Application of graded nursing based on humanistic care in frail elderly patients with chronic obstructive pulmonary disease
10.3969/j.issn.1009-0754.2025.07.018
- VernacularTitle:基于人文关怀的分级护理对不同衰弱程度老年慢性阻塞性肺疾病患者病情影响的探究
- Author:
Jingju ZHAO
1
;
Ran LI
;
Yannan CHEN
Author Information
1. 210002 江苏 南京,东部战区总医院秦淮医疗区呼吸科
- Keywords:
Chronic obstructive pulmonary disease;
Graded nursing;
Frailty;
Self-efficacy;
Quality of life
- From:
Journal of Navy Medicine
2025;46(7):739-744
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of graded nursing based on humanistic care in frail elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 138 patients with COPD treated in Qinhuai Branch,The General Hospital of Eastern Theater Command from October 2020 to April 2023 were randomly assigned into two groups by a random number table,with 69 patients in each group.The control group received routine nursing care based on humanistic care,and the observation group were given routine nursing and graded nursing care according to the frailty scale.Clinical indicators,self-efficacy,treatment compliance and quality of life were compared between the two groups.Results After intervention,the partial pressure of carbon dioxide(PaCO2),partial pressure of oxygen(PaO2),blood oxygen saturation(SpO2),and the scores of self-decision-making,self-stress reduction and positive attitude of the two groups were improved,especially in the observation group(P<0.05).The compliance rate of observation group was higher than that of control group(97.10%vs.84.06%,P<0.05).The scores of vitality(VT),physical pain(BP),physiological function(RP),social function(SF),emotional function(RE),physiological function(PF),mental health(MH)and overall health(CH)in the observation group were higher than those in the control group(P<0.05).Conclusion The combined application of graded nursing based on frailty scale and humanistic care in COPD patients can effectively improve the quality of routine nursing,patient's self-efficacy,treatment compliance,illness status,and quality of life.
