Post-discharge extended care contributes to the disease control of patients with COPD: a Chinese study

Int J Chron Obstruct Pulmon Dis. 2018 Dec 14:13:4005-4013. doi: 10.2147/COPD.S177038. eCollection 2018.

Abstract

Background: The aim of this study was to evaluate the efficacy of extended care in patients with COPD.

Patients and methods: A total of 140 patients with GOLD-2 to -4 of COPD were included in final analysis. The care efficacy was evaluated by the St George's Respiratory Questionnaire 12-item General Health Questionnaire (GHQ-12), pulmonary function test and blood gas analysis.

Results: The extended care improved the activity ability of COPD patients, relieved the clinical symptoms as well as reduced the impact degree of COPD to daily life (P<0.05). In addition, the extended care improved the mental health condition of patients with COPD compared with usual care (P<0.05). Moreover, the extended care improved the ventilation function of COPD patients, reduced the acute exacerbation rate and improved the blood gas levels compared with the usual care (P<0.05).

Conclusion: The extended care improves the quality of life, respiratory function and the mental health condition of patients with COPD after discharge, indicating that it contributes to the disease control of patients with COPD.

Keywords: COPD; disease control; extended care.

Publication types

  • Multicenter Study
  • Observational Study

MeSH terms

  • Blood Gas Analysis
  • China
  • Continuity of Patient Care*
  • Female
  • Forced Expiratory Volume
  • Health Status
  • Humans
  • Lung / physiopathology*
  • Male
  • Mental Health
  • Patient Discharge*
  • Pulmonary Disease, Chronic Obstructive / diagnosis
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Pulmonary Disease, Chronic Obstructive / therapy*
  • Quality of Life
  • Recovery of Function
  • Respiratory Function Tests
  • Surveys and Questionnaires
  • Time Factors
  • Treatment Outcome
  • Vital Capacity