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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La intervenci&#243;n m&#237;nima &#40;IM&#41; sobre el tabaquismo se ha mostrado como una forma eficaz de conseguir el abandono del h&#225;bito tab&#225;quico en la poblaci&#243;n general&#46; Se fundamenta en el consejo m&#233;dico a cada paciente fumador&#44; con informaci&#243;n complementaria de los efectos del tabaquismo sobre el organismo y las formas de abandonar el h&#225;bito tab&#225;quico&#46; La poblaci&#243;n de pacientes que consulta por enfermedad neumol&#243;gica puede ser especialmente receptiva a la IM&#44; ya que la frecuente relaci&#243;n entre su sintomatolog&#237;a y el h&#225;bito tab&#225;quico puede aumentar la motivaci&#243;n para el abandono&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Se ha aplicado un protocolo de IM sobre el tabaquismo en 285 fumadores visitados en una consulta extrahospitalaria de neumolog&#237;a&#46; 208 fumadores &#40;grupo A&#41; recibieron consejo m&#233;dico y educaci&#243;n sanitaria&#44; con ofrecimiento de seguimiento ulterior&#46; Setenta y siete fumadores &#40;grupo B&#41; recibieron la misma IM suplementada con el ofrecimiento de terapia farmacol&#243;gica de soporte con chicle de nicotina 2 mg&#44; y explicaci&#243;n de su forma de utilizaci&#243;n&#46; Al a&#241;o de la IM los pacientes fueron contactados telef&#243;nicamente para precisar el n&#250;mero de abstinentes&#44; y se corrigi&#243; la cifra obtenida seg&#250;n el &#237;ndice de veracidad de la respuesta telef&#243;nica positiva a abstinencia &#40;71&#44;4&#37;&#41;&#46; Un total de 71 &#40;24&#44;9&#37;&#41; fumadores no fueron localizados telef&#243;nicamente por cambio de domicilio&#44; tel&#233;fono err&#243;neo&#44; fallecimiento o ausencia de tel&#233;fono en el propio domicilio&#46; El n&#250;mero estimado de abstinentes en el grupo A fue de 31&#44;5&#47;160 &#40;19&#44;7&#37;&#41;&#44; y en el grupo B de 8&#44;6&#47;54 &#40;15&#44;9&#37;&#41; &#40;diferencia no significativa&#44; test de la &#967;2&#41;&#46; El grupo B s&#243;lo utiliz&#243; el chicle de nicotina de forma terap&#233;uticamente significativa en un 11&#44;0&#37; de los casos&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se concluye que la eficacia de la IM en la consulta extrahospitalaria de neumolog&#237;a es elevada&#46; El grado de utilizaci&#243;n de la terapia de soporte con chicle de nicotina en una poblaci&#243;n no seleccionada es bajo&#44; lo que sugiere que la utilizaci&#243;n de chicle de nicotina probablemente debe reservarse para los fumadores con elevada motivaci&#243;n&#47;dependencia&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Brief intervention &#40;BI&#41; in smoking has been shown to be an effective way of stopping smoking in the general polulation&#46; BI involves medical advice given to each smoking patient&#44; with complementar&#41; information on the effects of smoking on the body and methods of giving up the habit&#46; Patients who come to the clinic with respiratory disease may be especially receptive to BI since the strong link between their symptoms and smoking may increase their motivation for cessation&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">A BI protocol on smoking was applied in 285 smokers seen in an outpatient pneumological clinic&#46; Two hundred eight smokers &#40;group A&#41; received medical advice and health care education with the offer of follow up&#46; Seventy-seven smokers &#40;group B&#41; received the same BI protocol&#44; with the offer of support treatment with nicotine gum &#40;2 mg&#41; and an explanation as to its use&#46; One year after BI the patients were contacted by telephone to determine the number of non-smokers&#44; with the result adjusted according to the truth index &#40;71&#46;4&#37;&#41; known for telephone response in this context&#46; A total of 71 &#40;24&#46;9&#37;&#41; smokers were not located by telephone due to change of address&#44; wrong number&#44; exitus or lack of telephone&#46; The estimated number of non-smokers in group A was 31&#46;5&#47;160 &#40;19&#46;7&#37;&#41; and 8&#46;6&#47;54 &#40;15&#46;9&#37;&#41; &#40;non significant difference&#44; chi square test&#41;&#46; Group B&#39;s use of nicotine gum was therapeutically significant in 11&#46;0&#37; of the cases&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">We conclude that the efficacy of BI in the out-patient pneumological clinic is high&#46; The rate of use of nicotine gum support therapy in an unselected population is low&#44; thus suggesting that its use should probably be reserved for smokers with a high motivation&#47;dependence&#46;</p></span>"
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Vol. 30. Issue 1.
Pages 12-15 (January 1994)
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Vol. 30. Issue 1.
Pages 12-15 (January 1994)
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Intervención mínima sobre el tabaquismo en la consulta neumológica extrahospitalaria
Brief intervention in smoking in consultation for respiratory symptoms in the clinical setting
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3343
E. Monsó*, A. Rosell, E. Pujol, J. Ruiz, A. Fabregat, J. Morera
Servicio de Neumología. CAP II Santa Coloma de Gramenet. Hospital Germans Trias i Pujol. Badalona. Regió Sanitaria Barcelonés Nord i Maresme
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La intervención mínima (IM) sobre el tabaquismo se ha mostrado como una forma eficaz de conseguir el abandono del hábito tabáquico en la población general. Se fundamenta en el consejo médico a cada paciente fumador, con información complementaria de los efectos del tabaquismo sobre el organismo y las formas de abandonar el hábito tabáquico. La población de pacientes que consulta por enfermedad neumológica puede ser especialmente receptiva a la IM, ya que la frecuente relación entre su sintomatología y el hábito tabáquico puede aumentar la motivación para el abandono.

Se ha aplicado un protocolo de IM sobre el tabaquismo en 285 fumadores visitados en una consulta extrahospitalaria de neumología. 208 fumadores (grupo A) recibieron consejo médico y educación sanitaria, con ofrecimiento de seguimiento ulterior. Setenta y siete fumadores (grupo B) recibieron la misma IM suplementada con el ofrecimiento de terapia farmacológica de soporte con chicle de nicotina 2 mg, y explicación de su forma de utilización. Al año de la IM los pacientes fueron contactados telefónicamente para precisar el número de abstinentes, y se corrigió la cifra obtenida según el índice de veracidad de la respuesta telefónica positiva a abstinencia (71,4%). Un total de 71 (24,9%) fumadores no fueron localizados telefónicamente por cambio de domicilio, teléfono erróneo, fallecimiento o ausencia de teléfono en el propio domicilio. El número estimado de abstinentes en el grupo A fue de 31,5/160 (19,7%), y en el grupo B de 8,6/54 (15,9%) (diferencia no significativa, test de la χ2). El grupo B sólo utilizó el chicle de nicotina de forma terapéuticamente significativa en un 11,0% de los casos.

Se concluye que la eficacia de la IM en la consulta extrahospitalaria de neumología es elevada. El grado de utilización de la terapia de soporte con chicle de nicotina en una población no seleccionada es bajo, lo que sugiere que la utilización de chicle de nicotina probablemente debe reservarse para los fumadores con elevada motivación/dependencia.

Brief intervention (BI) in smoking has been shown to be an effective way of stopping smoking in the general polulation. BI involves medical advice given to each smoking patient, with complementar) information on the effects of smoking on the body and methods of giving up the habit. Patients who come to the clinic with respiratory disease may be especially receptive to BI since the strong link between their symptoms and smoking may increase their motivation for cessation.

A BI protocol on smoking was applied in 285 smokers seen in an outpatient pneumological clinic. Two hundred eight smokers (group A) received medical advice and health care education with the offer of follow up. Seventy-seven smokers (group B) received the same BI protocol, with the offer of support treatment with nicotine gum (2 mg) and an explanation as to its use. One year after BI the patients were contacted by telephone to determine the number of non-smokers, with the result adjusted according to the truth index (71.4%) known for telephone response in this context. A total of 71 (24.9%) smokers were not located by telephone due to change of address, wrong number, exitus or lack of telephone. The estimated number of non-smokers in group A was 31.5/160 (19.7%) and 8.6/54 (15.9%) (non significant difference, chi square test). Group B's use of nicotine gum was therapeutically significant in 11.0% of the cases.

We conclude that the efficacy of BI in the out-patient pneumological clinic is high. The rate of use of nicotine gum support therapy in an unselected population is low, thus suggesting that its use should probably be reserved for smokers with a high motivation/dependence.

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Copyright © 1994. Sociedad Española de Neumología y Cirugía Torácica
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