ประสิทธิผลของแผนจำหน่ายต่อคุณภาพชีวิตของผู้ป่วยปอดอุดกั้นเรื้อรัง

Abstract

Abstract

This quasi experimental research with two groups pre test-post test design aimed to determine the effect of discharge planning on quality of life in patients with Chronic Obstructive Pulmonary Disease (COPD). The sample consisted of thirty patients who had been admitted in a medical unit, at Chachoengsao Hospital, Chachoengsao Province. The eligible patients were selected based on the inclusion criteria and were equally assigned to two groups, experimental and control groups. The experimental group received the interventional discharge planning from the investigators, whereas the control group received conventional care from health care team. The research instruments comprised a structured discharge planning and a handbook of self-care for the patients with Chronic Obstructive Pulmonary Disease. The instruments for data collection were a demographic questionnaire and a quality of life in Chronic Obstructive Pulmonary Disease patients questionnaire. The data were analyzed by descriptive statistics and ANCOVA. The result revealed that after intervention the experimental group had a significantly higher mean score of quality of life than the control group (p < .001). The result of this study indicated that health care team should engage in the discharge planning program on first day of the admission until discharge. In order to improv patientsû omalit of life health proside should visit or refer patients to primary care unit for continuing care. Patients and their caregivers should participate in every step of the discharge planning so that they can enhance effective self management with COPD in the real situation at home.

Key Word : Patients with Chronic Obstructive Pulmonary Disdease, discharge planning program, quality of life