Effect of continuity of care based on IKAP theory on caregiver burden and symptom management in patients with chronic obstructive pulmonary disease - Scorecard - MDSpire
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Effect of continuity of care based on IKAP theory on caregiver burden and symptom management in patients with chronic obstructive pulmonary disease
Clinical Scorecard: Impact of IKAP Theory-Based Continuous Care on Caregiver Strain and Symptom Control in Individuals with Chronic Obstructive Pulmonary Disease
At a Glance
Category
Detail
Condition
Chronic Obstructive Pulmonary Disease (COPD)
Key Mechanisms
IKAP theory guiding continuity care through information collection, knowledge delivery, attitude reinforcement, and individualized exercise prescriptions.
Target Population
Patients with COPD aged ≥ 40 years with stable disease and a fixed family caregiver.
Care Setting
Post-discharge continuity care in respiratory and critical care settings.
Key Highlights
IKAP-based continuity care significantly reduced caregiver burden and improved patient symptoms.
Improved medication adherence from < 30% at baseline to 64% at 6 months in the intervention group.
Quality of life scores improved significantly in the intervention group compared to routine care.
Guideline-Based Recommendations
Diagnosis
Diagnosis consistent with GOLD guidelines (2021 revision).
Management
Implement continuity care based on IKAP theory for symptom management and caregiver support.
Monitoring & Follow-up
Assess caregiver burden and patient symptoms at multiple time points post-discharge.
Risks
Consider potential psychological stress and physical fatigue in caregivers.
Patient & Prescribing Data
300 COPD patients discharged from a hospital.
Structured measures including caregiver training and individualized exercise prescriptions were effective.
Clinical Best Practices
Maintain continuity of care post-discharge to address both patient and caregiver needs.
Utilize theoretical frameworks like IKAP for chronic disease management.
