Abstract
Objective To explore the application value of trajectory nursing of chronic diseases in patients with chronic obstructive pulmonary disease (COPD) . Methods By convenience sampling, a total of 69 COPD patients at the stable stage after treatment in Shangqiu First People's Hospital from January 2016 to January 2018 were selected as research objects, and a total of 66 patients completed the research. According to the communities they belonged to, they were divided into the observation group (n=31) and control group (n=35) . BODE index (B: body mass index; O: airway obstruction; D: dyspnea; E: exercise endurance) was counted in both groups. The patients' COPD disease trajectory in the observation group were evaluated by their scores in BODE and were divided into different stages: 1-2 points were stage I, 3-4 points were stage Ⅱ, 5-7 points were stage Ⅲ, 8-10 points were stage Ⅳ and for those at different stages were given different nursing care with different focus and the control group was given conventional continuous nursing care. The intervention lasted for 3 months, the two groups were compared in their score change status in COPD Assessment Test (CAT) , BODE index, Zarit Burden Interview (ZBI) . Results Before intervention, there was no statistical difference in the two groups' CAT scores, BODE index, and ZBI scores (P>0.05) . After intervention, the CAT score and BODE index, ZBI score in the observation group were lower than the control group with statistical significance (P<0.05) . Conclusions Chronic disease trajectory model is conducive to reducing COPD patients' clinical symptoms and the main caregivers' burden. Key words: Lung disease, chronic obstructive; Chronic disease trajectorymodel; Quality of life; Caregiver burden
Published Version
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