Abstract
Objective To explore the effects of the multidisciplinary cooperative continue nursing on the quality of life of patients with chronic obstructive pulmonary disease (COPD). Methods From December 2012 to April 2014, choosing hospitalized COPD patients who were of the stable and would soon discharge, and met the criteria standards. Convenient extracted 64 of 70 patients who completed follow-up as experimental group in one ward and 50 of 61patients who completed follow-up as control group in the other ward. Conventional discharge guidance were employed in the control group, while the continuation of care before discharge and after discharge 1, 3, 6 months were employed in the experimental group. Results Six months later, scores of quality of life scale and each dimension (symptoms, activities, influence) in the experimental group were (48.53±15.78) points, (35.38±18.61) points, (57.95±23.69) points, (52.28±15.27) points, which were significant lower than the former value (61.29±15.22) points, (52.03±15.60) points, (68.96±18.72) points, (62.87±21.26) points (t=2.918-5.487,P <0.01). After intervention, scores of experimental group were higher than that of control group which were (60.24±10.14) points, (52.76±12.36) points, (68.34±15.59) points, (58.55±11.79) points (t=-5.692--2.399,P <0.01 or 0.05). After intervention, the walking distance of 6 minutes of experimental group was (267.46±64.64) m, which was significant longer than that of before (169.42±48.46) m (t= -9.709,P< 0.01). Body mass index and grade of dyspnea were significant better in experimental group compared with before (Z=-2.451, -6.901,P < 0.05 or 0.01). Besides, grade of dyspnea (MMRC) was also significant better than that in the control group (P<0.01). Conclusions The quality of life of patients with COPD can be significantly improved by the multidisciplinary cooperative continue nursing education after discharge. Key words: Pulmonary disease, chronic obstructive; Quality of life; Multidisciplinary cooperation; Continue nursing
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