Development of a smoking cessation program based case management for chronic kidney disease patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/152321
Type:
Presentation
Title:
Development of a smoking cessation program based case management for chronic kidney disease patients
Abstract:
Development of a smoking cessation program based case management for chronic kidney disease patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Chen, Shu-Ya, MS, RN
P.I. Institution Name:Changhua Christian Hospital
Title:Nurse Educator
[Research Presentation] Background: The 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: There were 15 CKD patients in the control group (CG), who were treated in routine nephrologists 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 detected. Materials: 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: Data were analyzed by non-parametric method, Mann-Whitney U-test, and simple correlations. Results: There were statistically significant differences between two groups regarding FSNC, CO, QOL, and biochemical values (p < .05). EG has higher abstinence rate than CG (55% vs. 40%, p < .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.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment of a smoking cessation program based case management for chronic kidney disease patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152321-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development of a smoking cessation program based case management for chronic kidney disease patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Shu-Ya, MS, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Changhua Christian Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Educator</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">92055@cch.org.tw</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background: The 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: There were 15 CKD patients in the control group (CG), who were treated in routine nephrologists 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 detected. Materials: 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: Data were analyzed by non-parametric method, Mann-Whitney U-test, and simple correlations. Results: There were statistically significant differences between two groups regarding FSNC, CO, QOL, and biochemical values (p &lt; .05). EG has higher abstinence rate than CG (55% vs. 40%, p &lt; .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.</td></tr></table>en_GB
dc.date.available2011-10-26T11:31:57Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:31:57Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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