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The clinical nursing effect of empowerment-based continuing nursing combined with pulmonary rehabilitation for chronic obstructive pulmonary disease #MMPMID40611096
Wang Q; Tang H; Zhang M
BMC Pulm Med 2025[Jul]; 25 (1): 315 PMID40611096show ga
OBJECTIVE: Patients with chronic obstructive pulmonary disease (COPD) often lack continuous care after discharge, with limited disease knowledge, poor self-care ability, and low self-efficacy. These factors hinder pulmonary rehabilitation (PR) and negatively impact quality of life. Strengthening out-of-hospital nursing support and respiratory rehabilitation training is therefore essential. This study aims to assess the clinical value of empowerment-based continuing nursing combined with PR in the nursing management of COPD. METHODS: A retrospective study was conducted involving 60 COPD patients treated at our hospital from October 2023 to October 2024. The patients were randomly assigned to either a control group (routine nursing) or an observation group (empowerment-based continuing nursing combined with PR). Pulmonary function was assessed using forced expiratory volume in one second (FEV1) and the FEV1/forced vital capacity (FVC) ratio, both before and after the intervention. Dyspnea was evaluated using the COPD Assessment Test (CAT), while exercise capacity was measured by the 6-minute walking distance (6MWD). Psychological well-being was assessed through the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS). The St. George's Respiratory Questionnaire (SGRQ) was used to evaluate quality of life (QoL), and patient satisfaction was also assessed. RESULTS: After the intervention, improvements were observed in both groups, with the observation group showing greater improvements compared to the control group (Ps < 0.05). Specifically, SAS and SDS scores, dyspnea indices, and SGRQ scores were lower, while FEV1, FEV1/FVC, and 6MWD were higher in the observation group compared to the control group (Ps < 0.05). Additionally, patient satisfaction with nursing was higher in the observation group compared to the control group (P < 0.05). CONCLUSION: Empowerment-based continuing nursing combined with PR improves pulmonary function and QoL while alleviating anxiety and depression in COPD patients. Furthermore, it enhances patient satisfaction with the nursing provided.