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Acceptance of home support and integrated care among advanced COPD patients who live outside large medical centres

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dc.contributor.author Damps-Konstańska, Iwona
dc.contributor.author Werachowska, Lidia
dc.contributor.author Krakowiak, Piotr
dc.contributor.author Kaczmarek, Małgorzata
dc.contributor.author Cynowska, Bogumiła
dc.contributor.author Gorecka, Dorota
dc.contributor.author Krajnik, Małgorzata
dc.contributor.author Kozielski, Jerzy
dc.contributor.author Jassem, Ewa
dc.date.accessioned 2016-03-08T10:44:21Z
dc.date.available 2016-03-08T10:44:21Z
dc.date.issued 2016-03-08
dc.identifier.uri http://repozytorium.umk.pl/handle/item/3080
dc.description.abstract Background. Poor self-management constitutes a risk factor for COPD deterioration. Patients from rural areas located at a considerable distance from large medical centres frequently need home-support in advanced stages of the disease. Integrated care has been proposed as a comprehensive model for appropriate treatment, coordination and holistic support. The aim of the study was to assess whether home visits provided by trained assistants are needed and accepted by advanced COPD patients living in rural areas a to evaluate whether an individual short educational program can actually improve such patients’ knowledge of COPD and inhaler use. Methods. Thirty patients with severe or very severe but stable COPD participated in one-month home-assistance interventions twice a week. Results. The total value > 70 of SGRQ (St George's Respiratory Questionnaire) was recorded in 18 (60%) patients. At the beginning of the study, the patients’ knowledge of COPD and inhalation techniques was highly unsatisfactory. Significant improvement in all items (p=0.00) was obtained after the intervention. The risk for poor self-management was high. All patients had at least one ‘factor’ that indicated the need for home-support. A total of 240 visits (100%) were completed. Patients expressed high acceptance for home-based support delivered by medical assistants twice a week for one month. No patients opposed this kind of care and most of them expressed interest in receiving it in the future. Conclusions. The results suggest a compelling need for home care and demonstrate full acceptance of this kind of support on the part of advanced COPD patients.
dc.description.sponsorship Intramural grant ST-553 (Medical University of Gdansk,Poland)
dc.language.iso eng
dc.rights info:eu-repo/semantics/openAccess
dc.subject integrated care
dc.subject advanced COPD
dc.subject coordination
dc.subject home assistance
dc.title Acceptance of home support and integrated care among advanced COPD patients who live outside large medical centres
dc.type info:eu-repo/semantics/article


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