The Development of Care Guidelines for Patients with Chronic Obstructive Pulmonary Disease, Ban Phai Hospital, Khon Kaen Province.
Keywords:
Chronic Obstructive Pulmonary Disease, Nursing Care Guideline, Participatory Action Research, Senior Professional Nurse, Community HospitalAbstract
This study employed a participatory action research (PAR) design to develop a nursing care guideline for patients with Chronic Obstructive Pulmonary Disease (COPD) appropriate to a community hospital context, and to evaluate its outcomes on patients’ self-care ability, quality of life, and hospital readmission rates. The study was conducted at Ban Phai Hospital, Khon Kaen Province, Thailand. The research was implemented through two PAR cycles following the Spiral Model, consisting of planning, action, observation, and reflection. Key informants included 10 multidisciplinary healthcare professionals and 12 pilot COPD patients. George’s Respiratory Questionnaire (SGRQ), along with focus group discussions and in-depth interviews. Quantitative data were analyzed using descriptive and non-parametric statistics, while qualitative data were analyzed using content analysis.
The findings demonstrated that the developed COPD care guideline was a systematic, multidisciplinary nursing practice guideline suitable for a community hospital setting. Patients showed marked improvements in self-care ability and quality of life, with reductions in SGRQ scores across all domains. The 28-day hospital readmission rate decreased from 20% prior to implementation to 10% after implementation. In addition, healthcare professionals reported high satisfaction with the guideline, and enhanced nursing capacity in chronic disease management was observed.
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