Estratégia de tratamento do tabagismo na DPOC
Tobacco smoking treatment strategy in COPD
Paula Pamplona1,
, Berta Mendes2, Cristina Bárbara3
Corresponding author
paulapamplona@gmail.com
Hospital de Pulido Valente, Alameda das Linhas Torres, 117, 1769-001 Lisboa. Tel.: +351 217 548 500, Fax: +351 217 548 215.
Hospital de Pulido Valente, Alameda das Linhas Torres, 117, 1769-001 Lisboa. Tel.: +351 217 548 500, Fax: +351 217 548 215.
1 Assistente Hospitalar Graduada de Pneumologia do Departamento de Pneumologia
2 Assistente Convidada da Faculdade de Ciências Médicas de Lisboa. Mestre em Patologia Respiratória. Assistente Hospitalar Graduada de Pneumologia do Departamento de Pneumologia
3 Centro Hospitalar Lisboa Norte, EPE, Departamento de Pneumologia do Hospital de Pulido Valente
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"afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Assistente Hospitalar Graduada de Pneumologia do Departamento de Pneumologia" "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Assistente Convidada da Faculdade de Ciências Médicas de Lisboa. Mestre em Patologia Respiratória. Assistente Hospitalar Graduada de Pneumologia do Departamento de Pneumologia" "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Centro Hospitalar Lisboa Norte, EPE, Departamento de Pneumologia do Hospital de Pulido Valente" "etiqueta" => "<span class="elsevierStyleSup">3</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Hospital de Pulido Valente, Alameda das Linhas Torres, 117, 1769-001 Lisboa. Tel.: +351 217 548 500, Fax: +351 217 548 215." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Tobacco smoking treatment strategy in COPD" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-03-31" "fechaAceptado" => "2009-04-20" "PalabrasClave" => array:2 [ "pt" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palavras-chaves" "identificador" => "xpalclavsec160459" "palabras" => array:3 [ 0 => "Doença pulmonar obstrutiva crónica" 1 => "cessação tabágica" 2 => "unidades especializadas em tabagismo" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key-words" "identificador" => "xpalclavsec160458" "palabras" => array:3 [ 0 => "Chronic obstructive pulmonary disease" 1 => "smoking cessation" 2 => "specialized tobacco units" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">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).</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">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.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:52 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." 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ISSN: 21735115Original language: Portuguese
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