Effect of nursing intervention based on Roy adaptation model in patients with acute exacerbation of chronic obstructive pulmonary disease

Abstract

Objective To investigate the improving effect of nursing intervention based on Roy adaptation model on sleep condition of patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) . Methods A total of 118 patients with AECOPD admitted to Department of Respiratory Medicine, the First Affiliated Hospital of Zhengzhou University from July 2016 to May 2018 were selected by stratified sampling method. They were divided into observation group and control group according to random number table method, with 59 cases in each group. The control group was given conventional nursing care, while the observation group was given nursing intervention based on Roy adaptation model on the basis of the conventional nursing care. Before and after the intervention, Self-rating Anxiety Scale (SAS) , Self-rating Depression Scale (SDS) , Social Support Rating Scale (SSRS) , the Pittsburgh Sleep Quality Index (PSQI) were used to evaluate negative emotions, social support, sleep quality and quality of life of the patients. After the intervention, the nursing satisfaction of the two groups was compared. Results After 2 weeks of intervention, the scores of SAS (26.33±4.72) and SDS (43.17±6.29) of the observation group were lower than those before intervention; the score of SSRS (34.21±6.95) was higher than that before intervention, and the observation group were all better than the control group, the differences were statistically significant (P<0.05) . After intervention, the PSQI scores of the observation group (5.01±1.27) and the control group (6.33±1.74) were statistically different (t=4.707, P<0.05) . The overall satisfaction of the patients in the observation group was 93.33% and that in the control group was 77.97%. There was a significant difference between the two groups (P<0.05) . Conclusions Compared with conventional nursing, nursing intervention based on Roy adaptation model can better improve the negative emotions and social support of AECOPD patients, and improve sleep and nursing satisfaction. Key words: Lung disease, chronic obstructive; Quality of life; Roy adaptation mode; Quality of sleep