AIM: To identify patient needs following discharge from hospital after an exacerbation of COPD. METHODS: Qualitative and semi-quantitative study using home-based structured interviews and focus groups involving 25 COPD patients after hospital discharge. Interviews were performed seven days and three months post-discharge. Quantitative data were analysed using descriptive statistics and were triangulated with the qualitative data from interviews and the focus groups. RESULTS: There were high levels of depression (64%) and anxiety (40%). Feelings of anxiety after discharge were associated with the fear of another "attack" and with uncertainties about social and medical care provision, especially the provision of oxygen. CONCLUSIONS: Interventions to reduce readmission for COPD exacerbations need to consider the psychosocial as well as the medical needs of patients. There appears to be a need for improved hospital discharge procedures and community follow-up - including the provision of pulmonary rehabilitation and encouragement of self-management strategies.
AIM: To identify patient needs following discharge from hospital after an exacerbation of COPD. METHODS: Qualitative and semi-quantitative study using home-based structured interviews and focus groups involving 25 COPDpatients after hospital discharge. Interviews were performed seven days and three months post-discharge. Quantitative data were analysed using descriptive statistics and were triangulated with the qualitative data from interviews and the focus groups. RESULTS: There were high levels of depression (64%) and anxiety (40%). Feelings of anxiety after discharge were associated with the fear of another "attack" and with uncertainties about social and medical care provision, especially the provision of oxygen. CONCLUSIONS: Interventions to reduce readmission for COPD exacerbations need to consider the psychosocial as well as the medical needs of patients. There appears to be a need for improved hospital discharge procedures and community follow-up - including the provision of pulmonary rehabilitation and encouragement of self-management strategies.
Authors: Kathryn Wortz; Angela Cade; James Ryan Menard; Sue Lurie; Kristine Lykens; Sejong Bae; Bradford Jackson; Fenghsiu Su; Karan Singh; David Coultas Journal: Prim Care Respir J Date: 2012-12
Authors: M J E Chalder; C L Wright; K J P Morton; P Dixon; A R Daykin; S Jenkins; J Benger; J Calvert; A Shaw; C Metcalfe; W Hollingworth; S Purdy Journal: BMC Pulm Med Date: 2016-02-25 Impact factor: 3.317
Authors: Claire L Bentley; Gail A Mountain; Jill Thompson; Deborah A Fitzsimmons; Kinga Lowrie; Stuart G Parker; Mark S Hawley Journal: Trials Date: 2014-08-06 Impact factor: 2.279