Xiaoyan Sun1, Yu Shen1, Jian Shen2. 1. Department of Geriatric Respiratory, Jiangsu Province Hospital Nanjing 210029, Jiangsu Province, China. 2. Department of Anethesiology and Perioperative Medicine, Jiangsu Province Hospital Nanjing 210029, Jiangsu Province, China.
Abstract
OBJECTIVE: To determine the effect of respiration-related guidance and nursing on the respiratory function and living ability in elderly patients with chronic obstructive pulmonary disease (COPD). METHODS: A total of 157 elderly patients with COPD admitted to our hospital between June 2016 and November 2019 were enrolled, and assigned into two groups according to difference nursing intervention methods. Among them, 72 cases were intervened by routine nursing as a control group (con group) and the rest 85 intervened by respiration-related guidance and nursing as a research group (res group). The two groups were compared in pulmonary and respiratory function indexes, and dyspnea, activities of daily living (ADL), Pittsburgh sleep quality index (PSQI), and MOS 36-Item Short-Form Health Survey (SF-36) scores before and after intervention as well as the nursing satisfaction after intervention. RESULTS: After nursing intervention, compared with the con group, the res group showed significantly higher pulmonary function indexes (forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC) and greatly improved respiratory function indexes (arterial carbondioxide partial pressure (PaCO2), arterial partial pressure of oxygen (PaO2), and blood oxygen saturation (SaO2)), with significantly lower MMRC and PSQI scores and significantly higher SF-36 score, and nursing satisfaction. CONCLUSION: For elderly patients with COPD, respiration-related guidance and nursing can enhance their pulmonary function and respiratory function, relieve their dyspnea and sleep disorder, and improve their daily living ability, life quality and nursing satisfaction. AJTR
OBJECTIVE: To determine the effect of respiration-related guidance and nursing on the respiratory function and living ability in elderly patients with chronic obstructive pulmonary disease (COPD). METHODS: A total of 157 elderly patients with COPD admitted to our hospital between June 2016 and November 2019 were enrolled, and assigned into two groups according to difference nursing intervention methods. Among them, 72 cases were intervened by routine nursing as a control group (con group) and the rest 85 intervened by respiration-related guidance and nursing as a research group (res group). The two groups were compared in pulmonary and respiratory function indexes, and dyspnea, activities of daily living (ADL), Pittsburgh sleep quality index (PSQI), and MOS 36-Item Short-Form Health Survey (SF-36) scores before and after intervention as well as the nursing satisfaction after intervention. RESULTS: After nursing intervention, compared with the con group, the res group showed significantly higher pulmonary function indexes (forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and FEV1/FVC) and greatly improved respiratory function indexes (arterial carbondioxide partial pressure (PaCO2), arterial partial pressure of oxygen (PaO2), and blood oxygen saturation (SaO2)), with significantly lower MMRC and PSQI scores and significantly higher SF-36 score, and nursing satisfaction. CONCLUSION: For elderly patients with COPD, respiration-related guidance and nursing can enhance their pulmonary function and respiratory function, relieve their dyspnea and sleep disorder, and improve their daily living ability, life quality and nursing satisfaction. AJTR
Authors: Hanan Aboumatar; Mohammad Naqibuddin; Suna Chung; Hina Chaudhry; Samuel W Kim; Jamia Saunders; Lee Bone; Ayse P Gurses; Amy Knowlton; Peter Pronovost; Nirupama Putcha; Cynthia Rand; Debra Roter; Carol Sylvester; Carol Thompson; Jennifer L Wolff; Judith Hibbard; Robert A Wise Journal: JAMA Date: 2019-10-08 Impact factor: 56.272