What are the needs of patients following discharge from hospital after an acute exacerbation of chronic obstructive pulmonary disease (COPD)?
- PMID: 18038104
- PMCID: PMC6634232
- DOI: 10.3132/pcrj.2007.00075
What are the needs of patients following discharge from hospital after an acute exacerbation of chronic obstructive pulmonary disease (COPD)?
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.
Conflict of interest statement
Kevin Gruffydd-Jones has provided consultancy and speaker services for the following pharmaceutical companies: Boehringer Ingelheim, Pfizer, AstraZeneca, GlaxoSmithKline, Altana, Novartis, IVAX, Galen, MSD, and Schering Plough. Christopher Dyer has provided speaker services for GlaxoSmithKline. Kathryn Badlan, Carol Langley-Johnson and Sabbi Ward have no potential conflicts of interest.