2.50
Hdl Handle:
http://hdl.handle.net/10755/159584
Type:
Presentation
Title:
Factors That Influence Rehospitalization in a COPD Population
Abstract:
Factors That Influence Rehospitalization in a COPD Population
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2003
Author:Chen, Yea-Jyh
Contact Address: Frances Payne Bolton School of Nursing, 10900 Euclid Ave, Cleveland, OH, 44121, USA
Co-Authors:Georgia L Narsavage; Audrey G Gift
Purpose: To examine patient characteristics, disease factors, and contextual variables that relate to COPD rehospitalization following discharge at 3 months and one year. Theoretical framework: Anderson’s (1999) research on rehospitalization guided the study. Subjects: 113 patients (50 males; 63 females; mean age: 73 years) with COPD were recruited from five community hospitals. Method: Descriptive correlational design - secondary data analysis. Patient characteristics of age and activity level were measured by the Pulmonary Functional Status Scale; Personal Health Competence was measured using the Health Related Locus of Control Scale. The OMAHA health problem total was the comorbidity measure; FEV1% predicted determined disease severity. Living alone and receiving homecare nursing were assessed as bivariate contextual variables. The relationships among independent and dependant variables were assessed by Pearson correlations and stepwise multiple regression. Results: In this research, hospital discharged patients with COPD were studied to identify risk factors that best predict rehospitalization. After controlling for FEV1%pred., a model of 4 variables explained 29% of variance in rehospitalization at 3 months and two of those variables explained 9.9% of rehospitalizations at 1 year (R2=.29, p < .0001; R2=.099, p < .01). Activity level, homecare nursing, living alone and age were significant predictors at 3 months (p=.001, .013, .002, .027). At 1 year, activity level and living alone, controlling for FEV1%pred. (p=.005 & .009) were the significant predictors. Conclusions: Overall, findings indicate that lower activity level and living alone are consistent predictors of COPD patient rehospitalization in both short-and long-term periods following hospital discharge. Healthcare providers should be aware of these potential risk factors and initiate post-discharge care. The impact of risk factors influencing COPD rehospitalization varied with time; only a small portion of the variance is accounted for in these models. Further research is needed. AN: MN030171
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors That Influence Rehospitalization in a COPD Populationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159584-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors That Influence Rehospitalization in a COPD Population</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Yea-Jyh</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value"> Frances Payne Bolton School of Nursing, 10900 Euclid Ave, Cleveland, OH, 44121, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Georgia L Narsavage; Audrey G Gift </td></tr><tr><td colspan="2" class="item-abstract">Purpose: To examine patient characteristics, disease factors, and contextual variables that relate to COPD rehospitalization following discharge at 3 months and one year. Theoretical framework: Anderson&rsquo;s (1999) research on rehospitalization guided the study. Subjects: 113 patients (50 males; 63 females; mean age: 73 years) with COPD were recruited from five community hospitals. Method: Descriptive correlational design - secondary data analysis. Patient characteristics of age and activity level were measured by the Pulmonary Functional Status Scale; Personal Health Competence was measured using the Health Related Locus of Control Scale. The OMAHA health problem total was the comorbidity measure; FEV1% predicted determined disease severity. Living alone and receiving homecare nursing were assessed as bivariate contextual variables. The relationships among independent and dependant variables were assessed by Pearson correlations and stepwise multiple regression. Results: In this research, hospital discharged patients with COPD were studied to identify risk factors that best predict rehospitalization. After controlling for FEV1%pred., a model of 4 variables explained 29% of variance in rehospitalization at 3 months and two of those variables explained 9.9% of rehospitalizations at 1 year (R2=.29, p &lt; .0001; R2=.099, p &lt; .01). Activity level, homecare nursing, living alone and age were significant predictors at 3 months (p=.001, .013, .002, .027). At 1 year, activity level and living alone, controlling for FEV1%pred. (p=.005 &amp; .009) were the significant predictors. Conclusions: Overall, findings indicate that lower activity level and living alone are consistent predictors of COPD patient rehospitalization in both short-and long-term periods following hospital discharge. Healthcare providers should be aware of these potential risk factors and initiate post-discharge care. The impact of risk factors influencing COPD rehospitalization varied with time; only a small portion of the variance is accounted for in these models. Further research is needed. AN: MN030171 </td></tr></table>en_GB
dc.date.available2011-10-26T22:08:59Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:08:59Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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