Атеросклероз (Sep 2014)
Role and opportunities for health Center in correction of risk factors of cardiovascular disease (case study population provision of advice to stop smoking)
Abstract
The purpose of the study – analysis of advice to the adult population smoking cessation in the health center to assess the effectiveness of counseling system «Treatment of the smoker». Materials and methods. Advice on smoking cessation in the department of «Health Center» Tomsk regional clinical hospital is organized in the form of individual and group counseling. Vykipirovka data from medical records of the adult population aged 18–86 years, held in 2012 and 2013 in the (HС) was conducted. All persons handling smokers conducted baseline survey, measurement of carbon monoxide in exhaled air analyzer Micro CO, assessment of the level of nicotine dependence (test Fagerstrema) and questionnaires to determine readiness to quit smoking. Since November 2013 conducted testing using computer consulting system «Treatment smoker» («Research Institute of Pulmonology» FMBA of Russia). Vykipirovka data from the counseling system «Treatment smoker» smoking 98 persons who applied to (HC) from November 2013 to March 2014 was carried out. Results. The prevalence of smoking among men and women attending (HC) Tomsk, GFR was significantly less than nationwide data. Smoking middle-aged women are more likely than male smokers to seek help in quitting smok- ing. As a result, group and individual counseling during the study period had quit smoking 10 % of women and 18 % men. 16 % of women and 21 % men reduced the intensity of smoking. 74 % of women and 61 % continue to smoke. Conclusion. Organization of medical care for smoking cessation in primary care is an extremely promising avenue for prevention and treatment of cardiovascular diseases. Individual counseling with computer-based testing «Treatment smoker» is available form of obtaining preventive advice for people wanting to quit smoking. Using the (CS) improves the quality of care: allows you to automate the entire process of diagnosis smoking status, including determining the type of smoking behavior and smoker index, automates the process of drawing up programs for smoking cessation.
