DEVELOPING OF CLINICAL PRACTICE GUIDELINE FOR TREATMENT THE CHRONIC OBSTRUCTIVE PULMONARY DISEASE PATIENTS IN MAE WANG HOSPITAL, CHIANG MAI PROVINCE

Abstract

The purposes of this study were to 1) study the problems of chronic obstructive pulmonary disease (COPD) service in Mae Wang hospital, 2) developed the clinical practice guideline (CPG), and 3) study the result of implementation of the CPG. The study was divided into three phases. The samples of phase 1 were the 12 health personals and 20 patients. The samples of phase 2 were 5 experts.  The samples of phase 3 were the group of CPG users, consist of 2 nurses, 1 doctor, 1 pharmacist, 2 physical therapists, 1 nurse aid and the 188 patients that follow up at COPD clinic between 1^st June 2016 – 30th September 2016. The results from matrix date analysis revealed that 1) the main problem of COPD service in Mae Wang hospital was none of the CPG of COPD, 2) The CPG consist of  diagnosis and evaluation, treatment and nursing care, home health care and COPD flowchart. The COPD flowchart consist of the non-communicate disease (NCD) COPD clinic, ER, IPD, Tambon Health Promotion Hospital and family clinical practice unit. The CPG was appropriate to its own context and the  quality of work overall was at a very good level. and 3) the result of implementation of the CPG was at a good level. The advantage of this CPG include decreasing time of service at hospital, save time/budget and patients receive appropriate care The use of CPG reduced re-admission within 28 days after discharge.