Programa de evaluación y control del tabaquismo en funcionarios del hospital doctor Gustavo Fricke, Viña del Mar, Chile

El tabaquismo, mantiene alta prevalencia a nivel de la poblacion general, lo que se manifiesta tambien en los funcionarios de la salud en nuestro pais. Objetivos: Se planifico un programa antitabaco para los funcionarios del Hospital Dr. Gustavo Fricke, Vina del Mar con el objetivo de realizar un diagnostico de la situacion, evaluar a los funcionarios comprometidos y realizar acciones programaticas orientadas al cese. Material y metodo: Se encuestaron entre marzo y junio del 2013, 551 funcionarios en forma directa, de los cuales, los que fumaban y manifestaron su deseo a dejarlo, se les aplico 4 test (Fagestrom, Richmond, Goldberg y De los porque) y se les ofrecio integrarse a un programa de cesacion con terapia farmacologica y no farmacologica. Resultados: Se pesquisaron 249 fumadores (45 por ciento), de los cuales 158 (63,4 por ciento) desean dejar de fumar. Las tasas mas altas fueron de los profesionales no de la salud (70 por ciento) y las mas bajas de los medicos (18 por ciento). Se pesquiso un 20 por ciento de fumadores severos (>15 al dia) y una gran motivacion al cese. Hasta Agosto 2014, 60 funcionarios (38 por ciento de los que deseaban dejar de fumar) , estaban en programa, los cuales se evaluaron con ficha clinica “ad hoc”, test de Fagestrom, Richmond, De los por que y Goldberg (depresion). Las modalidades de terapia fueron consejeria individual y farmacologica con vareniclina y/o chicles de nicotina, de acuerdo a flujograma que consideraba grados de adiccion y motivacion. Hasta agosto /2014, 10 funcionarios habian recibido terapia farmacologica, de los cuales 6 completaban 6 meses de cesacion, 2 abandonos y 2 recaidas. Conclusiones: Fue posible realizar un programa de cesacion tabaquica en funcionarios hospitalarios de acuerdo a lo programado...(AU) Smoking, maintaining a level high prevalence in the general population, which is also evident in the subjects working health in our country. Objectives: A smoking cessation program was planned for subjects working Dr. Gustavo Fricke Hospital, Vina del Mar in order to make a diagnosis of the situation, evaluate and make subjects working committed actions aimed at cessation program. Material and method: They were surveyed between March and June 2013, 551 subjects working directly, of which, those who smoked and expressed his desire to leave, they applied four tests (Fagestrom, Richmond, Goldberg and “Of the why”) and offered integrated a cessation program with pharmacological and non-pharmacological therapy. Results: 249 smokers (45 percent), of which 158 (63.4 percent) want to stop smoking. The highest rates were among non-health professionals (70 percent) and the lowest of physicians 18 percent. 20 percent of heavy smokers (> 15 per day) and a great motivation to terminate. Until August 2014, 60 staff (38 percent of those who wanted to stop smoking), were in the program, which were evaluated with clinical record "ad hoc" test Fagestrom, Richmond, “Of the why” and Goldberg (depression). Modalities therapy, were individually counseling and pharmacological therapy with varenicline and / or nicotine gum, according to flowchart considered degrees of addiction and motivation. Until August / 2014, 10 staff had received drug therapy, of which 6 completed 6 months of cessation, 2dropouts and 2 relapses. Conclusions: It was possible to make a smoking cessation program in hospital officials as scheduled...(AU)