The Effect Of Continuous Nursing In Self-management Of Patients With COPD

Objective:According to investigate the patients with stable COPD with the condition of patients,the status of self-management of the disease and the results of St.George’s breath questionnaire,to formulate the continuous nursing plans and measures to improve the compliance of respiratory symptoms management behavior,to promote patients to establish self-management behavior,and to improve patients’ self-management level,improve the symptoms of patients and improve their quality of life,delay the development of the disease course,promote the physical and mental health of patients.Methods:1.A total of 110 patients discharged from a department of respiratory medicine(including the ICU of respiratory specialty)in Nanchang from July 1,2019 to December 30,2019 were divided into two groups: Control Group(55 patients)and experimental group(55 patients).The patients in the control group were given routine health guidance and followed up after discharge,and the patients in the test group were provided with a multi-disciplinary cooperative mode of continuing nursing service program by the members of the continuing nursing group.Statistical Methods: The counting data were described by frequency and rate,and compared by chi-square test.The measurement data were described by mean standard deviation,the non-normal distribution was described by median and interquartile distance,and the differences between the two groups were analyzed by independent sample t test;repeated measures analysis of variance was used for intra-group comparison.Results:1.There was no significant difference between the two groups in general data,COPD Self-management Questionnaire Score,St George’s questionnaire score and lung function(p>0.05).2.There was no significant difference between the two groups in the scores of self-management questionnaire before intervention(t=-1.899,p>0.05).There was no significant difference in the scores of self-management questionnaire after 1 month intervention(t=1.746,P=0.084),there was no significant difference in the scores of self-management questionnaire(t=-1.074,P=0.285)after 2 months of intervention,and there was significant difference in the scores of self-management questionnaire(t=6.337,P=0.000)after 3 months of intervention.The score time,intervention and interaction of time intervention were statistically significant(p< 0.05).3.St George’s breathing questionnaire score: There was no significant difference in St George’s breathing questionnaire score before intervention(t=0.357,P>0.05),and there was no significant difference in St George’s breathing questionnaire score after 2 months intervention(t=-1.058,P=0.297),the St George’s breathing questionnaire score was not statistically significant(t=-1.886,P=0.067)after 2 months intervention,but the St George’s breathing questionnaire score was statistically significant(t=5.591,P=0.0007)after 3 months intervention.Repeated measures of variance analysis of Sangiorgio breathing questionnaire score time,intervention and time intervention interaction was statistically significant(p<0.05).4.FVC: There was no significant difference between the two groups before intervention(t=0.27,p>0.05).After 1 month,there was no significant difference between the two groups(t=-0.348,p=0.730).After 2 months,there was no significant difference between the two groups(t=0.435,p=0.666),after 3 months intervention,FVC had no statistical significance(t=0.464,p=0.645).There was no significant difference in FVC time,intervention and interaction between time and intervention(p>0.05).5.FEV1: There was no significant difference in FEV1 between the two groups before intervention(t=0.707,p>0.05),no significant difference in FEV1 after 1month(t=0.872,p=0.389),and no significant difference after 2 months(t=0.930,p=0.358),three months after intervention,FEV1 had no significant difference(t=1.008,p=0.320).There was no significant difference in FEV1 time,intervention and interaction between time and intervention(p>0.05).6.FEV1/ FVC: There was no significant difference in FEV1/FVC between the two groups before intervention(t=0.645,p>0.05),and there was no significant difference in FEV1/ FVC after 1 month of intervention(t=0.935,p=0.356).There was no significant difference in FEV1/FVC after 2 months of intervention(t=1.059,p=0.296),three months after intervention,FEV1 / FVC had no significant difference(t=-0.935,p=0.356).There was no significant difference in FEV1/FVC time,intervention and interaction between time and intervention(p>0.05).Conclusion:The self-management level of patients with COPD is low.By setting up standard multi-disciplinary continuous nursing team and making unified scientific program of continuous nursing,the patients’ consciousness of disease management and self-management level are enhanced obviously.The respiratory symptoms improved significantly in COPD patients which improved the mobility and reduced the impact of the disease on daily life,thus improving the quality of life,the improvement of lung function is worth further study.