OP-364 : The community therapy in approach of the smoking patient

Author(s): 
HEBER AUGUSTO LARA CUNHA, Brazil
Text: 
Present the advantages of the methodology of community anti-smoking therapy used as experience in the primary health care unit (PHCU), as an aid in monitoring the process of smoking cessation.

Smoking transcends generations and becomes one of the main factors of risk of death from several diseases, particularly cardiovascular diseases and cancer. The anti-smoking therapy depends on the association of several strategies by doctors and other health professionals to achieve a satisfactory result.

Approximately 70% of the patients frequented the eight weeks suggested. 30% of the non-smokers participated as a support. There were reports of cases of almost all patients about life experience of smoking and also family. Almost all users (> 90%) began smoking during adolescence. We noticed some difficulties of adherence and compliance of the proposed tasks that did not depend on the points of the Fagerström questionnaire. At the end of each cycle of 8 weeks, at least 50 to 60% of people stopped smoking. One year after the group´s return to smoking was 20 to 30%.

The experiences of family health team in approaching tobacco control through community therapy were positive. The "listening" by health professionals in group therapy is fundamental in the process of maturation and membership of User. The weekly periodicity of the group enabled the patient an important reference for its intention to continue the anti-smoking process. The individual reports enrich the methodology. The anti-smoking actions by health professionals should include mainly the paediatric adolescent age group.