Abstract
Objective To discuss the effect of comprehensive nursing intervention based on Comprehensive Geriatric Assessment (CGA) on the quality of life and pulmonary function in the rehabilitation of old patients with chronic obstructive pulmonary disease (COPD). Methods A total of 70 cases of COPD patients admitted from December 2013 to December 2016 in our hospital were randomly divided into the control group and CGA group, 35 cases in each group. The control group received routine nursing intervention, while the CGA group received comprehensive nursing intervention based on CGA assessment. The improvement of lung function and quality of life before and after nursing intervention was compared between the two groups. Results Before nursing intervention, the patients in CGA group and the control group showed no statistical significance in scores of each dimension of quality of life, such as daily life, social activities, anxiety, depression (P > 0.05). After nursing intervention, scores of each dimension of quality of life were significantly lower compared with before nursing intervention, and the quality of life score in CGA group were significantly higher than those of the control group: 1.81±0.21 vs. 2.61±0.17, 1.51±0.29 vs. 1.97±0.34, 1.72±0.32 vs. 2.29±0.37, 1.91±0.23 vs. 2.86±0.48, each dimension score lower amplitude differences all had statistical significance (t=6.089 8-17.517 1, P 0.05) . After nursing intervention, two groups of patients with the lung function of each index were significantly improved compared with before nursing intervention, the index of lung function and CGA group improved significantly better than control group: (2.80±0.41) L vs. (2.24±0.31) L, (1.98±0.24) L vs. (1.50±0.21) L, (70.31±10.21) % vs. (61.50±8.92) %, (4.49±0.28) % vs. (3.75±0.39) %, the differences were statistically significant (t=3.844 4- 9.118 6, P < 0.05) . Conclusions Comprehensive nursing intervention based on CGA can effectively improve the pulmonary function of patients with COPD, improve the quality of life of patients, relieve anxiety and depression, and improve the effect of nursing intervention. It is worth popularizing in clinical practice. Key words: Nursing care; Pulmonary disease, chronic obstructive; Quality of life
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