Authors (including presenting author) :
Yip LH(1), Ma CL(1), Wu SC(1), Chau PS(1), Hon WS(1), Lee CK(1), Li PW(1), Tse OK(1), Wong BC(1), Chu TK(1), Wong MK(1), Liang J(1)
Affiliation :
(1)Department of Family Medicine and Primary Health Care, NTWC
Introduction :
Tobacco smoking increases morbidity and mortality among patients with chronic diseases such as diabetes (DM) and hypertension (HT) and complicates their treatments. The Smoking Cessation and Counseling Service in General Outpatient clinics (GOPCs) has been well established. However, educational materials promoting smoking cessation tailored for the needs of DM and HT patients was not well developed.
Objectives :
To design educational leaflets targeted for DM and HT patients in order to improve knowledge andawareness of smoking cessation as part of their chronic disease management. To implement its use by nurses during nursing care for chronic disease management. To evaluate outcome of implementation by assessing patients’ knowledge and attitudes towards smoking cessation and staff satisfaction survey.
Methodology :
Two sets of educational leaflets were designed, tailor-made for DM and HT patients promoting smoking cessation with evidence-based information, in the period from March to June 2017. They were used in 6 GOPCs by primary care nurses in their daily patient education of chronic disease management in July 2017. 40 nurses completed a staff satisfaction survey for usage of the leaflet. By convenient sampling in DM or HT risk assessment and management program, 30 DM and 30 HT patients were invited to complete questionnaires evaluating their knowledge and attitude on smoking cessation before and after nurse education facilitated by use of the leaflets.
Result & Outcome :
Around 80% and 90% of nurses interviewed were satisfied with the leaflets and found them useful respectively. The mean score of knowledge on smoking cessation among patients increased from 3.27 to 4.6 out of 5, and the percentage of patients who were ready to quit smoking or would consider quit smoking in coming 6 months increased from 37% to 56% (p<0.01)after received nurse education using the leaflets.