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Results of a smoking cessation program in primary care

Published online by Cambridge University Press:  23 March 2020

H. de la Red Gallego*
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
Y. González Silva
Affiliation:
Plaza del Ejército Health Center, Primary Care, Valladolid, Spain
T. Montero Carretero
Affiliation:
Plaza del Ejército Health Center, Primary Care, Valladolid, Spain
Á. Delgado de Paz
Affiliation:
Plaza del Ejército Health Center, Primary Care, Valladolid, Spain
M.F. Sánchez Añorga
Affiliation:
Plaza del Ejército Health Center, Primary Care, Valladolid, Spain
E. Cañibano Maroto
Affiliation:
Plaza del Ejército Health Center, Primary Care, Valladolid, Spain
G. Isidro García
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
A. Álvarez Astorga
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
A. Alonso Sánchez
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
M. Martín Fernández
Affiliation:
Toreno Health Center, Primary Care, Toreno, Spain
A. Álvarez Hodel
Affiliation:
Valladolid Oeste, Primary Care, Valladolid, Spain
I. Pérez González
Affiliation:
Casa del Barco Health Center, Primary Care, Valladolid, Spain
S. Nieto Sánchez
Affiliation:
Casa del Barco Health Center, Primary Care, Valladolid, Spain
S. Calvo Sardón
Affiliation:
Parquesol Health Center, Primary Care, Valladolid, Spain
I. González Gurdiel
Affiliation:
Páramo del Sil Health Center, Primary Care, Páramo del Sil, Spain
R. Hernández Antón
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
S. Gómez Sánchez
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
C. Noval Canga
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
M.S. Hernández García
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
L. Rodríguez Andrés
Affiliation:
Clinical Universitary Hospital, Psychiatry, Valladolid, Spain
*
* Corresponding author.

Abstract

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Introduction

Smoking is an addictive and chronic disease. Twenty-four percent of the Spanish population in 2012 smoked daily.

Aims and objectives

To evaluate a smoking cessation program in a Primary Care Center.

Methods

Observational, prospective study. We describe an individualized smoking cessation in Plaza del Ejército Health Center (Valladolid). Inclusion criteria: active smoker, ≥ 18 years old and belonging to the Health Center. Exclusion: severe mental illness. Included patients from November 2013 until January2014. Ended in July 2014. Four Medical residents participated, we present the results of one of them. During the first consultation motivational interviewing was conducted, physical examination and treatment was prescribed (cognitive behavioral therapy or drug treatment: varenicline). In subsequent consultations interview and follow-up. Variables: age, gender, pack-years, nicotine dependence (Fagerstrom) and Prochaska and DiClemente phase, weight, treatment used, dropout rate and final withdrawal of snuff.

Results

Eleven patients, mean age 48.18 (13.61), 7 (63.6) women. Comorbidity: 6 (54.5) anxious-depressive pathology, 1 (9.1) dysthymia, 2 (18.2) endocrine pathology and 1 (9.1) respiratory disease. Four (36.4) showed high dependency and 2 (18.2) extreme. Media packages 20.50/year (19,20). Seven (63.6) were in action phase of Prochaska and DiClemente and 2 (18.2) in preparation. Visits range: 1-11. The average was 4.55 (3.64). Three (27.27) patients attended only the first visit. Four (36.4) achieved complete abstinence, 3 (27.27) met maintenance phase. One (9.1) reduced consumption in half. Patients gained average 0.5 kg (2.47).

Conclusions

The results are similar to those reported in other series. Modest dropout rate. No pharmacological treatment was used due to high coexistence of comorbidities, the only patient who used varenicline suffered insomnia. Average age and media packages were superior to other series.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
EV29
Copyright
Copyright © European Psychiatric Association 2016
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