Application of discharge planning services in patients with chronic obstructive pulmonary disease
10.3760/j.issn.1674-2907.2014.22.010
- VernacularTitle:院外服务计划在慢性阻塞性肺疾病患者中的应用
- Author:
Ying ZHANG
1
;
Xiaoxia DAI
;
Yurong ZHANG
Author Information
1. 256610 山东省滨州市人民医院呼吸内科
- Keywords:
COPD;
Discharge planning;
Quality of life;
Self-care
- From:
Chinese Journal of Modern Nursing
2014;20(22):2760-2764
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of discharge planning services in patients with chronic obstructive pulmonary disease ( COPD ) .Methods Eighty six COPD patients were divided into two groups . There were 43 cases in each group .The patients in the experimental group received discharge planning services , while the control group received routine follow-up services.The quality of life was measured by the Seattle Obstructive Lung Disease Questionnaire (SOLDQ) and was compared between groups on the 30th, 60th and 180th days after discharge .Results After 6 month intervention , the incidence of disease , hospital readmission and body max index of the experimental group were (1.08 ±0.53), (0.68 ±0.30) and (22.64 ±3.60), respectively.Those in the control group were (2.57 ±1.12), (1.70 ±0.80) and (17.55 ±2.74).There were significant differences between the two groups (t=-2.957, -3.549, 3.078, respectively;P<0.05). There were no significant different in self care knowledge before admission to the hospital between the two groups (P>0.05).Before discharge, the self care knowledge in the experimental group were (15.23 ±3.59), which were significantly higher than (13.27 ±3.22) in the control group (t =2.806,P<0.05).There were no significant different in the SOLDQ score before admission to the hospital between the two groups (P>0.05). After 6 month intervention , the score of physical function , emotional function and satisfaction with self care in the experimental group were significantly higher than those in the control group (t=14.300, 10.673, 11.231, respectively;P<0.05).Conclusions Discharge planning services can enhance the ability of self-care and reduce the frequency of acute exacerbation .
