Determination of factors affecting smoking cessation success in patients who applied to smoking cessation clinic

Objective: Smoking is a public health concern for the whole society; Although it is intensely struggling with smoking, it is important to determine the factors affecting the success of cessation and to shape the treatment process according to these factors, and to increase the cessation success. The aim of this study was to determine the factors affecting the success of smoking cessation in patients who applied to Dokuz Eylül University, Department of Family Medicine, Smoking Cessation Outpatient Clinic between 2014 and 2017. Methods: This study, which was planned in a cross-sectional analytical study model, was carried out with 630 patients who applied to Dokuz Eylül University, Department of Family Medicine, Smoking Cessation Outpatient Clinic between January 2014 and August 2017. Smoking Cessation Polyclinic Data Form including information about sociodemographic characteristics, smoking history, personal social history, past medical history, current health status and the drugs they use; Fagerstrom Nicotine Dependence Test (FNBT) to determine nicotine dependence; In order to determine the level of anxiety and depression, the Hospital Anxiety Depression Scale (HAD) and Patient Follow-up Data Form were applied, including information about the patients' smoking cessation status, how long they used the treatment method, the side effects of drug treatment, and whether there was a leak after quitting smoking. The data of the study were analyzed by IBM SPSS (statistical package for social sciences) 22.0 package program. In the statistical evaluation of the data; Descriptive analyzes (mean, standard deviation and percentage), chi square analysis, student t test, ANOVA and logistic regression were used. Results: The smoking cessation rate of 630 patients who applied to our smoking cessation clinic was 24.4%. Patients'; age (p = 0.041), educational status (p = 0.038), smoking age (p = 0.004), the amount of cigarettes per day (p = 0.040), the presence of someone who smokes at home (p = 0.000), the level of nicotine addiction high use (p = 0.014), use of varenicline (p = 0.015) and use of bupropion over 3 months (0.000) had a significant effect on smoking cessation success; gender, marital status, duration of smoking, anxiety and depression did not have a significant effect on smoking cessation. The rate of smoking cessation in patients with varenicline use was 31.6% (p = 0.015), 25.0% in bupropion users and 25.0% in patients with NRT. Conclusion: According to the results of this study, it should be considered that it is more difficult to stop smoking in young people, those who start smoking at an early age, those who smoke in their social environment and those with high levels of nicotine addiction. These people should be encouraged with adequate pharmacotherapy, while at the same time, different strategies should be developed in cooperation with the patient for the factors affecting the success of the cessation of the person. Keywords: Smoking, smoking cessation, smoking cessation clinic, success rates