526 Adverse effects of smoking; quitting tobacco

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IntroductionTobacco use is the leading preventable cause of death in the world. Smoking is a real cardio-vascular risk-factor. Risk of death from coronary heart disease is much higher at smokers. One of the most important things is understanding.I set up a 100 patients sample being more and less „heavy smokers’ from the region of Székesfehérvár and the nearby areas.MethodsI applied both the „behavioural support’ (advice, tobacco withdrawal, etc.) and pharmacotherapy (nicotine replacement therapy, bupropion, varenicline, etc.).In both cases I followed the Prohaska’s stages of change-theory: No thought of quitting; Consider quitting; Get ready to quit; Quit; Maintain tobacco-free status; Slip and try again.ResultsA 4 × 3 months period of therapy is being applied. For the time being I’m in the second quarter of my experimental help and support method.Only a few patients succeeded to stop smoking (less than 10%) during the first 3 months.They are now in the „Maintain tobacco-free status’ stage.Afer the summer holidays the treatment will be continued.Hopefully by the beginning of the Dublin-congress I can update this section of my presentation.ConclusionsObviously I can draw the final conclusions at the beginning of the next year (March-April, 2018.). My presentation will comprise all these conclusions and the updated results, as well.As a preliminary experience of mine: this therapy is not easy.Understanding is not enough. Personal stories and one-to-one counselling can help a lot.

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