Estratégia de tratamento do tabagismo na DPOC

Pamplona, Paula; Mendes, Berta

doi:10.1016/S0873-2159(15)30196-3

Article information

Resumo

A cessação tabágica é uma das melhores formas de melhorar o prognóstico dos doentes com DPOC. Baseados na evidência actualmente disponível, todos os profissionais de saúde devem ter um papel proactivo e contínuo na motivação para parar e no tratamento para a cessação de todos os fumadores. O tratamento deve incluir farmacoterapia combinada com suporte comportamental e deve integrar o seguimento da doença respiratória crónica como recomendado no Plano Nacional de Prevenção e Controlo da DPOC. Os pneumologistas e os restantes profissionais de saúde devem receber treino que garanta conhecimento, atitudes e capacidades necessários para fornecer estas intervenções ou para referenciar a especialistas na área.

No futuro próximo, unidades especializadas em tabagismo deverão fornecer assistência especializada, formação, investigação, divulgação e medidas de controlo na área de saúde de influência (hospital e cuidados de saúde primários).

Rev Port Pneumol 2009; XV (6): 1121-1156

Palavras-chaves:

Doença pulmonar obstrutiva crónica

cessação tabágica

unidades especializadas em tabagismo

Abstract

Smoking cessation is one of the most important ways of improving the prognosis of COPD patients. Based on currently available evidence professional health workers should take a proactive and continuous role with smokers, motivating them to stop smoking and providing treatment to aid smoking cessation. The treatment should include pharmacotherapy in addition to behavioural support and should be part of management of the patient’s chronic respiratory condition, as the COPD National Prevention and Treatment Programme recommends. Respiratory physicians and other professional health workers should receive training to ensure they have the necessary knowledge, attitude and skills to undertake these initiatives or to refer the smokers to a suitable qualified specialist.

In the near future specialised smoking units should provide specific support, promote training, improve research and awareness and establish tobacco control measures in hospitals and primary health care centres.

Rev Port Pneumol 2009; XV (6): 1121-1156

Key-words:

Chronic obstructive pulmonary disease

smoking cessation

specialized tobacco units

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