{"id":9704,"date":"2024-05-27T09:04:14","date_gmt":"2024-05-27T08:04:14","guid":{"rendered":"https:\/\/icoprevencio.cat\/uct\/?p=9704"},"modified":"2024-05-27T09:17:55","modified_gmt":"2024-05-27T08:17:55","slug":"una-innovadora-intervencio-telefonica-fomenta-labstinencia-del-consum-de-tabac-entre-persones-amb-trastorns-mentals","status":"publish","type":"post","link":"https:\/\/icoprevencio.cat\/uct\/una-innovadora-intervencio-telefonica-fomenta-labstinencia-del-consum-de-tabac-entre-persones-amb-trastorns-mentals\/","title":{"rendered":"Una innovadora intervenci\u00f3 telef\u00f2nica fomenta l\u2019abstin\u00e8ncia del consum de tabac entre persones amb trastorns mentals"},"content":{"rendered":"\n<p>Un estudi liderat per la Unitat de Control del Tabac (UCT) de l\u2019Institut Catal\u00e0 d\u2019Oncologia (ICO), en col\u00b7laboraci\u00f3 amb l\u2019Ag\u00e8ncia de Salut P\u00fablica de Catalunya i sis hospitals de la prov\u00edncia de Barcelona,<strong>&nbsp;ha demostrat l\u2019efectivitat d\u2019una intervenci\u00f3 telef\u00f2nica proactiva i motivacional en aconseguir que els pacients amb trastorns mentals greus deixin de fumar.<\/strong>&nbsp;Es calcula que al voltant del 75% dels pacients hospitalitzats per malalties mentals fuma, la qual cosa triplica la proporci\u00f3 de tabaquisme en la poblaci\u00f3 general. Les persones que sofreixen aquest tipus de trastorns s\u00f3n m\u00e9s propenses a fumar i s\u2019estima que el tabac causa la mort d\u2019entre el 48% i el 53% d\u2019aquest grup.<\/p>\n\n\n\n<p>La recerca, publicada en la revista&nbsp;<strong><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s11469-024-01254-8\">International&nbsp;Journal&nbsp;of&nbsp;Mental&nbsp;Health&nbsp;and&nbsp;Addiction<\/a><\/strong>, ha comprovat l\u2019efic\u00e0cia d\u2019una intervenci\u00f3 telef\u00f2nica per a deixar de fumar a trav\u00e9s de la<strong>&nbsp;l\u00ednia 061&nbsp;CatSalut&nbsp;Respon<\/strong>&nbsp;del Departament de Salut de la Generalitat de Catalunya. Es tracta del primer estudi d\u2019aquestes caracter\u00edstiques dissenyat espec\u00edficament per a pacients amb trastorns mentals amb un seguiment de 12 mesos. En la recerca van participar fumadors amb trastorns mentals ingressats a les sales de salut mental de sis hospitals d\u2019aguts de la prov\u00edncia de Barcelona: l\u2019Hospital&nbsp;Cl\u00ednic, l\u2019Hospital de la Santa&nbsp;Creu&nbsp;i&nbsp;Sant&nbsp;Pau, l\u2019Hospital Universitari Vall d\u2019Hebron, l\u2019Hospital Universitari de&nbsp;Bellvitge, l\u2019Hospital&nbsp;Hestia&nbsp;Duren i&nbsp;Reynals&nbsp;i la&nbsp;Fundaci\u00f3&nbsp;Althaia.<\/p>\n\n\n\n<p>L\u2019equip d\u2019investigadors de l\u2019ICO i dels sis hospitals esmentats va dissenyar una intervenci\u00f3 telef\u00f2nica amb un enfocament proactiu per a ajudar les persones amb trastorn mental ingressades a deixar de fumar despr\u00e9s de rebre l\u2019alta hospital\u00e0ria, aprofitant la seva abstin\u00e8ncia o reducci\u00f3 del consum durant el seu ingr\u00e9s, ja que als hospitals d\u2019aguts est\u00e0 prohibit fumar i reben ajuda per a mantenir-se abstinents. Depenent de cada cas, la intervenci\u00f3 anava dirigida a augmentar la motivaci\u00f3 per a deixar de fumar; aconseguir l\u2019abstin\u00e8ncia; prevenir les recaigudes; reduir el consum o recomanar tractament farmacol\u00f2gic.<\/p>\n\n\n\n<p>La intervenci\u00f3 la van dur a terme&nbsp;<strong>infermeres formades en l\u2019abordatge del tabaquisme i l\u2019atenci\u00f3 a persones amb trastorn mental<\/strong>&nbsp;de la l\u00ednia telef\u00f2nica 061 CatSalut Respon. El&nbsp;grup intervenci\u00f3&nbsp;de l\u2019assaig cl\u00ednic va rebre una trucada telef\u00f2nica de les&nbsp;infermeres&nbsp;formades a les primeres 48 hores, a la setmana,&nbsp;al cap de 15 dies&nbsp;i un, tres, sis i&nbsp;12&nbsp;mesos despr\u00e9s que rebessin l\u2019alta. En cada crida se\u2019ls va proporcionar una estrat\u00e8gia d\u2019intervenci\u00f3 adaptada en funci\u00f3 de la situaci\u00f3 de cada pacient. Els participants del grup control van rebre tan sols consell inicial per a deixar de fumar i se\u2019ls va preguntar les mateixes variables per a comparar resultats entre grups.<\/p>\n\n\n\n<p>Durant les crides, les infermeres van ajudar els participants del grup intervenci\u00f3 a identificar barreres i oportunitats per a aconseguir deixar de fumar, establir objectius i estrat\u00e8gies per a abordar la s\u00edndrome d\u2019abstin\u00e8ncia. Els resultats indiquen que els fumadors amb trastorns mentals greus que es van abstenir de fumar durant l\u2019hospitalitzaci\u00f3 tenien una&nbsp;<strong>major probabilitat de deixar de fumar amb \u00e8xit amb l\u2019ajuda de la intervenci\u00f3 telef\u00f2nica.<\/strong>&nbsp;Altres estudis han comprovat, que els pacients amb trastorns mentals que deixen de fumar redueixen els seus nivells d\u2019ansietat, augmenten la seva qualitat de vida i obtenen millors resultats en l\u2019abstin\u00e8ncia d\u2019altres drogues.<\/p>\n\n\n\n<p>Els autors suggereixen, a m\u00e9s, que aquesta intervenci\u00f3 podria transferir-se a la pr\u00e0ctica cl\u00ednica habitual en el conjunt del Sistema Nacional de Salut.&nbsp;<strong>Cristina Mart\u00ednez<\/strong>, autora principal de l\u2019estudi i cap adjunta de la Unitat de Control del Tabac (UCT), subratlla que l\u2019estudi \u201cdemostra l\u2019acceptabilitat i viabilitat d\u2019aquesta intervenci\u00f3 i que les l\u00ednies d\u2019ajuda per a deixar de fumar adaptades podrien ser una soluci\u00f3 a nivell comunitari per a promoure els beneficis de l\u2019abstin\u00e8ncia de fumar durant l\u2019hospitalitzaci\u00f3\u201d.<\/p>\n\n\n\n<p>Aquest programa no sols promet millorar significativament la qualitat de vida de de les persones amb\u00a0patologia\u00a0mental que fumen, sin\u00f3 tamb\u00e9 estendre la seva esperan\u00e7a de vida en reduir un dels factors de risc m\u00e9s cr\u00edtics per a la seva salut, el consum de tabac.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Un estudi liderat per la Unitat de Control del Tabac (UCT) de l\u2019Institut Catal\u00e0 d\u2019Oncologia (ICO), en col\u00b7laboraci\u00f3 amb l\u2019Ag\u00e8ncia de Salut P\u00fablica de Catalunya i sis hospitals de la prov\u00edncia de Barcelona,&nbsp;ha demostrat l\u2019efectivitat d\u2019una intervenci\u00f3 telef\u00f2nica proactiva i motivacional en aconseguir que els pacients amb trastorns mentals greus deixin de fumar.&nbsp;Es calcula que [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":9724,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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estudi liderat per la Unitat de Control del Tabac (UCT) de l\u2019Institut Catal\u00e0 d\u2019Oncologia (ICO), en col\u00b7laboraci\u00f3 amb l\u2019Ag\u00e8ncia de Salut P\u00fablica de Catalunya i sis hospitals de la prov\u00edncia de Barcelona,&nbsp;ha demostrat l\u2019efectivitat d\u2019una intervenci\u00f3 telef\u00f2nica proactiva i motivacional en aconseguir que els pacients amb trastorns mentals greus deixin de fumar.&nbsp;Es calcula que&hellip;","_links":{"self":[{"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/posts\/9704","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/comments?post=9704"}],"version-history":[{"count":1,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/posts\/9704\/revisions"}],"predecessor-version":[{"id":9708,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/posts\/9704\/revisions\/9708"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/media\/9724"}],"wp:attachment":[{"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/media?parent=9704"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/categories?post=9704"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/wp-json\/wp\/v2\/tags?post=9704"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}