Carol Langley-Johnson
What are the needs of patients following discharge from hospital after an acute exacerbation of chronic obstructive pulmonary disease (COPD)?
Langley-Johnson, Carol; Dyer, Christopher; Gruffydd-Jones, Kevin; Ward, Sabbi; Badlan, Kathryn
Authors
Christopher Dyer
Kevin Gruffydd-Jones
Sabbi Ward
Kathryn Badlan
Abstract
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. © 2007 General Practice Airways Group. All rights reserved.
Citation
Langley-Johnson, C., Dyer, C., Gruffydd-Jones, K., Ward, S., & Badlan, K. (2007). What are the needs of patients following discharge from hospital after an acute exacerbation of chronic obstructive pulmonary disease (COPD)?. Primary Care Respiratory Journal, 16(6), 363-368. https://doi.org/10.3132/pcrj.2007.00075
Journal Article Type | Article |
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Publication Date | Dec 1, 2007 |
Journal | Primary Care Respiratory Journal |
Print ISSN | 1471-4418 |
Electronic ISSN | 1475-1534 |
Publisher | Elsevier |
Peer Reviewed | Not Peer Reviewed |
Volume | 16 |
Issue | 6 |
Pages | 363-368 |
DOI | https://doi.org/10.3132/pcrj.2007.00075 |
Keywords | COPD exacerbations primary care, patients, needs |
Public URL | https://uwe-repository.worktribe.com/output/1023349 |
Publisher URL | http://dx.doi.org/10.3132/pcrj.2007.00075 |