Depressive Cognition and Healthcare Utilization in Discharged Patients with COPD in Southern Taiwan

2.50
Hdl Handle:
http://hdl.handle.net/10755/160029
Type:
Presentation
Title:
Depressive Cognition and Healthcare Utilization in Discharged Patients with COPD in Southern Taiwan
Abstract:
Depressive Cognition and Healthcare Utilization in Discharged Patients with COPD in Southern Taiwan
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Chen, Yea-Jyh, PhD, MSN, RN
P.I. Institution Name:Case Western Reserve University
Title:Project Manager
Contact Address:School of Nursing, 10900 Euclid Ave., Cleveland, OH, 44106-4904, USA
Contact Telephone:216-368-8848
Co-Authors:Jaclene A. Zauszniewski, PhD, RN, FAAN, Professor and Georgia Narsavage, PhD, APRN, BC, Professor
Purpose: This research was to explore healthcare utilization for 90 days following discharge among COPD patients in different ethnical groups in rural Taiwan who did or did not have depressive cognition. A Chinese psychometric instrument, Depressive Cognitive Scale (DCS), was tested in this population. Subjects: Convenience sample of 145 patients from local Taiwan hospitals; 44 (30%) completed DCS 14 days after discharge; 32.4% completed DCS at 90-days (70.2% males); mean age =70.9 years. Method: Prospective and longitudinal study design. In-hospital participants completed a 20-item Zung Self-Rating Depression Scale (SDS) and 8-item DCS before discharge. Phone follow-up at 90 days obtained rehospitalization data and repeat of DCS at home. Results: Majority of the sample did not show significant depressive cognition before or at 2 weeks after discharge (mean DCS=28.5-29.7). However, 90 days following discharge, DCS scores were significantly lower compared with the score at discharge (p<.001). Examining three ethnical groups at 90 days after discharge, Aborigines and Hokkiens/Hakkas (HHs) were cognitively depressed (t=2.93-4.25,p< .01), but not Mainlanders. However, Mainlanders perceived low depressive cognition before and after hospital discharge (M+/-SD=17.1+/-11.2; 16.6+/-12.5, respectively). In the 47 patients who had DCS data, there were 10 rehospitalizations within 90 days after discharge for seven Aborigines and 13 rehospitalizations for seven HHs. 76.6% were admitted to the hospitals through emergency service. Concurrent validity of Chinese DCS was supported by Chinese SDS (r=.81, p<.001). Internal consistency was estimated by Cronbach's alpha of .92. Conclusions: Aborigines with lower depressive cognition required frequent rehospitalization greater than the other ethnic groups. Mainlanders showed low depressive cognition that did not vary with rehospitalization. Overall, the DCS in Chinese demonstrated validity and was effective in assessing mental-health status with chronically ill patients. Future research should examine mental-health status and ethnic differences in COPD patients all areas of Taiwan related to rehospitalization. [Poster Presentation]
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.titleDepressive Cognition and Healthcare Utilization in Discharged Patients with COPD in Southern Taiwanen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160029-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Depressive Cognition and Healthcare Utilization in Discharged Patients with COPD in Southern Taiwan</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">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Chen, Yea-Jyh, PhD, MSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Project Manager</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 10900 Euclid Ave., Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">216-368-8848</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">yxc48@case.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jaclene A. Zauszniewski, PhD, RN, FAAN, Professor and Georgia Narsavage, PhD, APRN, BC, Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: This research was to explore healthcare utilization for 90 days following discharge among COPD patients in different ethnical groups in rural Taiwan who did or did not have depressive cognition. A Chinese psychometric instrument, Depressive Cognitive Scale (DCS), was tested in this population. Subjects: Convenience sample of 145 patients from local Taiwan hospitals; 44 (30%) completed DCS 14 days after discharge; 32.4% completed DCS at 90-days (70.2% males); mean age =70.9 years. Method: Prospective and longitudinal study design. In-hospital participants completed a 20-item Zung Self-Rating Depression Scale (SDS) and 8-item DCS before discharge. Phone follow-up at 90 days obtained rehospitalization data and repeat of DCS at home. Results: Majority of the sample did not show significant depressive cognition before or at 2 weeks after discharge (mean DCS=28.5-29.7). However, 90 days following discharge, DCS scores were significantly lower compared with the score at discharge (p&lt;.001). Examining three ethnical groups at 90 days after discharge, Aborigines and Hokkiens/Hakkas (HHs) were cognitively depressed (t=2.93-4.25,p&lt; .01), but not Mainlanders. However, Mainlanders perceived low depressive cognition before and after hospital discharge (M+/-SD=17.1+/-11.2; 16.6+/-12.5, respectively). In the 47 patients who had DCS data, there were 10 rehospitalizations within 90 days after discharge for seven Aborigines and 13 rehospitalizations for seven HHs. 76.6% were admitted to the hospitals through emergency service. Concurrent validity of Chinese DCS was supported by Chinese SDS (r=.81, p&lt;.001). Internal consistency was estimated by Cronbach's alpha of .92. Conclusions: Aborigines with lower depressive cognition required frequent rehospitalization greater than the other ethnic groups. Mainlanders showed low depressive cognition that did not vary with rehospitalization. Overall, the DCS in Chinese demonstrated validity and was effective in assessing mental-health status with chronically ill patients. Future research should examine mental-health status and ethnic differences in COPD patients all areas of Taiwan related to rehospitalization. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-26T22:33:34Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:33:34Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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