Abstract
Methods Clinical information of 78 COPD patients treated with TC (intervention group) or routine care (control group) in Shanghai Pulmonary Hospital during March 2019 and August 2020 was gathered. Patients were followed up for 3 months after discharge. The intervention group (n = 39) was subjected to a TC plan for 3 months to help patients and their family caregivers for self-management of COPD. TC was provided by specially trained nurses, and patients were supported by standardized tools. Nursing measures in the control group (n = 79) included transitional support for 30 d after hospital discharge. In this way, patients were guaranteed to follow discharge plans and transit to outpatient nursing. Patient's anxiety and depression symptoms, sleep quality, survival quality, mobility, and life quality at admission and after 3 months of discharge were assessed by Hospital Anxiety and Depression Scale, Pittsburgh Sleep Quality Index, Quality of Life Scale Abbreviated Version, Activity of Daily Life Scale, St. George's Respiratory Questionnaire, and COPD Assessment Test. Results Except for anxiety and depression, patient's sleep quality, survival quality, mobility, and life quality in two groups were significantly improved. Moreover, average change of total CAT score during 3 months of intervention was -5.44, while that in the control group was -1.74 (p = 0.011). Improvement of survival quality of patients in the intervention group (p = 0.001) was markedly greater than that in the control group (p = 0.016). Conclusion Altogether, TC based on quantification by questionnaire survey is beneficial to COPD patient's life quality and self-management.
Highlights
Chronic respiratory diseases (CRD) are prime causes of global disability and death [1]
There were no marked differences in anxiety and depression, sleep status, survival quality, Barthel index, St. George’s Respiratory Questionnaire (SGRQ), and COPD Assessment Test (CAT) of patients in two groups
And 3, transitional care (TC) based on a questionnaire survey could conspicuously enhance Chronic obstructive pulmonary disease (COPD) patient’s life quality. This investigation quantitatively compared the impacts of TC and routine care on disease self-management of COPD patients based on a questionnaire survey
Summary
Chronic respiratory diseases (CRD) are prime causes of global disability and death [1]. Chronic obstructive pulmonary disease (COPD) falls under the umbrella of CRD and is the most prevalent type. Transitional care (TC), called continuous care or transitional nursing, is an extension of hospital care to Computational and Mathematical Methods in Medicine guarantee the continuity of professional medical care for patients after discharge [7]. The purpose of TC is to increase patient’s disease self-management, promote medical stability, and decline readmission rate via telephone follow-up, home visiting, and messages. An investigation indicated that nurses-led TC shows a positive impact on blood glucose control and treatment compliance, and lowers medical cost for diabetic patients after discharge [11]. For patients awaiting coronary artery bypass graft (CABG), TC can reduce anxiety, depression, and hospital times while enhancing cardiac self-efficacy and satisfaction with care [13]. TC offers a rationale for the subsequent care of patients with COPD
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