Application of discharge planning services in patients with chronic obstructive pulmonary disease

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 . Key words: COPD Discharge planning Quality of life Self-care