_tobacco use and dependence a clinical practice 处理烟草使用和依赖的临床实践课件

Treating Tobacco Use and Dependence: A Clinical Practice Guideline . Date1Smoking cessation smoking program Date2Smoking cessation Date3Smoking cessation 4 42 42,000 115 5 4 11,000 420 1 2 40,000 Tobacco or Health: A global status report. WHO,1997 Date4Smoking cessation 4 42 Date5Smoking cessation Date6Smoking cessation Pierce JP,et al. J Natl Cancer Inst 1991;83:1008-13. Date7Smoking cessation Sexual content of advertisement and the smoking process in adolescents Raul H Sansores,et al Chest 2002; 121(6):2016-22. Date8Smoking cessation “ High percentage of adolescent perceived sexual content in tobacco advertisement,.plays a role in the process of smoking,especially in male adolescent” Chest 2002;121(6):2016-22. Date9Smoking cessation “Smoking initiation at an early age is associated with greater cigarette consumption,and lower cumulative probability of quitting” Breslau N,Peterson EL. Am J Public Health 1996;86:214-20. Date10Smoking cessation 1995 23 % 1 25 / Date11Smoking cessation Date12Smoking cessation . . Stress Learning Theory Pavlov Nicotine Date13Smoking cessation 1. genetics, neurotransmitter 2. 3. Date14Smoking cessation Date15Smoking cessation trigger smoking 1. Trigger/ avoiding 2. Through / though stopping technique 3. Craving 4. Smoking Date16Smoking cessation Tobacco Use Features of chronic diseaseFeatures of chronic disease Minority of tobacco users permanent abstinence Majority persist, multi periods of relapse remission Relapse is common that reflects the nature of dependence, not their own or their patients failure Date17Smoking cessation Smoking Cessation Treatment Essential treatment skills Standard of good practice Extremely cost-effective relative to other common disease preventions and medical treatments Date18Smoking cessation US Public Health Service 1. Nature of Tobacco dependence 2. Effective treatments exist 3. Role of clinicians and health care systems 4. Brief tobacco dependence treatment is effective 5. Correlation between intensity of smoking counseling 3244-54. Date44Smoking cessation Multiple pharmacotherapy