Effects of Multi-dimensional Nursing Mode Based on NOC System on Disease Control,Psychological Stress and Exercise Tolerance in AECOPD Patients
Objective:To analyze the effects of multi-dimensional nursing mode based on nursing outcome classification(NOC)system on disease control,psychological stress and exercise tolerance in patients with acute exacerbation of chronic obstructive pulmonary disease(AECOPD).Method:A total of 80 patients with AECOPD admitted to Shangrao Hospital of Traditional Chinese Medicine were enrolled from January 2020 to January 2023,they were divided into control group(n=40)and observation group(n=40)by the different nursing methods in different periods after admission.The control group was given routine nursing,while observation group was additionally given multi-dimensional nursing based on NOC system,all were intervened for 2 weeks.The pulmonary function[forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),FEV1 as a percentage of FVC(FEV1/FVC%),maximum mid-expiratory flow(MMEF),maximal voluntary ventilation(MVV)],blood gas indexes[arterial hydrogen ion concentration(pH),arterial partial pressure of oxygen(PaO2),arterial partial pressure of carbon dioxide(PaCO2),arterial oxygen saturation(SaO2)],respiratory function[COPD assessment test(CAT),modified Medical Research Council(mMRC)],quality of life[St.George's respiratory questionnaire(SGRQ)],psychological stress[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]and exercise tolerance were compared between the two groups before and after nursing.Result:After 2 weeks of nursing,FVC,FEV1,FEV1/FVC%,MMEF and MVV in observation group were higher than those in control group,the differences were statistically significant(P<0.05);after 2 weeks of nursing,pH,PaO2 and SaO2 in observation group were higher than those in control group,while PaCO2 was lower than that in control group,the differences were statistically significant(P<0.05);after 2 weeks of nursing,the scores of CAT,mMRC and SGRQ in observation group were lower than those in control group,the differences were statistically significant(P<0.05);after 2 weeks of nursing,the scores of SAS and SDS in observation group were lower than those in control group,the differences were statistically significant(P<0.05),and exercise tolerance distance in observation group was farther than that in control group,the difference was statistically significant(P<0.05).Conclusion:Multi-dimensional nursing mode based on NOC system is beneficial to improve pulmonary ventilation function,blood gas indexes,respiratory function,adverse psychological state and exercise tolerance in AECOPD patients.
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