Evaluation of COPD(Chronic Obstructive Pulmonary Disease )Disease Management Program on HRQOL (health-related quality of life)-base on a medical center hospital in south Taiwan

• Main Authors: Chen-Kou Yeh, 葉振國
• Other Authors: Li-Yueh Lee
• Format: Others
• Language: zh-TW
• Published: 2009
• Online Access: http://ndltd.ncl.edu.tw/handle/8uar56

碩士 === 崑山科技大學 === 企業管理研究所 === 97 === The objective of this research consists of analyze COPD (Chronic Obstructive Pulmonary Disease) patients. Once integrated in the medical care system of a certain hospital, these patients would show obvious reactions on physical, psychological, and life quality dimensions, and this research aim at inter-relations among these three dimensions, its result could be useful for medical institutions for their management and reform. Through documents analysis, interviewing medical personnel as well as patients, and field observation, this research collects very useful information about CPOD patients. The samples are COPD patients participated in a COPD case management project conducted by a major medical center in Southern Taiwan. This research also applies multiple questionnaire tools including MMRC, TGDS, and SGRQ. Result of this research reveals several major phenomenons. First, positive improvements are obvious on almost every major dimension, comparing before and after integrated in the medical care and management system. Secondly, through regression analysis upon factors of physical, psychological, and living quality of patients before integrated in medical care system, it is shown that physical and psychological factors have significant impact on patients living quality. Third, the same impacts importance also shows in analysis on patients after integrated in medical care system, notably on the impact of physical factors on living quality. Fourth, upon psychological and living quality. Analysis show a very significant impact from patients`, psychological factors on living quality, where as no impact has found from psychological factors on patients mobility. A possible response is that patients tend to better accepting psychologically the life quality under illness as medical personnel offer good caring and complete information about the illness. But as the illness goes worse and longer, patients tend to feel less mobility in daily life. Fifth, improvements are found on all three dimensions of life quality comparison before and after integrated in medical care system. Sixth, when applying independent factors evaluation on physical and psychological dimensions, no statistically difference was found on physical dimension between ‘before and after’ integrated in medical care system. A possible response is that COPD is a long term illness and its destruction on lungs is not entirely reversible, so that as illness goes worse, patients would not feel any major improvement on physical dimension after integrated in medical care system. But on the contrary, essential difference was found on psychological dimension, patients feel major improvement after integrated in medical care system.