Effects of hospital–community integrated transitional care on quality of life in patients with chronic obstructive pulmonary disease
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摘要
Objective: To explore the effects of "hospital–community integrated transitional care" model on quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods: A total of 117 inpatients with COPD from the Department of Respiratory Medicine in a tertiary general hospital in Nanjing were enrolled by convenience sampling from January to December in 2016 and then were divided into intervention group(n = 60) and control group(n = 57) by random number table. Patients in the intervention group accepted both routine care and hospital–community integrated transitional care for 3 months after discharge. Assessment of quality of life by telephone follow-up or interview within a week before discharge and 1, 3, and 6 months after discharge was evaluated using the Short Form-36(SF-36) health survey questionnaire.Results: For a total score of quality of life, there was a significant difference between the two groups(P < 0.05): 1, 3, and 6 months after discharge. In addition, for each dimension score of quality of life, there were no significant differences(P > 0.05) except vitality dimension, 1 month after discharge, and there were significant differences in all dimensions, 3 and 6 months after discharge(P < 0.05)Conclusions: Hospital–community integrated transitional care model can improve the quality of life of patients with COPD.
Objective: To explore the effects of "hospital–community integrated transitional care" model on quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods: A total of 117 inpatients with COPD from the Department of Respiratory Medicine in a tertiary general hospital in Nanjing were enrolled by convenience sampling from January to December in 2016 and then were divided into intervention group(n = 60) and control group(n = 57) by random number table. Patients in the intervention group accepted both routine care and hospital–community integrated transitional care for 3 months after discharge. Assessment of quality of life by telephone follow-up or interview within a week before discharge and 1, 3, and 6 months after discharge was evaluated using the Short Form-36(SF-36) health survey questionnaire.Results: For a total score of quality of life, there was a significant difference between the two groups(P < 0.05): 1, 3, and 6 months after discharge. In addition, for each dimension score of quality of life, there were no significant differences(P > 0.05) except vitality dimension, 1 month after discharge, and there were significant differences in all dimensions, 3 and 6 months after discharge(P < 0.05)Conclusions: Hospital–community integrated transitional care model can improve the quality of life of patients with COPD.
Objective: To explore the effects of "hospital–community integrated transitional care" model on quality of life in patients with chronic obstructive pulmonary disease(COPD).Methods: A total of 117 inpatients with COPD from the Department of Respiratory Medicine in a tertiary general hospital in Nanjing were enrolled by convenience sampling from January to December in 2016 and then were divided into intervention group(n = 60) and control group(n = 57) by random number table. Patients in the intervention group accepted both routine care and hospital–community integrated transitional care for 3 months after discharge. Assessment of quality of life by telephone follow-up or interview within a week before discharge and 1, 3, and 6 months after discharge was evaluated using the Short Form-36(SF-36) health survey questionnaire.Results: For a total score of quality of life, there was a significant difference between the two groups(P < 0.05): 1, 3, and 6 months after discharge. In addition, for each dimension score of quality of life, there were no significant differences(P > 0.05) except vitality dimension, 1 month after discharge, and there were significant differences in all dimensions, 3 and 6 months after discharge(P < 0.05)Conclusions: Hospital–community integrated transitional care model can improve the quality of life of patients with COPD.
引文
1.World Health Organization.Chronic obstructive pulmonary disease(COPD).http://www.who.int/mediacentre/factsheets/fs315/en/.Accessed November11,2017.
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5.Naylor,MD,Aiken,LH,Kurtzman,ET,Olds DM,Hirschman KB.The care span:the importance of transitional care in achieving health reform.Health Affairs.2011;30:746-754.
6.Chen ZT,Lin C,Dai YT.The problems of family care giving among discharged patients in first month.Nurs Res.1999;7:423-434.
7.Liu M,Li GH,Zhang Y.Current status of transitional care for discharged patients:a review.Chin Nurs Manage.2015;15:1518-1521(in Chinese).
8.Chronic obstructive pulmonary disease,Chinese Academy of Medical Sciences.Diagnos-is and Treatment Guidelines of Chronic Obstructive Pulmonary Disease.Chin J Tuberc Respir Dis.2007;30:8-17
9.The Omaha System.Omaha System Overview.http://www.omahasyst em.org/overview.html.The Omaha System.Accessed November 11,2017.
10.Wang HP,Wang Y,Wang S.The feasibility of applying the Omaha System to Chinese diabetes mellitus nursing.Chin Nurs Manage.2014;14:981-983(in Chinese).
11.Huang SF,Guan YM,Huang YP,et al.Application of the Omaha problem classification scheme in assessment of stroke patients.J Nurs Sci.2014;29:33-36(in Chinese).
12.XJ Lu,XX Miao,RR Wang,et al.Primary nursing problems in community-dwelling elderly patients with chronic diseases based on Omaha problem classification system.J Nurs(China).2016;23:74-76(in Chinese).
13.Mi F,Wang FL.Evaluation of application effect by Omaha system in pulmonary function and quality of life of COPD patients.China Prac Med.2017;12:175-177(in Chinese).
14.Liu YF,Chen WJ,Xu WP.Effect evaluation of diabetes transitional nursing interventions by applying Omaha system.J Nurs Train.2015;30:776-779(in Chinese).
15.World Health Organization.Global status report on noncommunicable disease 2010.World Health Organization.2011.
16.Zhang YH,Yang YZ,Yi XQ,Zeng R.SWOT analysis of continuous nursing care in hospital community integration.J Community Med.2014;12:76-78(in Chinese).
17.Yi JN,Chen LQ,Jia SM,Lu MM,Xun XQ.Effects of general practitioner team home visiting program for community-dwelling elder lies.Chin J Nurs.2012;47:837-839(in Chinese).
18.Kong XQ.Practice and effect of implementation of hospital-community integrated management.Mod Hosp Manage.2014;12:22-24(in Chinese).
19.Ouellette DR,Lavoie KL.Recognition,diagnosis,and treatment of cognitive and psychiatric disorders in patients with COPD.Int J Chron Obstruct Pulmon Dis.2017;12:639-650.
20.Koyanaqi A,Stubbs B,Smith L,et al.Correlates of physical activity among community-dwelling adults aged 50 or over in six low-and middle-income countries.PLoS One.2017;12:e0186992.
2.World Health Organization.The top 10 causes of death.2017.http://ww w.who.int/mediacentre/factsheets/fs310/en.Accessed November 13,2017.
3.Chinese Thoracic Society.Diagnosis and treatment guidelines of chronic obstructive pulmonary disease(Revised edition).http://www.csrd.org.cn/cn/news.asp?id=291.html.Accessed November 11,2017.
4.Shah T,Churpek MM,Perraillon MC,et al.Understanding why patients with COPD get readmitted:a large national study to delineate the medicare population for the readmissions penalty expansion.Chest.2015;147:1219-1226.
5.Naylor,MD,Aiken,LH,Kurtzman,ET,Olds DM,Hirschman KB.The care span:the importance of transitional care in achieving health reform.Health Affairs.2011;30:746-754.
6.Chen ZT,Lin C,Dai YT.The problems of family care giving among discharged patients in first month.Nurs Res.1999;7:423-434.
7.Liu M,Li GH,Zhang Y.Current status of transitional care for discharged patients:a review.Chin Nurs Manage.2015;15:1518-1521(in Chinese).
8.Chronic obstructive pulmonary disease,Chinese Academy of Medical Sciences.Diagnos-is and Treatment Guidelines of Chronic Obstructive Pulmonary Disease.Chin J Tuberc Respir Dis.2007;30:8-17
9.The Omaha System.Omaha System Overview.http://www.omahasyst em.org/overview.html.The Omaha System.Accessed November 11,2017.
10.Wang HP,Wang Y,Wang S.The feasibility of applying the Omaha System to Chinese diabetes mellitus nursing.Chin Nurs Manage.2014;14:981-983(in Chinese).
11.Huang SF,Guan YM,Huang YP,et al.Application of the Omaha problem classification scheme in assessment of stroke patients.J Nurs Sci.2014;29:33-36(in Chinese).
12.XJ Lu,XX Miao,RR Wang,et al.Primary nursing problems in community-dwelling elderly patients with chronic diseases based on Omaha problem classification system.J Nurs(China).2016;23:74-76(in Chinese).
13.Mi F,Wang FL.Evaluation of application effect by Omaha system in pulmonary function and quality of life of COPD patients.China Prac Med.2017;12:175-177(in Chinese).
14.Liu YF,Chen WJ,Xu WP.Effect evaluation of diabetes transitional nursing interventions by applying Omaha system.J Nurs Train.2015;30:776-779(in Chinese).
15.World Health Organization.Global status report on noncommunicable disease 2010.World Health Organization.2011.
16.Zhang YH,Yang YZ,Yi XQ,Zeng R.SWOT analysis of continuous nursing care in hospital community integration.J Community Med.2014;12:76-78(in Chinese).
17.Yi JN,Chen LQ,Jia SM,Lu MM,Xun XQ.Effects of general practitioner team home visiting program for community-dwelling elder lies.Chin J Nurs.2012;47:837-839(in Chinese).
18.Kong XQ.Practice and effect of implementation of hospital-community integrated management.Mod Hosp Manage.2014;12:22-24(in Chinese).
19.Ouellette DR,Lavoie KL.Recognition,diagnosis,and treatment of cognitive and psychiatric disorders in patients with COPD.Int J Chron Obstruct Pulmon Dis.2017;12:639-650.
20.Koyanaqi A,Stubbs B,Smith L,et al.Correlates of physical activity among community-dwelling adults aged 50 or over in six low-and middle-income countries.PLoS One.2017;12:e0186992.