A randomized control trial of nursing-based case management for patients with chronic obstructive pulmonary disease.
This study assessed the impact of a randomized trial of nursing-based case management for patients with chronic obstructive pulmonary disease, their caregivers, and nursing and medical staff. Sixty-six patients were matched by FEV on admission to hospital, and randomized into an intervention or control group. Intervention group patients reported significantly less anxiety at 1 month postdischarge; however, this effect was not sustained. There was little difference between groups in terms of unplanned readmissions, depression, symptoms, support, and subjective well being. Interviews with patients and caregivers found that the case management improved access to resources and staff-patient communication. Interviews with nursing and medical staff found that case management improved communication between staff and enhanced patient care.(1)
Egan
Elizabeth
E
The Wesley Hospital, Brisbane, Australia. eegan@wesley.com.au
Clavarino
Alexandra
A
Burridge
Letitia
L
Teuwen
Margaret
M
White
Elizabeth
E
D000328:Adult; D000368:Aged; D017028:Caregivers; D019090:Case Management; D003142:Communication; D005260:Female; D016304:Hospitals, Private / Q000592:standards; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D029424:Pulmonary Disease, Chronic Obstructive / Q000451:nursing*; D011793:Queensland; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D016896:Treatment Outcome