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Objective <p>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.</p> Methods <p>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.</p> Results <p>After the intervention, improvements were observed in both groups, with the observation group showing greater improvements compared to the control group (<i>Ps</i> &lt; 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 (<i>Ps</i> &lt; 0.05). Additionally, patient satisfaction with nursing was higher in the observation group compared to the control group (<i>P</i> &lt; 0.05).</p> Conclusion <p>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.</p>

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The clinical nursing effect of empowerment-based continuing nursing combined with pulmonary rehabilitation for chronic obstructive pulmonary disease

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年7月3日

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  • Qianqian Wang,
  • Hui Tang,
  • Min Zhang

摘要

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.