkey
Eurasian Journal of Pulmonology 2021; 23(3): 152-158 DOI: 10.4103/ejop.ejop_22_21
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AIM: We aimed to determine the sociodemographic characteristics of those who applied to the smoking cessation outpatient clinic and to determine the factors affecting their smoking cessation success.
MATERIALS AND METHODS: A total of 97 people who applied to Başkent University Hospital Family Medicine Smoking Cessation Outpatient Clinic between May 2019 and May 2020 were included in the descriptive cross-sectional study. A questionnaire form including demographic characteristics and smoking history, the Fagerström Test for Nicotine Dependence (FTND), and the Hospital Anxiety and Depression Scale (HADS) were applied to the participants. A pulmonary function test was performed; carbon monoxide (CO) and carboxyhemoglobin (COHb) levels were measured of the participants.
RESULTS: The mean age of the participants was 42.9 ± 11.9, and 56.7% (n = 55) were male. The average number of cigarettes smoked daily was 23.2 ± 10.6, and the duration was 23.2 ± 11.7 years. FTND scores of the participants were determined as 14.4% (n = 14) very low, 18.6% (n = 18) low, 22.7% (n = 22) medium, 21.6% (n = 21) high, and 22.7% (n = 22) very high. The mean of FTND score was 5.4 ± 2.5, and the mean of CO and COHb levels was 11.2 ± 7.0 and 2.4 ± 1.1, respectively (r = 0.345, P = 0.001; r = 0.342, P = 0.001). A positive correlation was found between the FTND and HDS scores of participants and observed that depression scores increased as the level of nicotine addiction increased (r = 0.303, P = 0.003). Finally, 54.6% (n = 53) of the applicants were a quitter. There was a significant relationship between smoking cessation success and the number of drug boxes used in pharmacotherapy (P = 0.005).
CONCLUSION: In this study, the most critical factor affecting smoking cessation success is ensuring that pharmacotherapy is completed within the recommended treatment period.