The Outcomes of Smoking Cessation among Non-communicable disease Patients at Primary Care Unit and Kumpawapi Hospital

Abstract

Introduction: Smoking is one of the major causes of cardiovascular event in non-communicable disease. Smoking cessation is the method which reduce mortality and morbidity. Therefore this research is setting for assessment the outcomes of smoking cessation.

Methods: This action research study recruited current smokers in non-communicable disease clinic (NCD clinic), out-patient department at primary care unit (PCU) and Kumpawapi Hospital form October 2016 through April 2017. Baseline and 4 week follow up measurements were record. Data consisted of general information, the reduction in number of cigarettes per day, Fagerstrom score, stage of change and abstinence rate at 4 weeks follow up.

Result: Out of 114 total patients, the majority were male (99.12%) and the average age was 58.09 years (SD 11.69). The total abstinence rate at 4 weeks was 21.05%. The number of patients with hypertension, diabetes mellitusand hypertension with diabetes mellitus was 47.36, 14.03 and 27.19% respectively. Most of patients (63.16%) were unknown about smoking cessation clinic at Kumpawapi Hospital. Reduction in number of cigarettes per day at 4 weeks decreased from 9.97 to 4.01 in 4 weeks follow up, this was statistically significant (p-value <0.001) and the Fagerstrom score similarly declined from 3.50 to 2.34 (p-value <0.001). The stage of change model changed from precontemplation and contemplation to action 21.05%

Conclusion: Smoking cessation clinic could assist smokers with non-communicable disease to stop smoking and decreased nicotine dependence level.