Effects of individualized psychological support in patients with chronic obstructive pulmonary disease

Abstract

Objective To explore the effects of individualized psychological support on sleep condition, psychological status and quality of life in patients with chronic obstructive pulmonary disease (COPD) in Respiratory Department and ICU. Methods A total of 68 patients with COPD administrated in the respiratory department and ICU of Shangqiu First People's Hospital from July 2014 to October 2016 were selected by convenience sampling method and divided into control group and observation group by random number table method, with 34 cases in each group. The patients in the control group were given routine nursing care, while the patients in the observation group were given individualized psychological nursing support on the basis of routine care till discharged or transferred. Pittsburgh Sleep Quality Index (PSQI) was applied to evaluate patients' sleep condition; Self-Perceived Burden Scale (SPBS) and Memorial University of Newfoundland Scale of Happiness (MUNSH) were used to assess patients' psychological status; and the Quality of Life Scale for Adult Patient with Chronic Obstructive Pulmonary Disease (COPD-QOL) was applied to compare the patients' quality of life between the two groups before and after the intervention. The sleep condition, psychological status and quality of life were compared between the two groups. Results Before the intervention, there were no statistical differences in sleep condition, self-perceived burden, subjective happiness and quality of life between the two groups (P>0.05) . After the intervention, the scores of sleep quality and sleep condition of the observation group was significantly lower than those of the control group; the total score and the score of each dimension in the self-perceived burden scale of the observation group were all lower than those of the control group; the positive score of subjective happiness and its total score of the observation group were higher than those of the control group, while the negative score was lower than that of the control group; in addition, the total scores of patients' living ability, psychological status and quality of life of the observation group were all higher than those of the control group; the differences were all statistically significant (P<0.05) . Conclusions Individualized psychological support can significantly improve the sleep quality of patients with COPD in respiratory department and ICU, relieve their self-perceived burden, encourage patients to adopt healthy and positive coping style, so as to improve the quality of life. Key words: Pulmonary disease, chronic obstructive; Mood disorder; Psychological support; Sleep disorder