Background: Nicotine dependence is a health problem that causes more than 5 million deaths annually. The percentage of smokers in ASEAN countries that spread over Indonesia (46,16%) is the highest compared to other countries. Screening and smoking cessation programs offered by doctor plays a pivotal role in helping smokers to quit. This study aims to know the types of smoking cessation programs used at pulmonary center of RSUP Persahabatan and whether the doctors there do nicotine dependence screening and offer smoking cessation programs to their patients who smoke.
Objective:
1. To know the percentage of doctors at pulmonary center of RSUP Persahabatan who do nicotine dependence screening to their patient.
2. To find out the percentage of doctors at pulmonary center of RSUP Persahabatan who offers smoking cessation programs.
3. To know the percentage and the types of smoking cessation programs used by doctors at pulmonary center of RSUP Persahabatan.
Methods: the research was done cross sectionally to 48 doctors at pulmonary center of RSUP Persahabatan in 2017. Nicotine dependence screening, offering, and the types of smoking cessation programs will be assessed using questionnaire.
Results: The results from questionnaire shows that there are 32 doctors (66,7%) who didn’t screen their patient for nicotine dependence. Most of the doctors offered smoking cessation programs (70,8%). The most offered smoking cessation program by specialists at the pulmonary center of RSUP Persahabatan is non-pharmacologic program with a total of 18 respondents (52,94%). Nicotine phararmacotherapy is the least offered smoking cessation program with a total of 9 respondents (26,47%).
Conclusions:
1. A small number of doctors at pulmonary center of RSUP Persahabatan do nicotine dependence screening to their patients (33,3%).
2. Most doctors at pulmonary center of RSUP Persahabatan offer smoking cessation programs to their patients (70,8%).
3. The most offered smoking cessation program are nonpharmacologic therapy (52,94%), followed by combination pharmacotherapy (44,11%), non-nicotine pharmacotherapy (41,17%), and nicotine pharmacotherapy/NRT (26,47%).
4. The screening instruments for nicotine dependence used are FTND (75%), DSM-IV (31,25%), CAGE-AID (31,25%), NDSS (25%), and other instruments that are not included in the questionnaire (18,75%).
5. The types of NRT used are nicotine lozenges (66,67%), nicotine mouth spray (55,56%), nicotine patch (44,45%), and E-cigarette (0%); the types of non-nicotine pharmacotherapy used are varenicline tartrate (85,71%), bupropion (50%), clonidine (28,57%), nortriptyline (14,28%), and N-asetilsistein (14,28%); the types of non-pharmacologic therapy used are hypnotherapy (66,67%), acupuncture, aromatherapy, yoga, cognitive behavioral therapy (respectively 11,11%), cold turkey (5,55%), and fitness (5,55%); the types of combination therapy used are combination of non-nicotine pharmacotherapy and non-pharmacologic therapy (80%), combination of NRT and non-nicotine pharmacotherapy or non-pharmacologic therapy (20%), and combination of 2 types of NRT or more (13,33%). |