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|Title: ||Community nursing services for postdischarge chronically ill patients|
|Authors: ||Chow, Susan Ka-yee|
Wong, Frances Kam-yuet
Chan, Tony M. F.
Chang, Katherine K. P.
Lee, Rance P. L.
|Subjects: ||Chronic illness|
|Issue Date: ||Jul-2008 |
|Publisher: ||Blackwell Publishing|
|Citation: ||Journal of clinical nursing, July 2008, v. 17, no. 7b, p. 260-271.|
|Abstract: ||Objective. To examine community nursing services for patients with cardiovascular
diseases, chronic respiratory diseases and other general medical conditions, making
the transition from hospital to home.|
Design. The original study design was a randomised controlled trial. This study is a
secondary analysis of the hospital records documented by community nurses for the
Sample. The sample consisted of 46 subjects, randomly drawn from the main study
group of the study.
Measurements. The community nursing records were analysed using the Omaha
System. Self-reported health status and readmission data were retrieved from the
data base of the original study.
Results. The three groups of patients experienced problems across the four domains
in the Omaha System. Community nursing interventions did not differ greatly by
disease groups. The primary purpose of home visits was observation, followed by
treatment and procedures and health teaching. The community nurses in the study
spent more effort providing health teaching to the respiratory group than to their
counterparts. The outcome measures are self-reported health status and hospital readmission rates. For self-reported health status, significant differences were
observed in the respiratory and cardiovascular group before and after community
nursing services. For hospital readmission rate, no significant difference was found.
Conclusions. To improve the well being of chronically ill patients, a comprehensive
home intervention programme, emphasising continuous needs of monitoring and
case management, is fundamental to producing desired, measurable effects.
Relevance to clinical practice. This paper adds the understanding of home-care
services provided by community nurses to chronically ill patients. The scope of
nursing services emphasises the significance of a positive, patient-centred, caring and
appropriate client–practitioner relationship to improve the self-reported health of
|Description: ||DOI: 10.1111/j.1365-2702.2007.02231.x|
|Rights: ||© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd.|
|Type: ||Journal/Magazine Article|
|ISSN: ||0962-1067 (print)|
|Appears in Collections:||SN Journal/Magazine Articles|
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