Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia

Xiulan Deng; Yan Zhou; Yanli Yang; Nijun Jiang; Xizhi Zhang; Ruiying Huang; Shanying Zhang; Xingdong Cai; Jiewei Huang

doi:doi:10.11648/j.ajns.20211001.17

| Peer-Reviewed

Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia

Xiulan Deng, Yan Zhou, Yanli Yang, Nijun Jiang, Xizhi Zhang, Ruiying Huang, Shanying Zhang, Xingdong Cai, Jiewei Huang

Published in American Journal of Nursing Science (Volume 10, Issue 1)

Received: 22 December 2020 Accepted: 7 January 2021 Published: 25 January 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.

Published in	American Journal of Nursing Science (Volume 10, Issue 1)
DOI	10.11648/j.ajns.20211001.17
Page(s)	36-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Discharge Preparation Service, Extended Care, Elderly Aspiration Pneumonia, Chronic Disease Management Model

References

[1]	Xi shuhua, Zhao jijun, Zhao jianhua. General situation and Enlightenment of discharge preparation service in Affiliated Hospital of Chengdu University [J]. Chinese Journal of nursing. 2007, 42 (4): 341-342.
[2]	Liu qin, Zhang yuan, Ruan linyun, Research status of clinical application of discharge preparation service [J] Journal of nursing education, 2016, 31 (17): 1561-1565.
[3]	Boockvar K, Vladeck BC. Improving the quality of transitional care for persons complex careneeds [J]. J Am Geriatr Soc. 2004, 52 (5): 855-856.
[4]	Smith CJ, Kishore AK, Vail A, et al. Diagnosis of stroke-associated pneumonia: recommendations from the pneumonia instroke consensus group [J]. Stroke, 2015; 46 (8): 2335-40.
[5]	Yang li, Jiang yuhua, Zhang xue. Analysis of related factors and prevention of aspiration pneumonia in elderly patients [J] Chinese Journal of hospital infection, 2016; 26 (13): 2948-50.
[6]	Bao longmei, Wang yanyan, Lv aili. Effect of swallowing feeding intervention on aspiration pulmonary infection in patients with cerebral hemorrhage [J] Chinese Journal of hospital infection, 2017; 27 (21): 5018-21.
[7]	Vinton DT, Capp R, Rooks SP, et al. Frequent users of US emergency departments: characteristics and opportunities for intervention. Emerg Med J 2014; 31: 526–32.
[8]	Lehnert T, Heider D, Leicht H, et al. Review: health care utilization and costs of elderly persons with multiple chronic conditions. Med Care Res Rev 2011; 68: 387–420.
[9]	Qin suping, Gao yakun, Gao jing. Analysis of the effect of discharge preparation plan and home care for stroke patients [J] Chinese Journal of nursing, 2014, 49 (11): 1337-1342.
[10]	Mandell LA, Niederman MS. Aspiration Pneumonia [J] N Engl J Med. 2019, 380 (7): 651-663.
[11]	Henke RM, Karaca Z, Jackson P, et al. Discharge planning and hospital readmissions [J]. Medical Care Research & Review Mcrr, 2017, 74 (3): 345-368.
[12]	Chen qin. Evaluation of the effect of discharge planning model in patients with chronic obstructive pulmonary disease [D]. Fuzhou: Fujian Medical University, 2011.
[13]	Liang yvping Liu xin. Effect of continuous nursing on quality of life and readmission rate of patients with chronic heart failure [J]. General nursing, 2017, 15 (04): 492-495.
[14]	Brook N. Nurse-led discharge planning improves quality of care [J]. Nurs Times, 2001, 97 (19): 40.
[15]	Gai qiongyan, Wu mengting, Li cheng. Systematic evaluation of intervention effect of discharge preparation service on elderly patients with chronic diseases [J]. Chinese Journal of evidence based medicine, 2020, 20 (03): 289-295.
[16]	Jin yi, Shi yan, Gong meifang, Sun xiao. Implementation and effect of continuous nursing model centered on patients with chronic diseases [J]. Chinese Journal of nursing, 2015, 50 (11): 1388-1391.

Cite This Article

Plain Text BibTeX RIS

APA Style

Xiulan Deng, Yan Zhou, Yanli Yang, Nijun Jiang, Xizhi Zhang, et al. (2021). Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia. American Journal of Nursing Science, 10(1), 36-40. https://doi.org/10.11648/j.ajns.20211001.17

Copy | Download

ACS Style

Xiulan Deng; Yan Zhou; Yanli Yang; Nijun Jiang; Xizhi Zhang, et al. Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia. Am. J. Nurs. Sci. 2021, 10(1), 36-40. doi: 10.11648/j.ajns.20211001.17

Copy | Download

AMA Style

Xiulan Deng, Yan Zhou, Yanli Yang, Nijun Jiang, Xizhi Zhang, et al. Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia. Am J Nurs Sci. 2021;10(1):36-40. doi: 10.11648/j.ajns.20211001.17

Copy | Download

@article{10.11648/j.ajns.20211001.17,
  author = {Xiulan Deng and Yan Zhou and Yanli Yang and Nijun Jiang and Xizhi Zhang and Ruiying Huang and Shanying Zhang and Xingdong Cai and Jiewei Huang},
  title = {Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {36-40},
  doi = {10.11648/j.ajns.20211001.17},
  url = {https://doi.org/10.11648/j.ajns.20211001.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.17},
  abstract = {Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia
AU  - Xiulan Deng
AU  - Yan Zhou
AU  - Yanli Yang
AU  - Nijun Jiang
AU  - Xizhi Zhang
AU  - Ruiying Huang
AU  - Shanying Zhang
AU  - Xingdong Cai
AU  - Jiewei Huang
Y1  - 2021/01/25
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.17
DO  - 10.11648/j.ajns.20211001.17
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 36
EP  - 40
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.17
AB  - Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.
VL  - 10
IS  - 1
ER  -

Copy | Download

Author Information

Xiulan Deng

Department of Respiratory, the First Affiliated Hospital of Jinan University, Guangzhou, China
Yan Zhou

Department of Endocrinology, the First Affiliated Hospital of Jinan University, Guangzhou, China
Yanli Yang

Department of Respiratory, the First Affiliated Hospital of Jinan University, Guangzhou, China
Nijun Jiang

Department of Respiratory, the First Affiliated Hospital of Jinan University, Guangzhou, China
Xizhi Zhang

Department of Respiratory, the First Affiliated Hospital of Jinan University, Guangzhou, China
Ruiying Huang

Extended Care Clinic, the First Affiliated Hospital of Jinan University, Guangzhou, China
Shanying Zhang

Department of Respiratory, the First Affiliated Hospital of Jinan University, Guangzhou, China
Xingdong Cai

Department of Respiratory, the First Affiliated Hospital of Jinan University, Guangzhou, China
Jiewei Huang

Nursing Department, the First Affiliated Hospital of Jinan University, Guangzhou, China

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Xiulan Deng, Yan Zhou, Yanli Yang, Nijun Jiang, Xizhi Zhang, et al. (2021). Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia. American Journal of Nursing Science, 10(1), 36-40. https://doi.org/10.11648/j.ajns.20211001.17

Copy | Download

ACS Style

Xiulan Deng; Yan Zhou; Yanli Yang; Nijun Jiang; Xizhi Zhang, et al. Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia. Am. J. Nurs. Sci. 2021, 10(1), 36-40. doi: 10.11648/j.ajns.20211001.17

Copy | Download

AMA Style

Xiulan Deng, Yan Zhou, Yanli Yang, Nijun Jiang, Xizhi Zhang, et al. Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia. Am J Nurs Sci. 2021;10(1):36-40. doi: 10.11648/j.ajns.20211001.17

Copy | Download

@article{10.11648/j.ajns.20211001.17,
  author = {Xiulan Deng and Yan Zhou and Yanli Yang and Nijun Jiang and Xizhi Zhang and Ruiying Huang and Shanying Zhang and Xingdong Cai and Jiewei Huang},
  title = {Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia},
  journal = {American Journal of Nursing Science},
  volume = {10},
  number = {1},
  pages = {36-40},
  doi = {10.11648/j.ajns.20211001.17},
  url = {https://doi.org/10.11648/j.ajns.20211001.17},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20211001.17},
  abstract = {Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Evaluate the Efficacy of Novel Nursing Management Method Including Both Preparation Services and Continuity of Care in Elderly Patients with Aspiration Pneumonia
AU  - Xiulan Deng
AU  - Yan Zhou
AU  - Yanli Yang
AU  - Nijun Jiang
AU  - Xizhi Zhang
AU  - Ruiying Huang
AU  - Shanying Zhang
AU  - Xingdong Cai
AU  - Jiewei Huang
Y1  - 2021/01/25
PY  - 2021
N1  - https://doi.org/10.11648/j.ajns.20211001.17
DO  - 10.11648/j.ajns.20211001.17
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 36
EP  - 40
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20211001.17
AB  - Objective: The concept of discharge preparation services originated from the continuum of care and referral system first established in the United States in 1910. Extended care is a series of nursing care activities to ensure continuity and coordination of care for patients in different health care settings. Guidance to reduce or prevent the deterioration of the health status of patients with chronic diseases. The aim of our study was to evaluate the efficacy of discharge preparation service and extended care in elderly patients with aspiration pneumonia. Methods: A total of 40 elderly patients with aspiration pneumonia who were hospitalized in the respiratory and critical care department of a tertiary care hospital from February 2017 to February 2019 were enrolled in this study and divided into two groups. Patients in the control group received conventional nursing interventions while patients in observation group received specific chronic disease management including discharge preparation service and continuity of care. Patients' satisfaction with nursing services, their ability to take care of themselves in daily life one month after discharge, and the number of hospital readmissions within one year after discharge were documented and compared between two groups. Results: Our study suggested that patients’ satisfaction with nursing services and their self-care capabilities one month after discharge were significantly higher in the observation group compared to the control group (P<0.05). Meanwhile, the number of readmissions within one year after discharge was significantly decreased in the observation group than in the control group (P<0.05). Conclusion: The chronic disease management model including specific discharge preparation service and extended care provided patients with better nursing services and resulted in better prognosis.
VL  - 10
IS  - 1
ER  -

Copy | Download