Application effects of continuous nursing under the structure-process-result framework in patients with chronic obstructive pulmonary disease in remission stage
Objective:To observe application effects of continuous nursing under the structure-process-result framework in patients with chronic obstructive pulmonary disease(COPD)in remission stage.Methods:The clinical data of 98 patients with COPD in remission stage admitted to the hospital from August 2021 to August 2022 were retrospectively analyzed.According to different nursing methods,they were divided into study group(n=49)and control group(n=49).The control group was given routine nursing,while the study group was given the continuous nursing under the structure-process-result framework on the basis of that of the control group.The self-efficacy[general self-efficacy scale(GSES)]score,the self-care ability[exercise of self-care agency scale(ESCA)]score,the quality of life[St.George's respiratory questionnaire(SGRQ)]score,the lung function index[forced vital capacity(FVC),forced expiratory volume in one second(FEV1),peak expiratory flow(PEF)]levels before and after the nursing,the excellent rate of disease knowledge mastery,and the medication compliance were compared between the two groups.Results:After the nursing,the GSES scores and the ESCA scores of the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the SGRQ scores of the two groups were lower than those before the nursing,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of FVC,FEV1 and PEF in the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The excellent and good rate of disease knowledge mastery in the study group was 93.88%,which was higher than 79.59%in the control group,and the difference was statistically significant(P<0.05).Furter,the medication compliance of the study group was 97.96%,which was higher than 83.67%of the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the continuous nursing under the structure-process-result framework can improve the self-care ability scores,the self-efficacy scores,the lung function index levels,the disease knowledge mastery rate and the medication compliance of the COPD patients in remission stage,and reduce the quality of life scores.Moreover,it is superior to simple routine nursing.
万方数据
维普
