Poster Presentation

Friday, July 13, 2007
9:30 AM - 10:15 AM

Friday, July 13, 2007
3:15 PM - 4:00 PM
This presentation is part of : Poster Presentation III
Development of a smoking cessation program based case management for chronic kidney disease patients
Shu-Ya Chen, MS, RN, Landsborough Memorial Ward, Hospice Palliative Medicine Research unit, Nursing Department, Changhua Christian Hospital, Changhua, Taiwan
Learning Objective #1: Nurses can seek resources to be actively in advocating for effective smoking cessation services, such as multidimensional cessation strategies.
Learning Objective #2: Integrate a variety of professional development opportunities to support nurses in effectively promoting skills in smoking cessation intervention and counselling for chronic kidney disease patients.

Background°GThe prevalence of chronic kidney disease°]CKD°^is increasing. A CKD case management was established for enhancing healthy life-style, encouraging smoking cessation and protecting from exposure to second-hand smoke. Methods°G There were 15 CKD patients in the control group°]CG°^, who were treated in routine nephrologist practice, promoting kidney health education, and smoking cessation interventions , including increasing motivation to quit, providing written materials, and pharmacotherapy counseling tailored to suit the individual. There were 14 patients in experimental group°]EG°^, and they were available as CG setting and offered systematical group educational program, such as alternative approaches, referral to community resource, and relaxation exercise . Over 12-month period of the audit, the outcome of the smoking cessation will be evaluated, and kidney function will be dectected. Materials°G°]1°^A Fagerstrom score of nicotine dependence°]FSNC°^,°]2°^Score of quality of life °]QOL°^,°]3°^measurement of the expired carbon monoxide°]CO°^concentration, °]4°^Laboratory data and lung function test. Statistics°G Data were analyzed by non-parametric method, Mann-Whitney U-test, and simple correlations . Results°G There were statistically significant differences between two groups regarding FSNC , CO, QOL, and biochemical values°]p°’0.05°^. EG has higher abstinence rate than CG°]55% vs. 40%, p°’0.05 °^. However, there was no significant correlation between abstinence of two groups regarding CO concentration and lung function test. Of the continued abstainer, their glomerular filtration rate reflected better than other subjects who had relapsed. Conclusion: Group educational program was an effective strategy in stopping and decreasing tobacco. A higher abstinence rate was achieved by the multidimensional interventions to assist patients in physical and mental recovery.