Clinical Trial Details
— Status: Completed
Administrative data
| NCT number |
NCT06163872 |
| Other study ID # |
Protocol No: 2022/143 |
| Secondary ID |
|
| Status |
Completed |
| Phase |
|
| First received |
|
| Last updated |
|
| Start date |
May 1, 2023 |
| Est. completion date |
September 30, 2023 |
Study information
| Verified date |
December 2023 |
| Source |
Karadeniz Technical University |
| Contact |
n/a |
| Is FDA regulated |
No |
| Health authority |
|
| Study type |
Observational
|
Clinical Trial Summary
ABSTRACT
Aim:
Our study aimed to determine the approaches of our physicians to the smoking habits of their
patients other than those with pulmonary diseases.
Method:
Patients examined in different outpatient clinics of our hospital will be asked 7 questions
about the doctor's approach to smoking habits.
1) Do you have information about smoking cessation clinic? 2) Has your doctor asked if you
smoke? 3) Did he suggest you stop using it? 4) Did he inform you about the relationship
between smoking and your disease? 5) Did he provide information about smoking cessation
outpatient clinic services? 6) Have you ever thought about quitting smoking after your
doctor's briefing? 7) Did you quit smoking after your doctor's briefing?
Description:
1. INTRODUCTION:
Tobacco use can cause many health problems with both its direct effects on all systems
and passive smoke exposure (1). Tobacco use is very common in the world and ranks second
among the most common causes of death. According to the World Health Organization, 20.2%
of people aged 15 and over smoke and more than 8 million people die each year from
active smoking. The mortality rates due to passive smoking are too high to be
underestimated, and approximately 1.2 million people are lost due to health problems and
second-hand smoke exposure (2).
The prevalence of tobacco use among adults (aged 15 and over) is 31.2% (48% in men and
15% in women). Regular smoking is especially common between the ages of 25-44. Studies
show that smoking rates in Turkey are inversely proportional to the level of education
(3).
Physicians are the most influential ones on tobacco use behavior. Informing patients
about tobacco addiction, helping with treatment, and drawing a sample profile by not
using tobacco is a profile that every physician should portray. Today, smoking cessation
support is provided by specialist physicians (Chest diseases, Family medicine) to help
smokers quit. In this process, patients are supported with both behavioral treatment and
medical treatment (4-5). However, this support should not be limited to the specified
sections. The physician evaluating a patient should contribute to tobacco control
regardless of his/her branch, learn whether the patient is using tobacco or not, advise
the patient to quit if he/she is using it, and should inform and direct the patient from
smoking cessation outpatient clinics.
In this study, it is aimed to evaluate the attitudes and habits of our physicians
working in non-chest disease departments in our hospital and to determine their role in
developing a positive attitude towards patients. With the results of the study, it is
aimed to question the smoking habits of physicians in patients, to be a guide and
leader, to reveal the differences in physician approaches according to branches, to be a
guide for initiatives to increase positive attitudes by analyzing positive and negative
results and self-criticism.
2. MATERIALS-METHODS:
The study will start after the approval of the faculty ethics committee. Patients who were
examined in other branch outpatient clinics other than the chest diseases department of our
hospital will questioned for 3 months. Those who did not volunteer to participate in the
survey, patients under the age of 18, and patients whose mental status was not suitable for
the survey will not included in the study. As the place where the questionnaire will be
conducted, the blood collection laboratory where all the patients come mostly was chosen, and
the patients who came here to donate blood were randomly selected and the questionnaire was
conducted. In addition to their demographic characteristics, the following 7 questions were
asked to the patients. 1) Do you know about smoking cessation outpatient clinic? 2) Has your
doctor asked if you smoke? 3) Has he suggested you stop using it? 4) Has he informed you
about the relationship of smoking with your illness? 5) Has s/he informed about smoking
cessation outpatient clinic services? 6) Have you ever considered quitting smoking after your
doctor's briefings? 7) Have you quitted smoking after your doctor's briefings? The responses
will compared according to the branches.
It will investigated whether the patients asked the questions specified in the data form
about their demographic characteristics, educational status, diagnosis, the branch they were
examined in, the recommendations of the examining physician regarding the patient's smoking
habit and whether they quit if they smoked.
2.1.Statistical Analysis The suitability of the data for normal distribution will examined
with the ShapiroWilk and Kolmogorog Smirnov tests. Kruskall-Wallis, Mann-Whitney U, student-t
and chi-square tests will used for intergroup comparisons. General linner modeling, Wilcowon
and Friedman tests will used in serial follow-up data. Data will presented as percentage,
mean (std deviation) and median (minimum-maximum). Pearson's chi-square test will used to
compare the qualitative data. Categorical data will presented as frequency and percentage.
