Maintenance COPD Medication to Reduce Readmissions and Improve Quality of Life
Repository Posting Date2017-09-20T17:32:17Z
Author(s)Minahan, Lisa Ann
TypeDNP Capstone Project
Level of EvidenceOther
Research ApproachTranslational Research/Evidence-based Practice
KeywordsCOPD Medication; Readmission Rate; Pulmonary Disease, Chronic Obstructive; Pulmonary Disease, Chronic Obstructive--Drug Therapy; Readmission; Quality of Life; Nebulizers and Vaporizers; Pulmonary Disease, Chronic Obstructive--Psychosocial Factors
CINAHL HeadingsPulmonary Disease, Chronic Obstructive; Pulmonary Disease, Chronic Obstructive--Drug Therapy; Readmission; Quality of Life; Nebulizers and Vaporizers; Pulmonary Disease, Chronic Obstructive--Psychosocial Factors
Purpose: This study examines COPD patients’ quality of life after using maintenance inhaler for one year and investigates the effects of maintenance COPD therapy related to exacerbation-related hospital readmissions.
Methods: This capstone project emerged from a larger COPD study. The design was a retrospective longitudinal descriptive project. This descriptive project followed individuals with COPD over time regarding their health status and attitudes towards their quality of life. Participant’s quality of life was measured with the St. George’s Respiratory Questionnaire for COPD (SGRQ-C). The information obtained from the SGRQ-C questionnaire was analyzed using SPSS software.
Data regarding COPD readmissions was obtained from the EMR at a hospital in the Midwest. COPD readmissions of patients discharged on fluticasone furoate/vilanterol and COPD readmissions of those not discharged on fluticasone furoate/vilanterol were monitored and documented.
Results: The total quality of life score was statistically significant (p=0.008) and clinically significant with a change of more than 4 units (205.62), concluding the impact of COPD on overall health status, lessened. Readmissions were markedly reduced when the patient was discharged on the maintenance inhaler.
Degree GrantorNebraska Methodist College
Date of Publication2017-09-20
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