The development of care model for patients with chronic obstructive pulmonary disease

Abstract

Objectives : to develop and investigate the care model for patients with chronic obstructive pulmonary disease. Meterials and Methods : This study was a research and development. The subject included of 30 patients, 30 care givers and 33 personel from multidisciplinary team. The development process consisted of 4 steps; 1) situation analysis of patients with chronic obstructive pulmonary disease 2) Developed the care model for patients with chronic obstructive pulmonary disease 3) Implementation and 4) Evaluation. This study was conducted during July 2017 to September 2018. Data were analyzed by frequency, percentage, mean, standard deviation, paired t-test and content analysis. Results : The results of this study showed that the care model for patients with chronic obstructive pulmonary disease composed of 5 elements 1) Care map for patients with COPD by multidisciplinary 2) Used case management system. 3) family participation and 4) Information delivery for continuing care 5) Home visit. After the care model was implemented. The mean scores of patients and caregiver’s knowledge after education were statistically higher than scores before education (t=17.32, p < 0.01). The well-being mean scores of patients after the development 1 month and 3 months were statistically higher than scores measured before the development (t=3.7, p < 0.05; t=4.6, p < 0.01). The satisfaction levels of patients and caregiver were highest level (x=4.86, S.D.=.28) Conclusion : The care model for patients with chronic obstructive pulmonary disease that composed of multidisciplinary and family participation , case management system and continuing care lead to good outcome.