TY - JOUR
T1 - A pilot study of a case management program for patients with chronic obstructive pulmonary disease (copd)
AU - Lu, Chi Chi
AU - Su, Hui Fang
AU - Tsay, Shiow Luan
AU - Lin, Hen I.
AU - Lee, Ting Ting
PY - 2007
Y1 - 2007
N2 - The purpose of this study was to develop a case management program for patients with chronic obstructive pulmonary disease (COPD) and to test the effects of the developed program on patient length of stay in the hospital, medical costs, disease knowledge and level of satisfaction with nursing care received. This quasi-experimental study focused on a group of 50 COPD patients (24 in the control group and 26 in the experimental one), all treated in one hospital medical ward in northern Taiwan. The control group received routine care, while those in the experimental group received a COPD case management protocol. Data for the control group was collected between September of 2003 and January 2004. Data for the experimental group was collected between April and December 2004. Data collection instruments included medical records, the COPD Knowledge Measurement scale, and the Patient Satisfaction with Nursing Care Questionnaire. Descriptive and inferential statistical analyses were applied to describe demographics, length of stay, medical cost, patient disease-related knowledge, and patient satisfaction with nursing care. Results indicated that, while the study found no significant difference in length of stay and medical cost between the two groups, the use of case management procedures improved patient disease-related knowledge and satisfaction with nursing care. This conclusion supports the premise that case management improves patient care in these two dimensions and is, thus, an effective approach in the management of patients diagnosed with secondary COPD infections.
AB - The purpose of this study was to develop a case management program for patients with chronic obstructive pulmonary disease (COPD) and to test the effects of the developed program on patient length of stay in the hospital, medical costs, disease knowledge and level of satisfaction with nursing care received. This quasi-experimental study focused on a group of 50 COPD patients (24 in the control group and 26 in the experimental one), all treated in one hospital medical ward in northern Taiwan. The control group received routine care, while those in the experimental group received a COPD case management protocol. Data for the control group was collected between September of 2003 and January 2004. Data for the experimental group was collected between April and December 2004. Data collection instruments included medical records, the COPD Knowledge Measurement scale, and the Patient Satisfaction with Nursing Care Questionnaire. Descriptive and inferential statistical analyses were applied to describe demographics, length of stay, medical cost, patient disease-related knowledge, and patient satisfaction with nursing care. Results indicated that, while the study found no significant difference in length of stay and medical cost between the two groups, the use of case management procedures improved patient disease-related knowledge and satisfaction with nursing care. This conclusion supports the premise that case management improves patient care in these two dimensions and is, thus, an effective approach in the management of patients diagnosed with secondary COPD infections.
KW - Case management
KW - Chronic obstructive pulmonary disease (COPD)
KW - Length of stay
KW - Medical cost
KW - Satisfaction
UR - http://www.scopus.com/inward/record.url?scp=34548404363&partnerID=8YFLogxK
U2 - 10.1097/01.JNR.0000387603.63026.87
DO - 10.1097/01.JNR.0000387603.63026.87
M3 - Article
C2 - 17551890
AN - SCOPUS:34548404363
SN - 1682-3141
VL - 15
SP - 89
EP - 98
JO - The journal of nursing research : JNR
JF - The journal of nursing research : JNR
IS - 2
ER -