Application of specialist nurse sharing of Respiratory Medicine Department in transitional care of patients with chronic obstructive pulmonary disease under medical integration mode
10.3760/cma.j.cn115682-20210207-00625
- VernacularTitle:医联体模式下呼吸内科专科护士共享在COPD患者延续护理中的应用
- Author:
Nannan CAI
1
;
Shengxi MA
;
Liwei SUN
;
Quanmei FENG
Author Information
1. 新乡市中心医院 新乡医学院第四临床学院呼吸与危重症医学科三 453000
- Keywords:
Pulmonary disease, chronic obstructive;
Medical integration;
Specialist nurse;
Sharing
- From:
Chinese Journal of Modern Nursing
2021;27(30):4078-4082
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of specialist nurse sharing of Respiratory Medicine Department in transitional care of patients with chronic obstructive pulmonary disease (COPD) under medical integration mode.Methods:Using the convenient sampling method, a total of 134 COPD patients who were hospitalized in Respiratory Department of Xinxiang Central Hospital were selected from October 2018 to October 2019. They were randomly divided into the control group and the observation group, with 67 cases in each group. The patients in the control group were given routine management after they were discharged from the hospital, while patients in the observation group were given specialist nurse sharing of Respiratory Medicine Department under medical integration mode for a period of 1 year after they were discharged from the hospital. BODE index, COPD Assessment Test (CAT) scale score, readmission rate and average length of hospital stay within 1 year were compared between the two groups.Results:After intervention, percent predicted of forced expiratory volume in first second (FEV1% Predicted) and Six-Minute Walk Test (6MWT) in the observation group were higher than those in the control group and higher than those before the intervention, and the differences were statistically significant ( P<0.05) . After the intervention, mMRC score, BODE index and CAT score of the observation group were lower than those of the control group and were lower than those before the intervention, and the differences were statistically significant ( P<0.05) . The readmission rate within 1 year of the observation group and the control group were respectively 23.88% and 49.25%, and the difference between the two groups was statistically significant ( P<0.05) . The average length of hospital stay within a year in the observation group was shorter than that in the control group, and the difference between the two groups was statistically significant ( P<0.05) . Conclusions:Transitional care for COPD patients using specialist nurse sharing of Respiratory Medicine Department under medical integration mode can effectively alleviate the condition, improve quality of life, reduce the readmission rate and shorten the average length of hospital stay.
