Proposed Topic (Most preferred): :
HA Young Investigators Session (Projects to be presented by HA staff who had joined HA for 10 years or less)
Proposed Topic (Second preferred): :
Enhancing Partnership with Patients and Community (Projects initiated to engage patients / carers / community to improve efficiency / quality of care)
Authors (including presenting author) :
Wong YL, Chan WK, Wong SM
Affiliation :
Occupational Therapy Department, Tung Wah Eastern Hospital
Introduction :
Cardiopulmonary diseases such as chronic obstructive pulmonary disease were common conditions resulting in hospital admission (Chan, Ko, 2023). Pulmonary Rehabilitation Program (PRP) targeted at improving physical performance, optimizing supplemental oxygen use and fewer hospitalizations for cardiopulmonary patients (Stewart, Cifu, 2001). The program encompassed both physical and psychosocial components. Psychosocial factors alleviated barriers and enhanced overall medical compliance, physical functions and quality of life (Barker, 2015). Service gap was identified with revisit of our existing PRP conducted in Occupational Therapy (OT) department. The ‘Interact-PRP’ at satellite ward-based sites aimed at assuring thoroughness of service coverage and program efficacy.
Objectives :
1. To promulgate the Interact-PRP service delivery model to cardiopulmonary inpatients
2. To evaluate the effectiveness of Interact-PRP on promoting functional recovery, the empowerment of patients’ insight and the readiness of chronic disease self-management integration
Methodology :
Both quantitative and qualitative approaches were adopted in this study. Selection criteria included (1) cardiopulmonary patients admitted to two pulmonary wards (2) able to follow instructions (3) medically stable. A single-group pre-post test design was employed for outcome analysis on functional performance, symptoms control and psychosocial behaviours. Qualitative analysis included satisfaction survey and interview from both patients and ward staff.
Result & Outcome :
Preliminary result drawn from July to October 2023 was analysed. A total of 12 cases (all male) had attended the program while only 8 were able to complete the program. There was significant improvement in functional performance as reflected by Modified Barthel Index (P< 0.05). Improvement on their mood as reflected by the Hospital Anxiety and Depression Scale was found. The project was still in progress and favorable result was anticipated.
The survey reviewed 75% patients was satisfied with the program. They commented the program content was meaningful and effective in symptoms control. And they would continue to apply the learnt illness-specific self-management techniques after discharge. As it was a ward-based program, positive responses from ward staff were received with regards to workflow and staff-patient interaction.
To conclude, both patients and staff considered the Interact-PRP as enjoyable and meaningful alternative to traditional inpatient PRP. It also sets the stage for further consolidation and wider applicability of satellite ward-based training across different specialties.
