The Intervention Effect Of Narrative Nursing On Negative Mood,Dyspnea And Disease Coping Mode In Elderly COPD Patients

Objective:To explore the effect of narrative care on anxiety,depression,dyspnea and disease coping style of elderly COPD patients by implementing narrative care for clinical nursing staff to provide a basis for implementing narrative care Methods:A class experiment research method was used to facilitate the selection of 94 cases of elderly COPD patients admitted to a tertiary care hospital in Yunnan Province with respiratory and critical illness during December 2021-August 2022.SPSS software was used to randomly divide the subjects into two groups,47 cases assigned to control and 47 cases assigned to observe.The control group used the conventional care model and the observation group used the conventional care model with narrative care,twice a week for 4weeks,with each intervention lasting 30-40 minutes,for a total of 8 sessions.Baseline assessment was conducted before the intervention using the General Conditions Questionnaire,the Depression and Anxiety Self-Rating Scale,the Dyspnoea Scale and the Illness Coping Style Questionnaire,and data were collected and analysed again after 4weeks of intervention using the Anxiety Self-Rating Scale,the Depression Self-Rating Scale,the Dyspnoea Scale and the Illness Coping Style Questionnaire.SPSS 26.0 was used for statistical analysis.Results:1.Excluding the 2 cases of death in the control group,the final effective experimental subjects were 92 cases in total,including 45 subjects in the control group and 47 cases in the experimental group.The differences in anxiety and depression,dyspnea,disease response to each other,and style and demographic data between the two groups were not statistically significant(p > 0.05)and were comparable.2.The comparison of patients’ anxiety and depression between the two groups: the scores of anxiety and depression in the control group before the intervention were54.05±2.83 and 58.82±3.79;the scores of anxiety and depression in the intervention group were 54.06±2.77 and 59.31±3.39.The scores of anxiety and depression between the two groups were not statistically significant(p>0.05)and could be compared before the intervention.The comparison was made before the intervention.After this infection,the anxiety score of the control group was 47.89±3.51 and the depression score was52.66±3.88,while that of the intervention group was 38.46±2.52 and 44.36±4.35.The anxiety and also the depression scores of both groups decreased compared with the pre-intervention scores,and it was more obvious in the intervention group,and the comparison between the groups was statistically significant(p<0.05).3.Comparison of breathlessness in the two groups: the breathlessness index scores of each group were evaluated before and after the intervention,and the scores of both control and intervention groups were 3.07 ± 0.72 and 3.09 ± 0.75 respectively in the pre-intervention period.there was no statistically significant difference in the breathlessness index between the two groups(p > 0.05),which was of comparable significance;after the intervene period,the scores of breathlessness in the control and intervention groups were 2.18±0.54 and 2.00±0.21 respectively.2.18±0.54,2.00±0.21.The dyspnea index scores of patients in both groups were reduced compared with those before the intervention,and although the difference in group comparison was statistically significant(p<0.05),the difference was not significant for the intervention group compared with the control group.4.Comparison of the two patient groups’ disease coping styles: before to the intervention,the confront score was 17.91±0.88 and 18.02±0.85 in the group of controls and intervention,respectively;the avoidance score was 14.18±1.01 and 14.51±1.16,respectively;and the submission score was 10.78±1.22 and 10.85±1.06,respectively.the difference of the disease coping style scores between the studies of the two groups was not there were statistical differences(p> 0.05)and were comparable.After the postintervention period,the face-to-face scores were 18.87±0.99 and 21.89±0.96 in the control group and the shelter scores were 12.89±0.80 and 10.74±0.90 in the intervention group,respectively,and the yield scores were 9.69±0.82 and 7.15±0.83 in the control group,respectively.The differences were statistically significant(p < 0.05).Conclusions:1.Adding narrative care for elderly COPD patients in the acute phase can alleviate their anxiety,depression and dyspnea to some extent,and improve patients’ attitude towards coping with the disease.2.Narrative nursing can effectively improve patients’ coping methods towards the disease and make patients adopt positive attitudes towards the disease,and patients’ attitudes towards the disease affect patients’ prognosis.