Assessment of Factors Associated with Readmission of Patients with Chronic Obstructive Pulmonary Disease in Internal Department of Hospitals

Hassan Reza Anbarlo¹ and Hossein Keikha²*

¹Medical Surgical Nursing and Nursing Education, Supervision General Operation Room in the Mosavi Ayatollah Hospital Zanjan, Iran. ²Department of Medical Surgical Nursing, School of Nursing and Midwifery, Zabol University of Medical Sciences, Zabol, Iran.

Abstract: Chronic obstructive pulmonary disease has affected a large number of people and it is anticipated that the disease, the sixth leading cause of death in the present, will be the third one by 2020. It was also the fourth leading cause of death until 2011 In Iran and Zanjab has also allocated a large number of admissions to itself. Readmission of these patients includes the high proportion of admissions, imposing high costs on both health care system and patients. This study aimed to assess factors associated with readmission of patients with obstructive pulmonary disease in internal department of hospitals in Zanjan. This study is a descriptive correlational survey carried out according to information obtained from 230 patients with chronic obstructive pulmonary disease in internal department of hospitals in Zanjan. A Researcher-made questionnaire including four parts was used to collect data. The questionnaire was analyzed by Spearman’s and Pearson’s correlation test, chi-square test and SPSS 16. The results of this study indicate that there is a significant relationship between readmission and disease severity with the number of cigarettes consumed per day, and education, co-existing diseases and lack of training during previous discharge. The findings of this research will help health system stakeholders to be much more successful in controlling the disease with the proper training to discharge patients, making some decisions to reduce smoking, control co-existing diseases and raise patients’ awareness.

Keywords: Reassessment; Associated factors; Chronic obstructive pulmonary disease

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