Impact of comprehensive nursing intervention based on behavioral goal achievement on health behavior and quality of life in COPD patients during remission
Objective To investigate the effectiveness of comprehensive nursing intervention based on behavioral goal achieve-ment for patients with Chronic Obstructive Pulmonary Disease(COPD)during remission,providing evidence for nursing in-tervention strategies in this patient population.Methods A total of 92 COPD patients in remission,treated at West China Hospital,Sichuan University from March 2022 to March 2023,were selected and randomly assigned to control and observa-tion groups,each with 46 patients.The control group received routine nursing,while the observation group received com-prehensive nursing intervention based on behavioral goal achievement.Pre-and post-intervention comparisons were made be-tween the two groups regarding disease cognition,self-management ability,health behavior,and quality of life.Results Before in-tervention,there were no statistically significant differences between the two groups in the scores of the knowledge,attitude,and behavior subscales of the COPD Knowledge,Attitude,and Practice Scale,nor in the total score(P＞0.05).After interven-tion,the scores of the three dimensions and the total score were significantly higher in both groups,with the observation group scoring higher than the control group(P＜0.05).No statistically significant differences were observed between the two groups in the five subscales(emotional management,daily life management,information management,symptom man-agement,and self-efficacy)and total score of the Chinese version of the COPD Self-Management Scale(COPD-SMS)before intervention(P＞0.05).Post-intervention scores in all dimensions and the total score were significantly higher in both groups,with the observation group again scoring higher than the control group(P＜0.05).Similarly,no statistically sig-nificant differences were found in the six dimensions(nutrition,self-realization,physical activity,health responsibility,in-terpersonal relationship,and stress regulation)and total score of the Health-Promoting Lifestyle Profile(HPLP)before in-tervention(P＞0.05).Post-intervention scores in these dimensions and the total score were significantly higher in the ob-servation group than in the control group(P＜0.05).Before intervention,no significant differences were found in the eight dimensions(mental health,activity,social function,emotional function,physical function,general health,physical pain,and physical function)and total score of the Chinese version of the SF-36 Quality of Life Scale between the two groups(P＞0.05).However,post-intervention scores in these dimensions and the total score were significantly higher in the observation group compared to the control group(P＜0.05).Conclusion Comprehensive nursing intervention based on behavioral goal achievement helps promote disease cognition,improve self-management ability,promote healthy behaviors,and increase the quality of life in COPD patients during remission.This approach is worthy of clinical promotion.
Chronic obstructive pulmonary diseaseRemissionBehavioral goal achievementQuality of lifeSelf-manage-ment ability
万方数据
维普
