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Prim Care Respir J. 2007 Dec;16(6):363-8.

What are the needs of patients following discharge from hospital after an acute exacerbation of chronic obstructive pulmonary disease (COPD)?

Author information

1
Box Surgery, Box, Wiltshire, SN13 8NA, UK. Kevin.Gruffydd-Jones@gp-J83013.nhs.uk

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.

PMID:
18038104
PMCID:
PMC6634232
DOI:
10.3132/pcrj.2007.00075
[Indexed for MEDLINE]
Free PMC Article

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