Sigara İçenlerde Psikolojik Bağımlılığın ve Sigara İçme İsteğinin Bırakma Başarısı Üzerine Etkisinin Değerlendirilmesi

Abstract

Aim: Psychological dependence and smoking desire are as important as physical dependence on smoking. \nThe aim of this study is to evaluate the effects of the addiction levels and smoking urge of people who want \nto quit smoking on their success. \nPatients and Methods: This study, which is a cross-sectional analytical study, was conducted people who \napplied to a smoking cessation clinic between 10 January 2020 - 30 April 2020. Sociodemographic information \nform, the Fagerstrom Nicotine Dependence Test (FNDT) and the Test for the Assessment of the Psychological \nAddiction of Smoking (APAS) were applied and CO levels were measured. Motivational interviews were made \nand treatments were arranged if necessary. The Carbon monoxide (CO) levels of the patients who were called \nfor control one month later were measured and the Questionnaire of Smoking Urges (QSU) was applied. \nThose with a CO level of 5 ppm and above were considered to be unable to quit smoking. \nResults: The average age of 176 patients participating in the study was 37.68±11.89 years and 81.3% were \nmale. The mean of cigarette consumption per pack was 23.42±16.06, the average FNDT was 6.13±2.39 \nand the CO was 13.33±6.31 ppm. APAS scale mean score was 15.19±2.63 points. According to the FNDT \nscore, 41.5% of the patients were highly dependent, and 6.8% according to the APAS score were severely \ndependent. Control CO level of the patients who came for control one month later was found to be 5.03±3.03 \nppm. Accordingly, 67.6% of the patients could not quit smoking, and the mean QSU score was 33.56±15.71. \nFNDT, APAS and QSU scale mean scores of those who quit smoking were statistically significantly lower than \nthose who did not quit smoking (p=0.015, p<0.001 and p=0.025, respectively). \nConclusion: Those who are high psychological dependence to smoking have low success to quitting smoking. \nPsychological addiction such as nicotine addiction of those who apply to smoking cessation clinics should be \nevaluated and ways of coping with smoking desire should be expl ained during motivational interviews.