Chinese Thoracic Society. Diagnosis and treatment guidelines of chronic obstructive pulmonary disease (Revised edition). http://www.csrd.org.cn/cn/news.asp?id=291.html Accessed November 11, 2017.
Shah T, Churpek MM, Perraillon MC, et al. Understanding why patients with COPD get readmitted: a large national study to delineate the medicare population for the readmissions penalty expansion. Chest. 2015;147:1219-1226.2553948310.1378/chest.14-2181
Naylor, MD, Aiken, LH, Kurtzman, ET, Olds DM, Hirschman KB. The care span: the importance of transitional care in achieving health reform. Health Affairs. 2011;30:746-754.10.1377/hlthaff.2011.0041
Chronic obstructive pulmonary disease, Chinese Academy of Medical Sciences. Diagnos- is and Treatment Guidelines of Chronic Obstructive Pulmonary Disease. Chin J Tuberc Respir Dis. 2007;30:8-17
Wang HP, Wang Y, Wang S. The feasibility of applying the Omaha System to Chinese diabetes mellitus nursing. Chin Nurs Manage. 2014;14:981-983(in Chinese).
Huang SF, Guan YM, Huang YP, et al. Application of the Omaha problem classification scheme in assessment of stroke patients. J Nurs Sci. 2014;29:33-36(in Chinese).
XJ Lu, XX Miao, RR Wang, et al. Primary nursing problems in community-dwelling elderly patients with chronic diseases based on Omaha problem classification system. J Nurs (China). 2016;23:74-76(in Chinese).
Mi F, Wang FL. Evaluation of application effect by Omaha system in pulmonary function and quality of life of COPD patients. China Prac Med. 2017;12:175-177(in Chinese).
Zhang YH, Yang YZ, Yi XQ, Zeng R. SWOT analysis of continuous nursing care in hospital community integration. J Community Med. 2014;12:76-78 (in Chinese).
Yi JN, Chen LQ, Jia SM, Lu MM, Xun XQ. Effects of general practitioner team home visiting program for community-dwelling elder lies. Chin J Nurs. 2012;47:837-839 (in Chinese).
Ouellette DR, Lavoie KL. Recognition, diagnosis, and treatment of cognitive and psychiatric disorders in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2017;12:639-650.2824308110.2147/COPD.S123994
Koyanaqi A, Stubbs B, Smith L, et al. Correlates of physical activity among community-dwelling adults aged 50 or over in six low- and middle-income countries. PLoS One. 2017;12:e0186992.2907774410.1371/journal.pone.0186992