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      Efectividad de una Intervención Breve sobre motivación antitabáquica en usuarios drogodependientes ingresados en una UHD Translated title: Effectiviness of a Brief Intervention on anti-smoking motivation in drug addict patients staying in a UHD

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          Abstract

          RESUMEN Justificación Existe una asociación entre tabaquismo y TUS, especialmente con alcohol y cannabis. Sin embargo, las intervenciones sanitarias parecen no ir encaminadas a su enfoque. Objetivo Evaluar el grado de motivación para el abandono tabáquico tras realizar una intervención psicoeducativa breve sobre abordaje del tabaquismo. Metodología Se trata de una investigación cuantitativa de tipo analítico cuasiexperimental que se lleva a cabo mediante dos cohortes experimentales, del tipo pre- y post-intervención. Se aplica una intervención breve educativa y se evalúan las diferencias en la motivación para el abandono tabáquico en un grupo antes de la intervención y en otro grupo después de la misma. Resultados Existe una diferencia de 1,27 puntos en el grado de motivación encontrado en los individuos respecto a los grupos experimentales. Conclusiones Las personas drogodependientes son fumadoras con altos grados de dependencia nicotínica por lo que es preciso diseñar estrategias de cesación adecuadas.

          Translated abstract

          ABSTRACT: Justification There is a connection between smoking and substances use disorder, especially alcohol and cannabis. Nevertheless, health interventions seem not to be addressed to this approach. Objective Evaluation of the motivation degree for the smoking quit after developing a brief psycho-educational intervention on smoking. Methodology It is a quantitative research of analytical type, almost experimental, developed by means of two experimental series, of the types pre- and post- intervention. A brief educational intervention is applied and there is an evaluation of the differences in the motivation for the smoking quit in a group before the intervention and in another one after the intervention. Results There is a difference of 1,27 points in the degree of motivation found in the individuals regarding the experimental groups. Conclusions Drug addict people are smokers with a high degree of nicotinic dependence, so it is necessary to design suitable strategies of quitting.

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          Most cited references21

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          Measuring degree of physical dependence to tobacco smoking with reference to individualization of treatment

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            A mixed-method systematic review and meta-analysis of mental health professionals' attitudes toward smoking and smoking cessation among people with mental illnesses : Mental health professionals' views on smoking

            People with mental illnesses and substance abuse disorders are important targets for smoking cessation interventions. Mental health professionals (MHPs) are ideally placed to deliver interventions, but their attitudes may prevent this. This systematic review therefore aimed to identify and estimate quantitatively MHPs attitudes towards smoking and main barriers for providing smoking cessation support and to explore these attitudes in-depth through qualitative synthesis.
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              Pharmacokinetic Drug Interactions with Tobacco, Cannabinoids and Smoking Cessation Products.

              Tobacco smoke contains a large number of compounds in the form of metals, volatile gases and insoluble particles, as well as nicotine, a highly addictive alkaloid. Marijuana is the most widely used illicit drug of abuse in the world, with a significant increase in the USA due to the increasing number of states that allow medical and recreational use. Of the over 70 phytocannabinoids in marijuana, Δ(9)-tetrahydrocannabinol (Δ(9)THC), cannabidiol (CBD) and cannibinol are the three main constituents. Both marijuana and tobacco smoking induce cytochrome P450 (CYP) 1A2 through activation of the aromatic hydrocarbon receptor, and the induction effect between the two products is additive. Smoking cessation is associated with rapid downregulation of CYP1A enzymes. On the basis of the estimated half-life of CYP1A2, dose reduction of CYP1A drugs may be necessary as early as the first few days after smoking cessation to prevent toxicity, especially for drugs with a narrow therapeutic index. Nicotine is a substrate of CYP2A6, which is induced by oestrogen, resulting in lower concentrations of nicotine in females than in males, especially in females taking oral contraceptives. The significant effects of CYP3A4 inducers and inhibitors on the pharmacokinetics of Δ(9)THC/CBD oromucosal spray suggest that CYP3A4 is the primary enzyme responsible for the metabolism of Δ(9)THC and CBD. Limited data also suggest that CBD may significantly inhibit CYP2C19. With the increasing use of marijuana and cannabis products, clinical studies are needed in order to determine the effects of other drugs on pharmacokinetics and pharmacodynamics.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2019
                : 18
                : 54
                : 63-78
                Affiliations
                [2] Murcia orgnameUniversidad de Murcia orgdiv1Escuela Universitaria de Enfermería orgdiv2Departamento de Enfermería Spain
                [1] orgnameConsorci Mar Parc de Salut orgdiv1Institut de Neuropsiquiatría i Adiccions (INAD) orgdiv2Unidad de Desintoxicación Hospitalaria España
                Article
                S1695-61412019000200003
                10.6018/eglobal.18.2.313731
                f5d4f898-1edc-43dc-a096-09cde110dfcb

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 08 December 2017
                : 02 June 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 26, Pages: 16
                Product

                SciELO Spain

                Categories
                Originales

                Hospitalización,Intervención,Enfermería,smoking,drug addiction,hospitalization,intervention,nursing,Tabaco,Drogodependencia

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