Application of Kano model-based pulmonary rehabilitation interventions in discharge preparation for patients with chronic obstructive pulmonary disease.

OBJECTIVES: To evaluate the effectiveness of pulmonary rehabilitation interventions based on the Kano model in discharge preparation services for patients with chronic obstructive pulmonary disease (COPD). METHODS: Baseline characteristics of 100 patients with COPD (Kano group=50; control group=50) were collected. Outcome indicators included forced expiratory volume in 1s (FEV1), forced vital capacity (FVC), maximal voluntary ventilation (MVV), scores on the Readiness for Hospital Discharge Scale (RHDS), Quality of Discharge Teaching Scale (QDTS), and COPD Assessment Test (CAT). These parameters were analyzed and compared between the groups. RESULTS: No statistical significances were observed between the two groups in baseline characteristics. After intervention, the FEV1 and MVV values were significantly higher in the Kano group than those in the control group (P<0.05). The total and subscale scores of the RHDS and QDTS were significantly higher in the Kano group (P<0.001). In the control group, the "content actually obtained" scores were lower than the "content needed for discharge" scores (P<0.05), whereas in the Kano group, the "content actually obtained" scores exceeded the "content needed for discharge" scores after the intervention (P<0.05). CAT scores were significantly lower in the Kano group compared to the control group (P<0.05). CONCLUSIONS: Pulmonary rehabilitation interventions based on the Kano model significantly improve lung function, discharge readiness, quality of discharge teaching, and quality of life in patients with COPD.