کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
2644949 1138452 2016 5 صفحه PDF ندارد دانلود رایگان
عنوان انگلیسی مقاله
Acceptance of home support and integrated care among advanced COPD patients who live outside large medical centers
ترجمه فارسی عنوان
پذیرش حمایت خانه و مراقبت یکپارچه در میان بیماران پیشرفته COPD که در خارج از مراکز درمانی بزرگ زندگی می کنند
کلمات کلیدی
مراقبت یکپارچه ؛ COPD پیشرفته؛ هماهنگی؛ کمک های خانگی
Integrated care; Advanced COPD; Coordination; Home assistance
موضوعات مرتبط
علوم پزشکی و سلامت پرستاری و مشاغل بهداشتی پرستاری
چکیده انگلیسی

BackgroundPoor self-management constitutes a risk factor for COPD deterioration. Patients from rural areas located at a considerable distance from large medical centers frequently need home-support in advanced stages of the disease. Integrated care has been proposed as a comprehensive model for appropriate treatment, coordination and holistic support. The aim of the study was to assess whether home visits provided by trained assistants are needed and accepted by advanced COPD patients living in rural areas a to evaluate whether an individual short educational program can actually improve such patients' knowledge of COPD and inhaler use.MethodsThirty patients with severe or very severe but stable COPD participated in one-month home-assistance interventions twice a week.ResultsThe total value ≥ 70 of SGRQ (St George's Respiratory Questionnaire) was recorded in 18 (60%) patients. At the beginning of the study, the patients' knowledge of COPD and inhalation techniques was highly unsatisfactory. Significant improvement in all items (p = 0.00) was obtained after the intervention. The risk for poor self-management was high. All patients had at least one ‘factor’ that indicated the need for home-support. A total of 240 visits (100%) were completed. Patients expressed high acceptance for home-based support delivered by medical assistants twice a week for one month. No patients opposed this kind of care and most of them expressed interest in receiving it in the future.ConclusionsThe results suggest a compelling need for home care and demonstrate full acceptance of this kind of support on the part of advanced COPD patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Applied Nursing Research - Volume 31, August 2016, Pages 60–64
نویسندگان
, , , , , , , , ,