만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교.

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  • Author(s): 최자윤; 윤소영
  • Source:
    Korean Journal of Adult Nursing (KOREAN J ADULT NURS), Aug2019; 31(4): 427-438. (12p)
  • Publication Type:
    Article
  • Language:
    Korean
  • Additional Information
    • Affiliation:
      전남대학교 간호대학 교수
      남부대학교 간호학과 조교수
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Purpose: This study compares the characteristics of patients with Chronic Obstructive Pulmonary Disease (COPD) according to hospitalization frequency due to Acute Exacerbation (AE) using a retrospective medical records review. Methods: From August to October 2017, COPD patients who had visited the chonnam national university hospital were classified into three groups: (1) not hospitalization (n=115), (2) hospitalized once owing to AE (n=79) and (3) hospitalized twice or more owing to AE (n=47), and their medical records were reviewed. Data were analyzed using χ², Kruskal Wallis, and Mann-Whitney tests, and logistic regression. Results: Home oxygen therapy, metered dose inhaler use, long-acting beta2-agonist, and Inhaled Corticosteroids (ICS) were used most in patients who were hospitalized twice or more. Symptoms of dyspnea and fever, prescription of phosphodiesterase-4 and oral corticosteroid were the least frequent in the patients who were not hospitalized, and they had the best pulmonary function test results. Home oxygen therapy (Odds Ratio [OR]=9.59, 95% Confidence Interval [CI]=2.53~36.46), and prescribed ICS (OR=2.77, 95% CI=1.14~6.77) and phosphodiesterase-4 (OR=5.35, 95% CI=1.69~16.93) were significantly associated with COPD readmission. For patients who were hospitalized once, SpO2 (p=.016), the frequency of positive pressure ventilation therapy (p=.023) and monitoring of oxygen saturation in nursing activities (p=.022) were higher than that of patients who were hospitalized twice or more. There was no significant difference in discharge education between the two hospitalized groups. Conclusion: Regardless of the severity of illness, presence of respiratory symptoms, drug prescribed, or admission frequency, there were no differences in nursing activities and discharge education.
    • Journal Subset:
      Asia; Nursing; Peer Reviewed
    • ISSN:
      1225-4886
    • Publication Date:
      20190826
    • Publication Date:
      20190826
    • Accession Number:
      http://dx.doi.org/10.7475/kjan.2019.31.4.427
    • Accession Number:
      138202250
  • Citations
    • ABNT:
      최자윤; 윤소영. 만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교. Korean Journal of Adult Nursing, [s. l.], v. 31, n. 4, p. 427–438, 2019. DOI 10.7475/kjan.2019.31.4.427. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=138202250&custid=s6224580. Acesso em: 10 dez. 2019.
    • AMA:
      최자윤, 윤소영. 만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교. Korean Journal of Adult Nursing. 2019;31(4):427-438. doi:10.7475/kjan.2019.31.4.427.
    • APA:
      최자윤, & 윤소영. (2019). 만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교. Korean Journal of Adult Nursing, 31(4), 427–438. https://doi.org/10.7475/kjan.2019.31.4.427
    • Chicago/Turabian: Author-Date:
      최자윤, and 윤소영. 2019. “만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교.” Korean Journal of Adult Nursing 31 (4): 427–38. doi:10.7475/kjan.2019.31.4.427.
    • Harvard:
      최자윤 and 윤소영 (2019) ‘만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교’, Korean Journal of Adult Nursing, 31(4), pp. 427–438. doi: 10.7475/kjan.2019.31.4.427.
    • Harvard: Australian:
      최자윤 & 윤소영 2019, ‘만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교’, Korean Journal of Adult Nursing, vol. 31, no. 4, pp. 427–438, viewed 10 December 2019, .
    • MLA:
      최자윤, and 윤소영. “만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교.” Korean Journal of Adult Nursing, vol. 31, no. 4, Aug. 2019, pp. 427–438. EBSCOhost, doi:10.7475/kjan.2019.31.4.427.
    • Chicago/Turabian: Humanities:
      최자윤, and 윤소영. “만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교.” Korean Journal of Adult Nursing 31, no. 4 (August 2019): 427–38. doi:10.7475/kjan.2019.31.4.427.
    • Vancouver/ICMJE:
      최자윤, 윤소영. 만성폐쇄성폐질환 비입원 환자와 급성악화로 입원, 재입원하는 환자 특성 비교. Korean Journal of Adult Nursing [Internet]. 2019 Aug [cited 2019 Dec 10];31(4):427–38. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=138202250&custid=s6224580