Please use this identifier to cite or link to this item: http://hdl.handle.net/10397/40033
Title: Transitional care for a patient with chronic obstructive pulmonary disease
Other Titles: 慢性阻塞性肺疾病患者的延续护理
Authors: Wang, SL
Fu, SY
Zhou, JY 
Wong, KY 
Keywords: Pulmonary disease,chronic obstructive
Nursing care
Issue Date: 2011
Publisher: 中华护理学会
Source: 中华护理杂志 (Chinese journal of nursing), 2011, v. 46, no. 8, p. 758-760 How to cite?
Journal: 中华护理杂志 (Chinese journal of nursing) 
Abstract: 介绍了1例慢性阻塞性肺疾病患者延续 护理的具体实施过程及护理成效。主要护理干预为出院计划,出院后家庭访视、电话随访2个阶段,包括全面的护理评估、建立共同的护理目标、个性化的健康教 育、指导和咨询、治疗和程序、个案管理和监测,以及持续护理成效评价,关键是实施以循证为基础的标准化护理干预方案。 
A case study was conducted to demonstrate the implementation and outcomes of a transitional care program for Chinese patients with COPD.The program had two phases:discharge planning,and post-discharge home visit and telephone follow up.Nursing intervention included comprehensive assessment,mutual goal setting,individualized health education,guidance and counseling,treatment and procedure,case management and surveillance,and continuous evaluation.The key to success is to implement standardized evidence-based intervention protocols in clinical care. 
URI: http://hdl.handle.net/10397/40033
ISSN: 0254-1769
Rights: © 2011 China Academic Journal Electronic Publishing House. It is to be used strictly for educational and research use.
© 2011 中国学术期刊电子杂志出版社。本内容的使用仅限于教育、科研之目的。
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