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Rev. méd. Chile ; 141(3): 345-352, mar. 2013. ilus
Artigo em Espanhol | LILACS | ID: lil-677343

RESUMO

Background: Therapies to quit smoking are based on counseling, psychological therapy (PT), nicotine replacement therapy, bupropion or varenidine. Aim: To report the results of a multidisciplinary program to quit smoking Material and Methods: Patients agedl8years or more, motivated to quit smoking were admitted in a program based in counseling and PT, with or without pharmacological therapy. They were assessed by telephone during one year offollow up. Patients with unstable psychiatric diseases were excluded. Results were considered as "successful" when patients maintained abstinence during the year offollow up. A logistic regression analysis was done to identify factors associated with treatment success. Results: Between 2005 and 2011, 198 patients aged 45 ± 11 years (56% males), who smoked 31.5 ± 20.6 packages/year, were treated. Ofthese, 155 (78%) were treated with varenidine, 26 (13%) with bupropion and 17 (9%>) did not receive pharmacological therapy. One hundred sixty eightpatients completed the year offollow up. In 82 (49%>), treatment was successful and was negatively associated with a history of depression (odds ratio = 4 (95% confidence intervals 1.23-38.33). The main side effeets associated to varenidine and bupropion were nausea in 37 and 23%o, sleep disorders in 20 and 19%o and headache in 12 and 0%>, respectively Conclusions: A multidisciplinary program to quit smoking achieved a 49%> of abstinence during a year offollow up.


Assuntos
Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem , Benzazepinas/uso terapêutico , Bupropiona/uso terapêutico , Terapia Cognitivo-Comportamental , Agonistas Nicotínicos/uso terapêutico , Equipe de Assistência ao Paciente , Quinoxalinas/uso terapêutico , Abandono do Hábito de Fumar/métodos , Fumar/terapia , Benzazepinas/efeitos adversos , Bupropiona/efeitos adversos , Terapia Combinada/métodos , Estudos Transversais , Agonistas Nicotínicos/efeitos adversos , Avaliação de Programas e Projetos de Saúde , Quinoxalinas/efeitos adversos , Fatores Socioeconômicos , Resultado do Tratamento
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