COPD-Patients adherence to care and quality of counseling

Abstract

Objective: The aim of this study was to describe Chronic Obstructive Pulmonary Disease (COPD) patients' adherence to care and to identify quality of counseling in tertiary care. The objective was to improve the quality of care of COPD patients and receive baseline information factors which improve their adherence to care. Background: It has been reported that the treatment of patients with COPD may not be optimal. It is also known that COPD-patients have various limitations in daily life due their disease, and may experience emotional distress, which can reduce adherence to care. Methods: The data were collected during COPD-patients' (n = 141) visits or admissions to a tertiary hospital between November 2007-June 2009. This study was cross-sectional survey and the data analysed by descriptive statistics, averaged variables and multivariate regression analysis. Results: The response rate was 62%. Most of patients were men and they have been COPD patients for several years. Nearly all patients were adherent to their care and medication, but support from health care providers was inadequate. Counseling had been benefit about half of COPD-patients and it increased self-care activities and coping at home. Counselling was not implemented in a patient-centred way and mutual goal setting was insufficient. Multidisciplinary counseling and quality care transition were both significantly factors with adherence to care and the support of the health care providers. Conclusions: The patient with COPD adhere well to care, but support health care providers were in adequate. Multidisciplinary team and high quality counseling is crucial, although in practice delivery is not always appropriate for the patient.

The quality of counselling in rehabilitation evaluated by orthopaedic surgery patients at a university hospital: A cross sectional study

“…In fact, orthopaedic patients who receive sufficient rehabilitation are more adherent to post-operative care regimens and can apply the knowledge and skills they receive during rehabilitation (Kadda et al 2015, Cabilan et al 2016, Green et al 2016, Kyngäs et al 2017. Quality post-operative counselling optimizes orthopaedic patient recovery (Knier et al 2015, Kyngäs et al 2017) and helps reduce overall healthcare services workload (Smith et al 2006). Therefore, hospitals should contemplate the quality of post-operative rehabilitation counselling for orthopaedic patients.…”

“…Rehabilitation counselling should be planned, implemented in a patient-centered and goal-oriented manner (Kääriäinen, 2007, Kääriäinen et al 2010, Kaakinen et al 2012, Mattila 2014, Kyngäs et al 2017, Rajala et al 2017. In other words, rehabilitation counselling should fit orthopaedic patients' needs and lifestyle (Bensing et al 2013).…”

“…However, they also need emotional support because recovery often causes emotional stresses like worry and fear (Demir & Erdil 2013, Ortiz et al 2015, Hansen et al 2016. Patient-centered counselling provides opportunities for orthopaedic patient discussions with a therapist (Knier et al 2015, Hansen et al 2016, Kyngäs et al 2017, Maujean et al 2018) and for receipt of feedback in a positive atmosphere (Kääriäinen, 2007, Mattila 2014, Rajala et al 2017. Involvement of post-operative orthopaedic patients' family members in rehabilitation counselling sessions helps improve patient self-care at home (Heikkinen et al 2007, Raitanen et al 2015.…”

Family members' perceptions of counselling during visits to loved ones in an adult ICU

“…Family‐centred care is an approach to health care that is respectful of and responsive to individual family members' needs and values (Davidson et al, 2017 ). It requires counselling given to patients' family members to be implemented in a family‐centred manner (Kääriäinen, 2007 ; Kääriäinen & Kyngäs, 2010 ; Kyngäs et al, 2017 ; Mattila et al, 2014 ; Rajala, 2018 ). The results presented here indicate that family‐centred counselling that provides knowledge of recovery and follow‐up allows family members to develop their understanding of their individual situation and that of their loved ones.…”

“…Family‐centred care is an approach to health care that is respectful of and responsive to individual family members' needs and values (Davidson et al, 2017 ). One of its requirements is that counselling for patients' family members should be planned and implemented in a family‐centred manner (Kääriäinen, 2007 ; Kääriäinen & Kyngäs, 2010 ; Kyngäs et al, 2017 ; Mattila et al, 2014 ; Rajala, 2018 ). Family members counselling is a broad term for the education, guidance, tips and information that family members receive from intensive care professionals (ICPs) to help them cope with their situation.…”