{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T09:10:50Z","timestamp":1693473050889},"reference-count":21,"publisher":"Wiley","issue":"11-12","license":[{"start":{"date-parts":[[2011,10,21]],"date-time":"2011-10-21T00:00:00Z","timestamp":1319155200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2012,6]]},"abstract":"<jats:p><jats:bold>Aim.\u2002<\/jats:bold> (1) To explore the prognostic factors of patients with chronic obstructive pulmonary disease. (2) To calculate the recrudescence time (the time from discharge to acute exacerbation again) of postdischarge patients with chronic obstructive pulmonary disease.<\/jats:p><jats:p><jats:bold>Background.\u2002<\/jats:bold> Chronic obstructive pulmonary disease is an airflow limitation illness that is preventable and treatable. To find out the prognostic factors will make effective postdischarge care, which can help patients reduce readmission times and prolong recrudescent time.<\/jats:p><jats:p><jats:bold>Design.\u2002<\/jats:bold> Cohort study.<\/jats:p><jats:p><jats:bold>Method.\u2002<\/jats:bold> From November 2007\u2013October 2008, 136 patients with acute exacerbation of chronic obstructive pulmonary disease were analysed by gender, age, career, education level, body mass index, smoking, oxygen therapy, drug\u2010taken compliance, respiratory function exercise, blood gas, lung function, six\u2010minute walking test and degree of dyspnoea. Factors related to prognosis were analysed by univariate and multivariate Cox regression. Kaplan\u2013Meier method was used for survival analysis and log\u2010rank test for comparison of survival curve.<\/jats:p><jats:p><jats:bold>Results.\u2002<\/jats:bold> A total of 121 patients recrudesced up to October 2009. Recrudescence rate was 7\u00b735% in a month, 25\u00b700% in three months, 55\u00b762% in six months and 88\u00b723% in 12\u2003months. Higher drug\u2010taken compliance and respiratory function exercise were the factors influencing patients\u2019 acute exacerbation (<jats:italic>p<\/jats:italic>\u2003&lt;\u20030\u00b705). The median recrudescence time of drug taken or not was six and four months, and doing respiratory function exercise or not was eight and six months.<\/jats:p><jats:p><jats:bold>Conclusion.\u2002<\/jats:bold> Respiratory function exercise and higher drug\u2010taken compliance can prolong recrudescence time and reduce recrudescence rate.<\/jats:p><jats:p><jats:bold>Relevance to clinical practice.\u2002<\/jats:bold> Clinical nurses who know more risk factors about acute exacerbation of patients with chronic obstructive pulmonary disease can provide effective discharge planning, which will increase patients\u2019 quality of life and decrease mortality.<\/jats:p>","DOI":"10.1111\/j.1365-2702.2011.03899.x","type":"journal-article","created":{"date-parts":[[2011,10,21]],"date-time":"2011-10-21T16:07:18Z","timestamp":1319213238000},"page":"1507-1514","source":"Crossref","is-referenced-by-count":3,"title":["Study on factors influencing recrudescent time of postdischarge patients with chronic obstructive pulmonary disease"],"prefix":"10.1111","volume":"21","author":[{"given":"Lan","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010Ying","family":"Zang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qing","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su\u2010Yan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue\u2010Hao","family":"Shen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,10,21]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"204","article-title":"The new development of mechanism of COPD","volume":"9","author":"Cai BQ","year":"2000","journal-title":"Chinese Journal of Internal Medicine"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.04.00014304"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.3.1201"},{"key":"e_1_2_11_5_1","first-page":"103","article-title":"The epidemical research of chronic obstructive pulmonary disease in rural, Tianjin","volume":"10","author":"Chen BY","year":"2006","journal-title":"Chinese Journal of General Practitioners"},{"key":"e_1_2_11_6_1","unstructured":"ChengXS(2008)The New Development in Risk Factor of COPD Smokers. 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