The Effectiveness Of Chronic Obstructive Pulmonary Disease Clinic In The General Hospital

Abstract

This retrospective study aimed to investigate the effectiveness of chronic obstructive pulmonary disease (COPD) clinic in Inburi Hospital which developed by researcher and based on the principle of Easy COPD Clinic. Data was collected from included all COPD patients, number of them were 150 patients, who had moderate- severe severity level by GOLD definition and came for physical check-up at Out-patient department in Inburi hospital Singburi province. There are 110 patients who pass inclusion criteria of this study. Variables of interest were obtained from the medical record including Out-patient records and COPD clinic records, during 1 September 2016 – 28 February 2017. Data analysis using the statistical programs for personal computer to acquire frequency percentage means standard deviation and comparison performed using Paired t-test. Results show that a total of patients were enrolled by eligibility study. That was over half of all COPD patients in Inburi Hospital. Ninety four percent of patients were men (104 patients). Sixty seven percent had 61-70 years old (34 patients). Ninety percent were married. Almost patients were a smoking history (97.27%). The result presents that, the setting COPD clinic was improved clinical outcomes of patients, the acute exacerbation rate had decreased from 1.0 times/ person/ month to 0.50 time/ person/ month and significantly increased functional performance that show by  6 MWD (p< .001) and quality of life score (p< .001).