Application effect of discharge planning combined with continuous nursing in patients with COPD

Abstract

Objective To study the application effect of discharge planning combined with continuous nursing in patients with chronic obstructive pulmonary disease (COPD) . Methods From May 2014 to April 2015, 92 cases of COPD patients in our hospital were selected as the research object, and they were divided into the observation group and the control group according to random number table, with 46 cases in each group. Patients in the control group received continuous nursing, while patients in the observation group were given discharge planning guidance on the basis of continuous nursing. The level of self-efficacy, anxiety, depression, and the treatment compliance of patients before and after intervention were compared between two groups. Results After intervention, the self-efficacy scores of safe behavior, environment and temperature, physical activity, emotional fluctuations, and dyspnea management in the observation group [ (3.45±0.15) , (2.96±0.24) , (2.92±0.26) , (2.97±0.24) , (2.91±0.23) ] were significantly higher than those in the control group [ (3.15±0.17) , (2.72±0.17) , (2.81±0.18) , (2.76±0.17) , (2.83±0.14) ] (P<0.05) . The scores of self-rating depression scale (SDS) and self-rating anxiety scale (SAS) in the observation group were significantly lower than the control group [ (21.45±2.02) , (31.21±3.45) VS (35.43±2.54) , (44.46±4.21) ] (P<0.05) . The treatment compliance in the observation group was significantly better than that in the control group (P<0.05) . Conclusions For patients with COPD, discharge planning combined with continuous nursing can obviously improve patient′s level of self-efficacy, anxiety, depression, and improve patients′ treatment compliance to a certain extent. The effect is good with strong feasibility. Key words: Patient discharge; Continuous nursing; Chronic obstructive pulmonary disease