Hygiena 2018, 63(2):45-49 | DOI: 10.21101/hygiena.a1611

Analysis of work and problems in the provision of smoking cessation in counseling centers for smoking cessation at the Regional Public Health Authorities in the Slovak republic

Eva Onačillová1, Viola Vargová2
1 Univerzita P. J. Šafárika Košice, Ústav verejného zdravotníctva, Lekárska fakulta, Košice, Slovenská republika
2 Univerzita P. J. Šafárika a Univerzitná nemocnica L. Pasteura, I. interná klinika, Lekárska fakulta, Košice, Slovenská republika

Introduction: Non-smoking promotion including assistance in quitting, should be provided by qualified health professionals. The aim of the research was to find a level of effectiveness of the implementation of non-smoking promotion in counseling centers for smoking cessation at the Regional Public Health Authorities (RPHA).

Material and Methods: Data were obtained from the representatives of the advisory smoking cessation centers (ASC) at RPHA contacted by email request. The request was sent to all 34 ASC in the Slovak Republic, of which 94.1% (n = 32) responded. Data were collected from March 2013 until January 2014.

Results: 93.6% of ASC use the smokerlyzer, only 51.6 % use the spirometer, and only 6 % ASC´s own specialized equipment for the objectification of smoking habits. Up to 69 % ASC´s reported no cooperation with general practicioners (GP´s). Up to 53% of the ASC reported the main problem in providing counseling, reported up to 53% of the ASC, to be the problem with motivation and self-discipline of clients. 25% of the ASC´s reported inadequate personnel and material equipment.

Discussion: The effectiveness of the implementation of the promotion of non-smoking by counseling centers for smoking cessation is insufficient. The main problems in providing advice in ASC included problems with motivation of patients, low level of cooperation with general practicioners or insufficient material-technical equipment and staffing, especially a psychologist.

Conclusion: In practice, for better help and higher motivation of patients to stop smoking, it would be helpful to add sufficient equipment for the objectification of smoking habits, staffing in the form of a psychologist, legally regulated cooperation between ASC´s and general practitioners, or partial reimbursement of medicaments, for example, nicotine replacement therapy by health insurance groups. We suppose that by these means we can achieve many health and economic benefits for society.

Keywords: tobacco smoking, therapy of smoking habit, Slovak Republic

Published: June 30, 2018  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Onačillová E, Vargová V. Analysis of work and problems in the provision of smoking cessation in counseling centers for smoking cessation at the Regional Public Health Authorities in the Slovak republic. Hygiena. 2018;63(2):45-49. doi: 10.21101/hygiena.a1611.
Download citation

References

  1. Media centre [Internet]. Geneva: World Health Organization; 2015 [updated 2015 Jul; cited 2017 Aug 8]. Tobacco. Fact Sheet No. 339. Available from: http://www.who.int/mediacentre/factsheets/fs339/en/.
  2. Health status. Chapter 3. In: OECD. Health at a glance 2015: OECD indicators. Paris: OECD Publishing; 2015. p. 45-66.
  3. WHO report on the global tobacco epidemic, 2017 [Internet]. Geneva: World Health Organization; 2017 [cited 2017 Aug 8]. Country profile Slovakia. Available from: http://www.who.int/tobacco/surveillance/policy/country_profile/svk.pdf.
  4. Úrad verejného zdravotnícva Slovenskej republiky [Internet]. Bratislava: ÚVZ SR; 2017 [cited 2017 Sep 17]. Otázky a odpovede na tému fajčenie. Available from: http://www.uvzsr.sk/index.php?option=com_content&view=article&id=338:otazky-a-odpovede-na-temu-fajenie&catid=61:problematika-fajenia-a-alkoholu&Itemid=68.
  5. Rozšírenosť užívania drog na Slovensku a názory občanov spojené s drogovou závislosťou. Bratislava: Štatistický úrad Slovenskej republiky; 2006.
  6. Royal College of Physicians of London. Tobacco Advisory Group. Nicotine addiction in Britain: a Report of the Tobacco Advisory Group of the Royal College of Physicians. London: Royal College of Physicians; 2000.
  7. Baška T, Katerniaková Z. Základy prevencie užívania tabaku. Martin: Jesseniova lekárska fakulta v Martine; 2010.
  8. Ochaba R, Kollárik T, Kavcová E, Baška T, Avdičová M, Kretová E, et al. Manuál pre pracovníkov poradne na odvykanie od fajčenia. Bratislava: Úrad verejného zdravotníctva Slovenskej republiky; 2007.
  9. Irizar-Aramburu MI, Martínez-Eizaguirre JM, Pacheco-Bravo P, Diaz-Atienza M, Aguirre-Arratibel I, Peña-Peña MI, et al. Effectiveness of spirometry as a motivational tool for smoking cessation: a clinical trial, the ESPIMOAT study. BMC Fam Pract. 2013 Dec 5;14:185. Go to original source... Go to PubMed...
  10. Úrad verejného zdravotnícva Slovenskej republiky [Internet]. Bratislava: ÚVZ SR; 2013 [cited 2017 Aug 8]. Hodnotenie a závery odbornej konferencie 10 rokov od ratifikácie rámcového dohovoru o kontrole tabaku na Slovensku. Available from: http://www.uvzsr.sk/index.php?option=com_content&view=article&id=2138%3Ahodnotenie-a-zavery-odbornej-konferencie-10-rokov-od-ratifikacie-ramcoveho-dohovoru-o-kontrole-tabaku-na-slovensku&catid=106%3Aaktualne&Itemid=106.
  11. Úrad verejného zdravotnícva Slovenskej republiky [Internet]. Bratislava: ÚVZ SR; 2007 [cited 2017 Nov 18]. Ochaba R, Kavcová E. Závery zo školenia pracovníkov poradní na odvykanie od fajčenia pri RÚVZ. Available from: http://www.uvzsr.sk/index.php?option=com_content&view=article&id=347:zavery-zo-kolenia-pracovnikov-poradni-na-odvykanie-od-fajenia-pri-ruvz&catid=61:problematika-fajenia-a-alkoholu&Itemid=68.
  12. Association of American Medical Colleges. Physician behavior and practice patterns related to smoking cessation. Washington D.C.: AAMC; 2007.
  13. Vavreková I. Čo bráni lekárovi v edukácii fajčiara? (Vyhodnotenie prieskumu). In: 31. Výročná konferencia - Všeobecný praktik, špecialista na polymorbiditu; 2010 Oct 21-23; Bojnice [Internet]. Bratislava: SSVPL SLS; 2010 [cited 2017 Nov 20]. Available from: http://www.vpl.sk/sk/xxxivyrocna-konferencia-bojnice-2010/.
  14. Slovenskej spoločnosti všeobecného praktického lekárstva - všeobecný praktický lekár [Internet]. Bratislava: SSVPL SLS; 2007 [cited 2017 Nov 22]. Kavcová E, Lipták P, Ondrejka I, Baška T, Rozborilová E, Krištúfek P, et al. Intervencia tabakovej závislosti v ordinácii všeobecného praktického lekára: odporúčaný diagnostický a liečebný postup pre všeobecných praktických lekárov 2007. Available from: http://www.vpl.sk/sk/stop-fajceniu/.
  15. Onačillová E, Vargová V. Podpora nefajčenia v rámci primárnej zdravotnej starostlivosti v podmienkach Slovenskej republiky. Via Pract. 2017;14(6):304-7.
  16. Králíková E, Češka R, Pánková A, Štěpánková L, Zvolská K, Felbrová V a kol. Doporučení pro léčbu závislosti na tabáku. Vnitř Lék. 2015;61(Suppl 1):1S3-1S15.