การพัฒนารูปแบบการพยาบาลผู้ป่วยโรคหลอดลมอุดกั้นเรื้อรัง ในโรงพยาบาลศรีสะเกษ

Angkana Boonlop

Abstract


Abstract: Boonlop A. The development of nursing care model for chronic obstructive pulmonary disease (COPD)
patients in Si Sa Ket Hospital. Thai J Tuberc Chest Dis Crit Care 2009; 30: 46-52.
Si Sa Ket Hospital, Ministry of Public Health
Chronic obstructive Pulmonary Disease (COPD) is progressive and irreversible disease. COPD patients
have variety of problems such as physical, emotional, social, spiritual and economy problems. These cause
patients unable to coping with strengthening ability. Many COPD patients were re-admitted to hospital and poor
quality of life. Some COPD patients still lack of knowledge and skill in muscle training.
The records of COPD with acute exacerbation admitted to Si Sa Ket Hospital between 2004-2007 were
studied. There were 365, 410, 390 and 448 patients, respectively. COPD patients who were re-admitted within 28
days after discharge were 56, 34, 47 and 15 patients, respectively. We developed Clinical Practice Guideline
(CPG) for Patient with Chronic Obstructive Pulmonary Disease and evaluate its utility.
Objectives: To study the impact of CPG for COPD patients in various aspects such as mortality rate, re-admission
number, complication and cost of treatment.
Methodology: The descriptive study was done in 26 COPD patients admitted to Si Sa Ket Hospital during
November 2007 - June 2008. All the clinical data were analyzed by percentage, mean, range and frequency.
Results: The percentage of medical personnels who use CPG for COPD patient were; Doctor 100%, Nurse 100%,
Pharmacists 100%, Rehabilitants 88% and Nutritionist 80.77%. COPD patients 96.15% were male and 3.85% were
female. Age is between 47-78 years. Mortality rate was decreased from 1.85% (2007) to 0% (2008). Length of stay
was decreased from 4.59 to 2.88 days. Re-admission within 28 days after discharge was decreased from 5.56 to
3.85 days. 4% of acutely exacerbated COPD patients were intubated and the cost of treatment was decreased
from 13,220 to 5,718 bahts.

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