Effect of follow-up nursing on chronic obstructive pulmonary disease patients with long-term home oxygen therapy

Abstract

Objective To explore the effect of the follow-up nursing on compliance in chronic obstructive pulmonary disease （COPD） patients with long-term home oxygen therapy.Methods Eighty-five COPD patients who needed the long-term home oxygen therapy after discharge from June 2011 to June 2012 were randomly divided into the observation group （ n =43） and the control group （ n =42）.The control group received discharge instructions, and the observation group received the telephone follow-up, home visits, outpatient follow-up and other forms of follow-up nursing on the basis of discharge instructions , and the follow-up time was six months.The quality of life, long-term home oxygen therapy compliance and adverse reactions were evaluated by the quality of life of COPD score sheet （QLICD-COPD）.Results The rate of compliance in the observation group was 95.3%after intervention, and was 45.2% in the control group, and the difference was statistically significant （χ2 =25.699, P〈0.01）.The rate of adverse reactions for patients with oxygen therapy was 6.97%in the observation group, and was 54.76%in the control group, and the difference was statistically significant （χ2 =5.362, P〈0.01）.The overall score of QLICD-COPD was （83.69 ±5.41） in the observation group, and was （73.63 ±7.78） in the control group, and the difference was statistically significant （t=6.935,P〈0.01）.Conclusions The implementation of follow-up nursing on long-term home oxygen therapy in patients with COPD can improve compliance , reduce the rate of adverse reactions for patients with oxygen therapy , and improve patients＇ self-efficacy and quality of life. Key words: Chronic obstructive pulmonary disease; Follow-up nursing; Long-term home oxygentherapy; Compliance