Objective:To analyze the effects of extended care based on chronic illness trajectory theory(CITM)on lung function,negative emotions and self-efficacy of chronic obstructive pulmonary disease(COPD)patients.Methods:125 COPD patients admitted to the hospital were selected and divided into the conventional group(n=60)and the chronic trajectory group(n=65)based on the treatment plan.The conventional group was given routine care,and the chronic trajectory group was given continuity of care according to CITM theory on the basis of the control group.Lung function,negative mood[Self-Depression Scale(SDS),Self-Anxiety Scale(SAS)],self-efficacy scale(GSES),self-care and quality of survival were compared between the two groups.Results:FEV1,FEV1/FVC,MVV,GSES,and quality of survival were higher than before treatment and SAS and SDS were lower than before treatment in both groups,and FEV1,FVC,FEV1/FVC,MVV,GSES,self-care,and quality of survival were significantly higher than those in the conventional group,and SAS and SDS were lower than those in the conventional group in the chronic trajectory group(P＜0.05).Conclusion:Continuing care based on CITM can significantly improve the pulmonary function of COPD patients,reduce the generation of negative emotions such as depression and anxiety,and enhance self-efficacy.
chronic obstructive pulmonary diseasecontinuing carechronic illness trajectory theory
维普
万方数据
