{"id":2173,"date":"2025-08-09T20:21:42","date_gmt":"2025-08-09T19:21:42","guid":{"rendered":"https:\/\/hub.solacelung.eu\/professionals\/prestanak-pusenja\/"},"modified":"2025-10-15T20:21:26","modified_gmt":"2025-10-15T19:21:26","slug":"prestanak-pusenja","status":"publish","type":"professionals","link":"https:\/\/hub.solacelung.eu\/hr\/professionals\/alati-za-implementaciju\/prestanak-pusenja\/","title":{"rendered":"Prestanak pu\u0161enja"},"content":{"rendered":"<div class=\"site-padding\">\n<h3 class=\"wp-block-heading\">Integrirana podr\u0161ka za prestanak pu\u0161enja klju\u010dna je za uspje\u0161ne programe probira za rak plu\u0107a. Prona\u0111ite dostupne resurse i najbolje prakse za pru\u017eanje podr\u0161ke pacijentima.   <br\/><br\/><strong>Dokazi pokazuju:  <\/strong><\/h3>\n<\/div><div class=\"site-padding\">\n<ul class=\"wp-block-list\">\n<li><strong>Spajanje probira s prestankom pu\u0161enja djeluje<\/strong> : godi\u0161nji LDCT probir u kombinaciji s prilago\u0111enom podr\u0161kom za prestanak pu\u0161enja nudi najve\u0107e smanjenje smrtnosti od raka plu\u0107a, posebno me\u0111u skupinama niskog socioekonomskog statusa koje \u010desto nisu dovoljno opskrbljene. <em>( <a href=\"https:\/\/doi.org\/10.21037\/amj.2017.09.03\">AMJ, 2017.<\/a> )<\/em> .  <br\/><br\/><\/li>\n\n\n\n<li><strong>U\u010dinkovite metode<\/strong> : osobno savjetovanje i farmakoterapija (poput nikotinske nadomjesne terapije ili lijekova) zna\u010dajno pove\u0107avaju \u0161anse za prestanak pu\u0161enja i 6 i 12 mjeseci nakon intervencije. To nagla\u0161ava va\u017enost pru\u017eanja i bihevioralne i medicinske podr\u0161ke unutar programa probira <em>( <a href=\"https:\/\/doi.org\/10.1016\/j.lungcan.2019.06.024\">Rak plu\u0107a, 2019.<\/a> )<\/em> .   <br\/><br\/><\/li>\n\n\n\n<li><strong>Pou\u010dni trenuci<\/strong> : pu\u0161a\u010di koji dobiju abnormalne rezultate CT snimke daleko su motiviraniji za prestanak pu\u0161enja, a stope prestanka pu\u0161enja vi\u0161e su nego dvostruko ve\u0107e u usporedbi s onima s normalnim snimkama. Iskori\u0161tavanje ovih trenutaka mo\u017ee pove\u0107ati uspjeh prestanka pu\u0161enja i pobolj\u0161ati dugoro\u010dne zdravstvene ishode <em>( <a href=\"https:\/\/doi.org\/10.1002\/cncr.21045\">Cancer, 2005.<\/a> )<\/em> .   <br\/><br\/><\/li>\n\n\n\n<li><strong>Najbolja pomagala<\/strong> : Cochraneov pregled iz 2022. godine otkrio je da su vareniklin, citizin, e-cigarete i kombinirana nikotinska nadomjesna terapija (NRT) naju\u010dinkovitija pomagala za prestanak pu\u0161enja, \u0161to dovodi do 10\u201319 uspje\u0161nih prestanaka na 100 korisnika u usporedbi sa 6 s placebom. Ova pomagala su op\u0107enito sigurna i dobro se podnose, \u0161to ih \u010dini vrijednim alatima u strategijama prestanka pu\u0161enja <em>( <a href=\"https:\/\/doi.org\/10.1002\/14651858.CD015226.pub2\">Cochrane, 2022.<\/a> )<\/em> .   <br\/><br\/><\/li>\n\n\n\n<li><strong>Bihevioralna podr\u0161ka poti\u010de uspjeh<\/strong> : dodatni Cochraneovi dokazi pokazuju da savjetovanje i financijski poticaji mogu dodatno pobolj\u0161ati stope prestanka pu\u0161enja nakon \u0161est mjeseci ili dulje, \u010dak i kada se ne koristi farmakoterapija. To podr\u017eava integriranje fleksibilnih bihevioralnih intervencija kako bi se dosegle razli\u010dite populacije <em>( <a href=\"https:\/\/doi.org\/10.1002\/14651858.CD013229.pub2\">Cochrane, 2018.<\/a> )<\/em> .   <br\/><br\/><\/li>\n\n\n\n<li><strong>Vi\u0161estruki pristupi<\/strong> : sustavni pregled iz 2023. godine otkrio je da najbolji pristup prestanku pu\u0161enja kombinira bihevioralno savjetovanje s lijekovima poput nikotinske nadomjesne terapije (NRT), vareniklina ili bupropiona. Kombiniranje ovih tretmana pobolj\u0161ava stopu prestanka pu\u0161enja, a vareniklin pokazuje najve\u0107i uspjeh. ( <em><a href=\"https:\/\/doi.org\/10.1001\/jama.2022.0395\">JAMA, 2022.<\/a> )<\/em><br\/><\/li>\n<\/ul>\n<\/div><div class=\"site-padding\">\n<ul class=\"wp-block-list\">\n<li><strong>Intenzivne intervencije najbolje djeluju<\/strong> : istra\u017eivanja pokazuju da programi probira za rak plu\u0107a koji nude tri ili vi\u0161e savjetodavnih sesija zna\u010dajno udvostru\u010duju stope prestanka pu\u0161enja u usporedbi s uobi\u010dajenom skrbi. Suprotno tome, manje od tri sesije mo\u017eda ne\u0107e pru\u017eiti iste koristi, \u0161to nagla\u0161ava vrijednost odr\u017eive podr\u0161ke <em>( <a href=\"https:\/\/doi.org\/10.1007\/s00330-020-06727-7\">European Radiology, 2023.<\/a> )<\/em> .   <\/li>\n<\/ul>\n<\/div><div class=\"site-padding\">\n<p><strong>Korisni resursi  <\/strong><\/p>\n<\/div><div class=\"site-padding\">\n<p><a href=\"https:\/\/europeanlung.org\/en\/information-hub\/keeping-lungs-healthy\/quitting-smoking-the-benefits\/\">Europska fondacija za plu\u0107a nudi resurse za prestanak pu\u0161enja koje se mogu preuzeti<\/a> sudionicima probira na vi\u0161e jezika.<\/p>\n<\/div><div class=\"site-padding\">\n<p>Tako\u0111er mo\u017eete pristupiti informacijama o <a href=\"https:\/\/europeanlung.org\/en\/information-hub\/keeping-lungs-healthy\/smoking-when-you-have-a-lung-condition\/\">pu\u0161enju za pacijente ako imate bolest plu\u0107a<\/a> i <a href=\"https:\/\/europeanlung.org\/en\/information-hub\/keeping-lungs-healthy\/passive-smoking\/\">pasivno pu\u0161enje.<\/a><\/p>\n<\/div><div class=\"site-padding\">\n<p><\/p>\n<\/div>","protected":false},"featured_media":0,"parent":3268,"menu_order":6,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2173","professionals","type-professionals","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - 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