Extended Service Quality Care In Home Care In Patients With COPD And To Carry Out Research

Objective:This study is for Kunshan cognition Sixth People's Hospital respiratory disease and extension service needs of COPD patients discharged after medical investigation and clinical analysis, combined with the theory of Orem self-care and health promotion model to explore and develop the application of this area of COPD patients after hospitalized in stable condition and discharged after extended care and home care process measures, to improve the stability of COPD patients healthy self-care, improving the quality of life of the population, reduce disease recurrence, reduce readmission rates.Method:This study is divided into two parts, the first part refer to the literature and expert guidance on the basis of a questionnaire designed to screen cases of COPD patients discharged after demand for disease cognition and community outreach services survey, analyze and summarize and to develop appropriate quality nursing extension service measures. The second part of quality care service concept extends to Orem self-care theory, formulated in accordance with the nursing program according to the characteristics of the area of COPD patients discharged within the applicable jurisdictions to develop COPD patients home care process, and organize the implementation and evaluation.Results:?COPD disease after the patient was discharged cognition and extension services needs FINDINGS:The majority of the elderly patients with COPD jurisdiction, education is generally low, and the majority live in the rural countryside, travel and actions are not easy to accept poor memory loss, decreased ability to work themselves and their children busy to attend to the elderly and many other problems caused by low awareness of disease in this population, to understand their condition and treatment to master functional training methods were 29.2%, 17.5%; three extension service needs survey Bit:medication guide accounted for 94.2%, accounting for 79.2% nutritional diet, exercise guidance of 72.5%.? quality care extended care interventions Results:Two groups of patients discharged from hospital and three months after discharge 6MWT comparing the test results no significant difference (P> 0.05), but the difference is the result of six-month comparison was statistically significant (P<0.05); two groups of patients at discharge and three months after discharge, dyspnea (MMRC) result was not significantly different (P> 0.05), to the hospital after six months of dyspnea score was significantly lower than the control group (P<0.05); contrast no significant difference (P> 0.05) when patients were discharged from hospital and three months after discharge CAT Respiratory Questionnaire (CAT) situation, but the difference CAT survey six months results contrast statistically significant (P<0.05); two groups of COPD patients was statistically significant difference in the difference after discharge and relapse rates of exacerbations were within six months (P<0.05).Conelusion: ? Patients with quality care service measures extending key COPD is understandable manner popularize disease-related knowledge, we have standardized processes to maintain regular follow-up, design and plan care activities based on needs assessment to help, to help patients meet self-care needs.?COPD patients with quality care service measures extending short-term impact on the quality of life of patients is not obvious, only long-term tracking, management regularly assess discharged patients can help to some extent deal with the impact brought about COPD symptoms, improve endurance in patients with COPD and overall activity health, improve quality of life.?Extended service quality care can make the relapse rate of patients within six months significantly reduced, but little effect on the number of patients with severe disease, the long-term impact remains to be further studied.?Quality care extension services carried out in patients with COPD achieve improvements to the existing hospital quality care model to promote the expansion of services in the field of clinical care, provide a reference for future research related to aspects of the traitor.