외래 진료에서 금연요법의 실제
Smoking Cessation in Outpatient Setting
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초록
니코틴 중독은 모든 약물 의존 중 가장 유병률이 높고, 의학적, 사회적 그리고 정서적인 값을 치르게 하는 치료가 힘든 약물 중독의 하나이다. 금연의 필요성에 대해 반복적으로 충고하고 지지해주고 추적관찰 하는 것이 가장 비용-효과적인 방법이라고 할 수 있다. 잘 훈련된 의사에 의해 외래에서 체계적으로 계획된 금연 프로그램이 시행된다면 그 효과는 매우 크리라 본다.
Abstract
Cigarette smoking is one of the most common but preventable risk factors of morbidity and mortality of diseases. Since the prevalence of smoking is higher in psychiatric patients than the general population and physicians are uniquely poised to assist patients who smoke, only about half of current smokers report having ever been asked about smoking status or urged to quit and fewer still have received specific advice on how to quit smoking successfully. Since clinicians are not capitalizing fully on this unique opportunity and two major guidelines on smoking cessation were developed by Agency for Health Care Policy and Research(AHCPR) and American Psychiatric Association(APA), complementing each other in providing more comprehensive recommendations on smoking cessation, we reviewed some of strategies and therapies useful in smoking cessation in outpatient setting.