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Published by Perpustakaan Brawijaya E-Books, 2022-11-08 21:31:33

Garis Panduan Program Farmakoterapi Berhenti Merokok

Edisi Pertama:2012

44

Data FBM Fasiliti

Lawatan Ke-3 Lawatan Ke-4 Lawatan Ke-5

Berat Markah Purata
badan Fager perbelanjaan utk
strom rokok/ sehari (RM)
(kg)
Purata
perbelanjaan utk
rokok/ sehari (RM)

Purata
perbelanjaan utk
rokok/sehari (RM)
Tarikh Tahap Rawatan Berat Tahap Markah Rawatan Tarikh Berat Tahap Markah Rawatan
CO digunakan Tarikh badan CO Fager digunakan badan CO Fager digunakan
strom strom
(kg) (kg)


LAMPIRAN 4


LAMPIRAN 4

Assessment of motivation to stop smoking

-Adapted from R. West, Assessment of dependence and motivation to stop smoking, BMJ vol 328, 2004.

ASSESSMENT OF MOTIVATION TO STOP SMOKING

47


LAMPIRAN 5


LAMPIRAN 5

HAD ASSESSMENT FORM

51


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