Cheng Hui Mei, Liu Wen Chun, Chua Germaine, Liew Choon Fong, Li Winnie, Choo Winnie, Oon Hazel H
Department of Dermatology, National Skin Centre, Singapore.
Diabetes and Endocrine Centre, Raffles Hospital, Singapore.
Singapore Med J. 2019 Jan;60(1):31-33. doi: 10.11622/smedj.2018063. Epub 2018 May 18.
Cigarette smoking is a leading cause of morbidity and mortality, and has a deleterious effect on dermatological conditions, such as skin cancers, hidradenitis suppurativa and psoriasis. The study aimed to evaluate the efficacy of a pharmacist-led smoking cessation clinic in reducing cigarette smoking at a tertiary referral dermatology centre. We described the impact of this clinic to provide guidance on how such a model could be further improved and implemented more widely.
In this single-centre, retrospective study, 74 currently smoking patients who received counselling at a structured smoking cessation clinic between January 2010 and March 2013 were identified. Information on baseline demographic characteristics and detailed past medical history, including smoking history, was collected. Follow-up was conducted at two weeks and three months.
At the first follow-up at two weeks, which was attended by 57 patients, 9 (15.8%) had stopped smoking and 26 (45.6%) showed reduction in the number of cigarette sticks smoked per day, with an average reduction of 4.1 cigarette sticks per day. However, a few patients also reported no change or increased number of cigarette sticks smoked per day following counselling.
A structured pharmacist-led smoking cessation clinic is effective and can be made a part of the holistic management of dermatological conditions.
吸烟是发病和死亡的主要原因，对皮肤病如皮肤癌、化脓性汗腺炎和银屑病有不良影响。本研究旨在评估在一家三级转诊皮肤科中心由药剂师主导的戒烟诊所减少吸烟的效果。我们描述了该诊所的影响，以指导如何进一步改进并更广泛地实施这种模式。
在这项单中心回顾性研究中，确定了2010年1月至2013年3月期间在一家结构化戒烟诊所接受咨询的74名当前吸烟患者。收集了关于基线人口统计学特征和详细既往病史（包括吸烟史）的信息。在两周和三个月时进行随访。
在两周时的首次随访中，57名患者参与，9名（15.8%）已戒烟，26名（45.6%）每天吸烟量减少，平均每天减少4.1支。然而，也有少数患者报告咨询后每天吸烟量无变化或增加。
由药剂师主导的结构化戒烟诊所是有效的，可成为皮肤病整体管理的一部分。
