Department of Family Medicine, School of Medicine, Kafkas University, 36000 Kars, Turkey.
Centre of Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Parkville, VIC 3052, Australia.
Int J Environ Res Public Health. 2024 Mar 7;21(3):310. doi: 10.3390/ijerph21030310.
The aim of this study was to identify the determinants of smoking cessation outcomes and reasons for relapse following smoking cessation treatment. Using a mixed-method design, 179 patients were recruited from the Smoking Cessation outpatient clinic of Ankara Numune Training and Research Hospital between May 2016 and May 2017. Quantitative data were collected via questionnaires or from patient files and qualitative data were obtained via 5 focus group interviews with 28 patients who relapsed to smoking following treatment. The success rate of the smoking cessation clinic at the end of one year was 26%. The number of applications to the clinic was significantly higher in the group who quit smoking. Treatment success was found to be higher in the group that applied behavioral recommendations. In focus group interviews with patients who relapsed, the most common causes were stressful events, especially workplace problems and serious health problems experienced by relatives. The presence of smokers in the immediate vicinity increased the risk of relapse. It was concluded that not stopping treatment before the recommended period, continuity in follow-up appointments, support of the environment, support of pharmacotherapy with cognitive behavioral therapy and improving patients' coping skills were important.
本研究旨在确定戒烟治疗后戒烟结果的决定因素和复吸的原因。采用混合方法设计，于 2016 年 5 月至 2017 年 5 月从安卡拉努姆内培训和研究医院戒烟门诊招募了 179 名患者。通过问卷或患者档案收集定量数据，并通过对 28 名治疗后复吸的患者进行 5 次焦点小组访谈获得定性数据。一年后戒烟门诊的成功率为 26%。戒烟组来就诊的人数明显较多。在应用行为建议的组中，治疗成功率更高。在与复吸患者的焦点小组访谈中，最常见的原因是压力事件，尤其是工作场所问题和亲属的严重健康问题。周围有吸烟者会增加复吸的风险。结论认为，在推荐的治疗时间之前不停止治疗、随访预约的连续性、环境的支持、认知行为疗法辅助药物治疗以及提高患者应对技巧都很重要。
