CONFERENCE PROCEEDING
Impact of tobacco cessation clinic based “brief advice” on quitting among patients of a tertiary cardiac care hospital in Bangladesh
 
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Department of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh
CORRESPONDING AUTHOR
Shamim Jubayer   

Department of Epidemiology and Research, National Heart Foundation Hospital and Research Institute, Dhaka, Bangladesh
Publication date: 2021-09-02
 
Tob. Induc. Dis. 2021;19(Suppl 1):A195
 
KEYWORDS
ABSTRACT
Introduction:
Bangladesh is a country with high tobacco-related disease burden however clinic-based tobacco cessation services has not evolved accordingly. Tobacco cessation clinic was established at National Heart Foundation Hospital and Research Institute (NHFH&RI) in 2013 and since then the clinic is providing cessation service to its patients.

Objectives:
This study was done to evaluate the impact of clinic-based cessation service on quitting among the patients.

Methods:
A referral system was established among the doctors of in-patient and out-patient departments to know the history of tobacco use. Doctors would ask the detected tobacco users to refrain from it and query whether s/he needs any further counselling. On the patient’s agreement, they were referred to the cessation clinic by filling a form. In tobacco cessation, clinic patients were evaluated for their level of nicotine dependence. Then a trained counsellor explained the health hazard of tobacco use and benefits of quitting. Then patients were followed up over telephone after one and six months to know their status.

Results:
661 registered patients were counselled (mostly behavioral counselling). The mean age of the respondents was 40.5 years, all are male and have had a history of smoking tobacco. Among them, 628 had at least one follow-up and 133 patients quitted within this period with a quit rate of 21.3%. 108 of them quitted within six month and other 25 took more than six months. 4 of the patients (0.6%) did agree to take drug varenicline (0.5mg) for 12 weeks but they didn’t quiet.

Conclusion(s):
For sustainable cessation service, repeated advocacy with physician’s tobacco cessation? needs to be done. As people are more accepting of the advice by health professionals, a systematic cessation intervention may strengthen patients’ motivation for quitting tobacco.

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