Fatores associados ao grau de dependência à nicotina em pacientes tabagistas internados no Hospital Universitário da UFJF
DOI:
https://doi.org/10.34019/2179-3700.2021.v21.33884Keywords:
Tabagismo. Abandono do uso de tabaco. HospitalizaçãoAbstract
Data that contribute to the identification of the profile of hospitalized smoking patients are important for increase the characterization of the problem, construction and implementation of systematic protocols for the approach and follow-up of this population. The aim of this study was to evaluate the profile of the smoking patient admitted to a University Hospital, according to the degree of nicotine dependence. The recruitment took place at the University Hospital of the Federal University of Juiz de Fora, from May 2017 to January 2019. The nicotine dependence was evaluated via Fagerström Test. 400 individuals were included in the sample, most belonging to the age group between 31 and 60 years. 49.7% of the participants were female. We found a high prevalence of symptoms related to anxiety and depression, evidence of excessive alcohol consumption and higher degree nicotine dependence. The presence of greater dependence on nicotine was more frequent in females (p = 0.06). Depression/anxiety was significantly more prevalent in the high-dependent group (p = 0.04). In addition, this group had a higher degree of fissure (p = 0.00). In the approach to smoking cessation, it is essential to consider the factors that make this population a heterogeneous group, directing it to the profile of the various subgroups, particularly those with higher nicotine dependence.
Keywords: Tobacco use disorder. Smoking cessation. Hospitalization.
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AGUIRRE, Claudia G., et al. Intersectionality in the Prediction of Smoking Outcome Expectancies in Regular Cigarette Smokers. Behavior Modification, vol. 40, n. 1–2, p. 281–302, 5 jan. 2016. DOI 10.1177/0145445515608146. Disponível em: http://journals.sagepub.com/doi/10.1177/0145445515608146. Acesso em: 15 nov. 2020.
AMARAL, Lígia Menezes do. Mensagens de texto como estratégia para o seguimento pós-alta do paciente tabagista: um ensaio clínico randomizado. 197 f. Tese (doutorado em Saúde Coletiva) – Universidade Federal de Juiz de Fora, 2020.
BARRETO, Rafael Balsini., et al. Tabagismo entre pacientes internados em um hospital universitário no sul do Brasil: prevalência, grau de dependência e estágio motivacional. Jornal Brasileiro de Pneumologia, vol. 38, n. 1, p. 72–80, feb. 2012. DOI 10.1590/S1806-37132012000100011.Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132012000100011&lng=pt&tlng=pt. Acesso em: 25 set. 2020.
BUSH, Kristen. The AUDIT Alcohol Consumption Questions (AUDIT-C)An Effective Brief Screening Test for Problem Drinking. Archives of Internal Medicine, vol. 158, n. 16, p. 1789, sep. 1998. Disponível em: https://doi.org/10.1001/archinte.158.16.1789. Acesso em: 16 nov. 2020.
CARDOSO, Diogo Barbalho, et al. Fatores relacionados ao tabagismo e ao seu abandono. Revista de Medicina, vol. 89, n. 2, p. 76–82, 2010. Disponível em: https://doi.org/10.11606/issn.1679-9836.v89i2p76-82. Acesso em: 25 set. 2020.
CAVANAGH, Anna, et al.. Differences in the Expression of Symptoms in Men Versus Women with Depression: A Systematic Review and Meta-analysis. Harvard Review of Psychiatry, vol. 25, no. 1, p. 29–38, 2017. Disponível em: https://doi.org/10.1097/HRP.0000000000000128. Acesso em: 16 nov. 2020.
COSTA, Eleonora Cunha Veiga, et al. Perfil Sócio-demográfico e Clínico de uma Amostra de Fumantes Portugueses: Implicações do Sexo para a Intervenção na Cessação Tabágica. Psicol. teor. pesqui, vol. 32, n. 2, p. e322221--e322221, 2016. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&%0Apid=S0102-37722016000200222. Acesso em: 15 nov. 2020.
DE CASTRO, Maria Da Graça Tanori, et al. Relação entre gênero e sintomas depressivos e ansiosos em tabagistas. Revista de Psiquiatria do Rio Grande do Sul, vol. 30, n. 1, p. 25–30, 2008. Disponível em: https://doi.org/10.1590/S0101-81082008000100008. Acesso em: 16 nov. 2020.
DICLEMENTE, Carlo, et al. The process of smoking cessation: an analysis of
precontemplation, contemplation, and preparation stages of change. Journal of
Consulting and Clinical Psychology, Washington, v. 59, n. 2, p. 295–304, 1991.
DOI: 10.1037//0022-006x.59.2.295.
FAGERSTROM, Karl -Oiov; SCHNEIDER, Nina. Measuring nicotine dependence: A review of the Fagerstrom Tolerance Questionnaire. Journal of Behavioral Medicine, vol. 12, n. 2, p. 159–182, 1989. DOI 10.1007/BF00846549. Disponível em: https://doi.org/10.1007/BF00846549. Acesso em: 16 nov. 2020.
GARCIA, Thaís, et al. Evaluation of smoking cessation treatment initiated during hospitalization in patients with heart disease or respiratory disease. Jornal Brasileiro de Pneumologia, vol. 44, n. 1, p. 42–48, 2018. Disponível em: https://doi.org/10.1590/S1806-37562017000000026. Acesso em: 15 nov. 2020.
GWALTNEY, Chad J.; METRIK, Jane; KAHLER, Christopher W.; SHIFFMAN, Saul. Self-Efficacy and Smoking Cessation: A Meta-Analysis. Psychology of Addictive Behaviors, vol. 23, n. 1, p. 56–66, 2009. Disponível em: https://doi.org/10.1037/a0013529. Acesso em: 15 nov. 2020.
HUGHES, John R; HATSUKAMI, Dorothy. Signs and Symptoms of Tobacco Withdrawal. Archives of General Psychiatry, vol. 43, n. 3, p. 289–294, 1 mar. 1986. DOI 10.1001/archpsyc.1986.01800030107013. Disponível em: https://doi.org/10.1001/archpsyc.1986.01800030107013. Acesso em: 3 nov. 2020.
Instituto Nacional de Câncer (INCA). Organização Pan Americana da Saúde. Pesquisa especial de Tabagismo – PETab: relatório Brasil. Rio de Janeiro: INCA; 2011.
LÖWE, Bernd, et al. A 4-item measure of depression and anxiety: Validation and standardization of the Patient Health Questionnaire-4 (PHQ-4) in the general population. Journal of Affective Disorders, vol. 122, n. 1–2, p. 86–95, 2010. DOI 10.1016/j.jad.2009.06.019. Disponível em: http://dx.doi.org/10.1016/j.jad.2009.06.019. Acesso em: 3 nov. 2020.
MÉNDEZ, Eduardo Brod. Uma versão brasileira do AUDIT: Alcohol Use Disorders Identification Test [thesis]. Pelotas: Universidade Federal de Pelotas; 1999.
MUSSULMAN, Laura, et al. Rapid relapse to smoking following hospital discharge. Preventive Medicine Reports, vol. 15, n. XX. November. 2018, p. 100891, 2019. DOI 10.1016/j.pmedr.2019.100891. Disponível em: https://doi.org/10.1016/j.pmedr.2019.100891. Acesso em: 15 nov. 2020.
PANG, Raina, et al. Gender differences in negative reinforcement smoking expectancies. Nicotine and Tobacco Research, vol. 17, n. 6, p. 750–754, 2015. Disponível em: https://doi.org/10.1093/ntr/ntu226. Acesso em: 3 nov. 2020.
REICHERT, Jonatas, et al. Diretrizes da SBPT Diretrizes para cessação do tabagismo – 2008. J Bras Pneumol, vol. 34, n. 10, p. 845–880, 2008. .
RIGOTTI, Nancy A, et al. A Post-Discharge Smoking-Cessation Intervention for Hospital Patients. American Journal of Preventive Medicine, vol. 51, n. 4, p. 597–608, 2016. DOI 10.1016/j.amepre.2016.04.005. Disponível em:: http://linkinghub.elsevier.com/retrieve/pii/S0749379716300976. Acesso em: 25 set. 2020.
ROJEWSKI, Alana, et al. Considering Systemic Barriers to Treating Tobacco Use in Clinical Settings in the United States. Nicotine and Tobacco Research, vol. 21, n. 11, p. 1453–1461, 2019. Disponível em: https://doi.org/10.1093/ntr/nty123. Acesso em: 25 set. 2020.
RONZANI, Telmo Mota; ANTONIO, Fernando; COLUGNATI, Basile. Prevalence and Treatment of Tobacco Use among Patients Being Treated for Mental Disorders. Psicología, Conocimiento y Sociedad, vol. 10, n. 2, p. 101–122, 1 sep. 2020. DOI 10.26864/PCS.v10.n2.5. Disponível em:: https://revista.psico.edu.uy/index.php/revpsicologia/article/view/549/429. Acesso em: 2 dez. 2020.
SALES, Maria Penha Uchoa, et al. Atualização na abordagem do tabagismo em pacientes com doenças respiratórias. J Bras Pneumol, vol. 45, n. 3, p. 1–17, 2019.
VAN DER MEER, Regina, et al. Smoking cessation interventions for smokers with current or past depression. Cochrane Database of Systematic Reviews, 21 aug. 2013. DOI 10.1002/14651858.CD006102.pub2. Disponível em: http://doi.wiley.com/10.1002/14651858.CD006102.pub2. Acesso em: 25 set. 2020.
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Copyright (c) 2021 Isabel Cristina Gonçalves Leite, Isabella Oliveira Lanzieri, Lígia Menezes do Amaral, Mônica Souza dos Santos, Rafaela de Oliveira Andrade
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