19A149

Adherence with advice to stop smoking in patients with Inflammatory Arthritis on Methotrexate.

Author(s)

Salamet Ali, Arslan Ather, Eleanor Dunlee, Ursula Bond, Michael Regan

Department(s)/Institutions

South Infirmary Victoria University Hospital, Cork

Introduction

The patients with diagnosis of IJD, who commenced on Methotrexate are advised to stop smoking by Consultant/NCHD . They receive education about methotrexate and lifestyle changes by Rheumatology Specialist nurse.

Aims/Background

To determine level of adherence with advice given to stop smoking at first as well as subsequent visits in accordance with ACR/BSR guidelines & local protocols to ensure compliance to facilitate complete remission.

Method

Data was collected from 50 consecutive patients at follow-up visits at Rheumatology clinics in SIVUH over a 3-month period from 1st October 2018 to 31st December 2018. After consent, the patient was interviewed & a questionnaire was filled for data collection.

Results

The results are as follows:
Ex-Smoker/Non-Smoker on 1st Clinic : 72%
% of Smokers at 1st visit: 28 % (Target patients )

% of Target Patients Stopped smoking : 36 %
% of Target Patients reduced smoking : 50%
Non-Compliant with advice : 14%

Conclusions

The audit shows that the vast majority of patients (86%)are either fully or partially compliant with advice while only 14% are not. We can device strategies to get it as near as possible to 100%.