How long do I have to continue my smoking cessation treatment?

 

As international health awareness increases, the number of people who quit smoking seems to be increasing.Social factors, such as regulations on smoking in public facilities and outdoors, will also be relevant. The treatment period is specific, and the rate of success you are curious about is.It is also a part of the health damage caused by smoking.

The prescribed treatment period for insurance treatment is three months

How long do I get smoking cessation treatment?

The period covered by the insurance is set as 'three months'.In the meantime, we will receive five continuous treatments and examine the amount of carbon monoxide contained in counseling and breathing.According to the approximate schedule, the image below.

① a first visit

· Prepare a "no smoking setting date" one week after the first visit (no medical treatment required)

② Second round of treatment a week after the date of quitting smoking

③ Third visit in two weeks

④ Fourth visit in a month

⑤ a fifth visit in a month

What are you talking about in the consultation?

Since the "5A approach" is a world standard, this is also summarized below.I think there are many scenes that get frustrated during the treatment period, so I will listen to the contents such as "What scene did you smoke?" and consult so that you can be aware of the "timing to stay alert."

○ 5A Approach

• STEP-1 Identify smoking habits of patients with 'Ask/Ask' and incorporate them into treatment flow
• STEP-2 'Advise/Advise/Advise' Advice to Stop Smoking
• STEP-3 'Assess/Assess' Evaluate Interest in Smoking
• STEP-4 Support and consultation for quitting 'Assist/Assist'
• STEP-5 Determine follow-up measures after 'Arrange/Arrange' smoking cessation treatment

What is the success rate?

In the case of our hospital, it's about 86% in the first three months.However, we can't keep track of whether we continue to quit smoking after three months. In addition, the overall success rate is about 80 percent, according to the data.However, the state considers those who have "drop out" without expiring the three-month treatment period as "success."

What factors do you think divide success and failure?

It's a motivation to quit smoking.People with high consciousness can know at the first stage to some extent.If you have a strong motivation such as holding your grandson because of the smell or wanting to pay for cigarettes for your passionate hobby, you will almost succeed.On the other hand, those who say, "No wonder" or "I don't smoke around" spend three months with a limited sense of accomplishment.

a powerful medicine for smoking during treatment

I heard that insurance can be applied, is there a condition?

Insurance treatment must meet the following requirements:

• The average number of cigarettes per day x the number of years of smoking so far is 200 or higher
• 5 out of 10 in a survey to diagnose nicotine addiction
• Wanting to start quitting smoking within a month
• a written consent to smoking cessation treatment

However, the recent trend has led to more consultations among young people.Therefore, for those under the age of 35, the requirement of "average number of smoking per day × smoking training so far.

Do you prescribe medicine other than counseling?

Yes, I'll prescribe you a nicotine patch or a medicine called valeniclin.Nicotine patches absorb nicotine directly from the skin instead of smoke and come in three sizes: large, medium, and small.A gradual reduction in size during the treatment period is common during the treatment period.

Please continue to tell me about Valeniklin.

Simply put, it's an internal medicine that makes you hate cigarettes.Nicotine poisoning is caused by the release of 'satisfied' neurological substances due to smoking.Valeniclin is a drug that pre-releases this 'satisfied' nerve agent.You can distance yourself from cigarettes because your brain is satisfied.Balleniclin often prescribes valeniclin at the beginning because it has a higher success rate of smoking cessation than nicotine patches.

If it's valeniclin, you want to keep taking it even if you can't stop taking it for three months, right?

You won't be covered by insurance, but there are people who want you to prescribe it at your own expense.In this case, the price of medicine per day is almost equal to or less than the price of a pack of cigarettes.

Please let me know if there are any taboos or precautions.

Drug eczema has been reported in Valenichlin.Therefore, a limited amount of prescription is given for each examination, and if a taboo comes out, it is converted to a nicotine patch.In addition, those who are sleepy, depressed, and pregnant women should also be careful.

For those who can't afford to quit smoking,

Do you think smoking cessation is necessary?

Of course, there is a clear causal link between smoking and COPD, which causes respiratory problems.Once another "COPD" outbreak occurs, it does not return to its original state.So we have to stop it before we get to COPD.Moreover, the risk of lung cancer or other cancers would be "without saying."

How do I approach people who can't quit smoking?

It is also important to properly explain and understand the fear of the future.COPD is a disease that makes it difficult to breathe, so it becomes very difficult.And you can't ignore the price of cigarettes.One box a day is about 12,000 yen per month, less than 150,000 yen per year.In addition, it is easy to reach out to unnecessary items at convenience stores.That's how much I'm giving up on "something that I could use."

By the way, does e-cigarettes have a "smoking effect"?

Not at all. The same goes for heated cigarettes.However, if it's a 'flavor type' e-cigarette that doesn't contain nicotine like those sold in bookstores, you can try it.

If you think of it, don't miss the timing and get a smoking cessation clinic.The height of motivation for quitting smoking goes up and down every day.It seems that the revision of cigarette prices and the confession of celebrities are also affecting it.Taking advantage of this wave of motivation increases the success rate of smoking cessation.The best time to quit smoking is 'I remembered, just then'.

arrangement

The period that non-smoking outpatients could receive as insurance was set at "three months."In the meantime, we will continue to consult and prescribe medicine through a total of 5 examinations.In addition, even after three months, you can be prescribed medicine at a cost equal to or less than the price of cigarettes every day.Isn't this "not afraid of quitting smoking"?Don't think it's too much, you'll be frustrated anyway, and open the door to health.