{"id":2597,"date":"2025-08-09T20:21:42","date_gmt":"2025-08-09T19:21:42","guid":{"rendered":"https:\/\/hub.solacelung.eu\/professionals\/sigarayi-birakma\/"},"modified":"2025-10-15T20:18:22","modified_gmt":"2025-10-15T19:18:22","slug":"sigarayi-birakma","status":"publish","type":"professionals","link":"https:\/\/hub.solacelung.eu\/tr\/professionals\/uygulama-arac-kiti\/sigarayi-birakma\/","title":{"rendered":"Sigaray\u0131 b\u0131rakma"},"content":{"rendered":"<div class=\"site-padding\">\n<h3 class=\"wp-block-heading\">Entegre sigara b\u0131rakma deste\u011fi, ba\u015far\u0131l\u0131 akci\u011fer kanseri tarama programlar\u0131 i\u00e7in esast\u0131r. Hastalara destek sa\u011flamak i\u00e7in mevcut kaynaklar\u0131 ve en iyi uygulama yakla\u015f\u0131mlar\u0131n\u0131 bulun.   <br\/><br\/><strong>Kan\u0131tlar g\u00f6steriyor ki:  <\/strong><\/h3>\n<\/div><div class=\"site-padding\">\n<ul class=\"wp-block-list\">\n<li><strong>Taramay\u0131 b\u0131rakma ile e\u015fle\u015ftirmek i\u015fe yar\u0131yor<\/strong>: Y\u0131ll\u0131k LDCT <strong>taramas\u0131<\/strong>, ki\u015fiye \u00f6zel sigara b\u0131rakma deste\u011fi ile birlikte, \u00f6zellikle yetersiz hizmet alan d\u00fc\u015f\u00fck sosyoekonomik stat\u00fc gruplar\u0131 aras\u0131nda akci\u011fer kanseri mortalitesinde en b\u00fcy\u00fck azalmay\u0131 sa\u011fl\u0131yor. <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>Etkili y\u00f6ntemler<\/strong>: y\u00fcz y\u00fcze dan\u0131\u015fmanl\u0131k ve farmakoterapi (nikotin replasman\u0131 veya ila\u00e7lar gibi), m\u00fcdahaleden 6 ve 12 ay sonra b\u0131rakma \u015fans\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde art\u0131rmaktad\u0131r. Bu durum, tarama programlar\u0131nda hem davran\u0131\u015fsal hem de t\u0131bbi destek sunman\u0131n \u00f6nemini vurgulamaktad\u0131r <em>(<a href=\"https:\/\/doi.org\/10.1016\/j.lungcan.2019.06.024\">Lung Cancer, 2019<\/a>)<\/em>.   <br\/><br\/><\/li>\n\n\n\n<li><strong>\u00d6\u011fretilebilir anlar<\/strong>: Anormal BT tarama sonu\u00e7lar\u0131 alan sigara i\u00e7icileri b\u0131rakma konusunda \u00e7ok daha fazla motive olurlar ve b\u0131rakma oranlar\u0131 normal taramalar\u0131 olanlara k\u0131yasla iki kattan fazla artar. Bu anlardan yararlanmak b\u0131rakma ba\u015far\u0131s\u0131n\u0131 art\u0131rabilir ve uzun vadeli sa\u011fl\u0131k sonu\u00e7lar\u0131n\u0131 iyile\u015ftirebilir <em>(<a href=\"https:\/\/doi.org\/10.1002\/cncr.21045\">Cancer, 2005<\/a>)<\/em>.   <br\/><br\/><\/li>\n\n\n\n<li><strong>En iyi yard\u0131mc\u0131lar<\/strong>: 2022 Cochrane incelemesi, vareniklin, sitizin, e-sigara ve nikotin replasman tedavisi (NRT) kombinasyonunun en etkili b\u0131rakma yard\u0131mc\u0131lar\u0131 oldu\u011funu ve 100 kullan\u0131c\u0131 ba\u015f\u0131na 10-19 ba\u015far\u0131l\u0131 b\u0131rakmaya kar\u015f\u0131l\u0131k plasebo ile 6 ba\u015far\u0131l\u0131 b\u0131rakmaya yol a\u00e7t\u0131\u011f\u0131n\u0131 bulmu\u015ftur. Bu yard\u0131mc\u0131lar genellikle g\u00fcvenlidir ve iyi tolere edilir, bu da onlar\u0131 b\u0131rakma stratejilerinde de\u011ferli ara\u00e7lar haline getirir <em>(<a href=\"https:\/\/doi.org\/10.1002\/14651858.CD015226.pub2\">Cochrane, 2022<\/a>)<\/em>.   <br\/><br\/><\/li>\n\n\n\n<li><strong>Davran\u0131\u015fsal destek ba\u015far\u0131y\u0131 art\u0131r\u0131r<\/strong>: Ek Cochrane kan\u0131tlar\u0131, dan\u0131\u015fmanl\u0131k ve mali te\u015fviklerin, farmakoterapi kullan\u0131lmad\u0131\u011f\u0131nda bile alt\u0131 ay veya daha uzun s\u00fcrede b\u0131rakma oranlar\u0131n\u0131 daha da art\u0131rabilece\u011fini g\u00f6stermektedir. Bu durum, farkl\u0131 pop\u00fclasyonlara ula\u015fmak i\u00e7in esnek davran\u0131\u015fsal m\u00fcdahalelerin entegre edilmesini desteklemektedir <em>(<a href=\"https:\/\/doi.org\/10.1002\/14651858.CD013229.pub2\">Cochrane, 2018<\/a>)<\/em>.   <br\/><br\/><\/li>\n\n\n\n<li><strong>\u00c7oklu yakla\u015f\u0131mlar<\/strong>: 2023 y\u0131l\u0131nda yap\u0131lan sistematik bir inceleme, sigaray\u0131 b\u0131rakmaya y\u00f6nelik en iyi yakla\u015f\u0131m\u0131n davran\u0131\u015fsal dan\u0131\u015fmanl\u0131k ile nikotin replasman tedavisi (NRT), vareniklin veya bupropion gibi ila\u00e7lar\u0131 birle\u015ftirdi\u011fini ortaya koymu\u015ftur. Bu tedavilerin birle\u015ftirilmesi b\u0131rakma oranlar\u0131n\u0131 art\u0131rmakta ve vareniklin en y\u00fcksek ba\u015far\u0131y\u0131 g\u00f6stermektedir.<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>Yo\u011fun m\u00fcdahaleler en iyi<\/strong> sonucu verir: ara\u015ft\u0131rmalar, \u00fc\u00e7 veya daha fazla dan\u0131\u015fmanl\u0131k seans\u0131 sunan akci\u011fer kanseri tarama programlar\u0131n\u0131n, normal bak\u0131ma k\u0131yasla b\u0131rakma oranlar\u0131n\u0131 \u00f6nemli \u00f6l\u00e7\u00fcde ikiye katlad\u0131\u011f\u0131n\u0131 g\u00f6stermektedir. Tersine, \u00fc\u00e7ten az seans ayn\u0131 fayday\u0131 sa\u011flamayabilir ve s\u00fcrekli deste\u011fin de\u011ferinin alt\u0131n\u0131 \u00e7izer <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>Yararl\u0131 kaynaklar  <\/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\/\">Avrupa Akci\u011fer Vakf\u0131 , tarama kat\u0131l\u0131mc\u0131lar\u0131na verilmek \u00fczere bir\u00e7ok dilde indirilebilir sigara b\u0131rakma kaynaklar\u0131 sa\u011flamaktad\u0131r <\/a>.<\/p>\n<\/div><div class=\"site-padding\">\n<p><a href=\"https:\/\/europeanlung.org\/en\/information-hub\/keeping-lungs-healthy\/smoking-when-you-have-a-lung-condition\/\">Akci\u011fer rahats\u0131zl\u0131\u011f\u0131n\u0131z oldu\u011funda sigara i\u00e7mek<\/a> ve <a href=\"https:\/\/europeanlung.org\/en\/information-hub\/keeping-lungs-healthy\/passive-smoking\/\">pasif i\u00e7<\/a>icilik hakk\u0131nda hasta bilgilerine de eri\u015febilirsiniz.<\/p>\n<\/div><div class=\"site-padding\">\n<p><\/p>\n<\/div>","protected":false},"featured_media":0,"parent":2944,"menu_order":6,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-2597","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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