Реабилитация пациентов с болезнями органов дыхания и никотиновой зависимостью

Abstract

This article addresses medical and social rehabilitation of smokers with respiratory diseases. Most smokers attempt to stop smoking, however, smoking relapses are common due to nicotine addiction. It was demonstrated that the major factors provoking tobacco smoking relapse are the lack of higher education, a smoking partner, accentuations of a character, and the lack of behavioral regulation. A substantial number of respiratory disease patients continue to smoke after being diagnosed. The rehabilitation of patients with respiratory diseases and comorbidities (i.e., tobacco dependency or nicotine withdrawal) should include both medical and social measures aiming at the physical, social, and psychological components of the addiction. Tiotropium bromide is an effective therapeutic option for the rehabilitation of smokers with respiratory diseases. It was demonstrated that the forced expiratory volume in one second increases by 169 ml and 105 ml in asthmatic smokers and asthmatic non-smokers, respectively. Other studies show the improvement of the quality of life in patients with moderate-to-severe chronic obstructive pulmonary disease who receive tiotropium bromide. The regulations and standards of the rehabilitation in smoking cessation are required to provide a successful rehabilitation (i.e., the prevention of smoking relapses) of patients with respiratory diseases. KEYWORDS: rehabilitation, smoking, nicotine addiction, withdrawal, respiratory diseases. FOR CITATION: Titova O.N., Kulikov V.D. Rehabilitation of patients with respiratory diseases and nicotine addiction. Russian Medical Inquiry. 2020;4(4):219–225. DOI: 10.32364/2587-6821-2020-4-4-219-225.