Research Of Intervention Effect On Health Condition Of Patients With Chronic Obstructive Pulmonary Disease By Family Nursing

PurposesInvestigating the patients with chronic obstructive pulmonary disease incommunity by applicating the concise health investigating questionnaire (SF-36) tounderstand the health status of the patients; making family nursingintervention measures aimed at the patients’ health problems to improve thepatient’s self management ability and delay the progress of the disease, so as toimprove the health status of the community; providing a reference for theformulation of relevant interventions for the interventions on patients with chronicobstructive pulmonary disease.MethodsExtract two communities from the Chaoyang district in Changchunby convenience sampling method,and select40patients with COPD in twocommunities according to the inclusion and exclusion criteria as the researchobject in the intervention group and the control group. Each community of40patients with COPD can be divided into four groups, each group of10people;12theresearchers divided into4groups, each group of three people.40patients with COPDfrom each community were divided into4groups, each group including10persons;12researchers can be divided into4groups, each group including3persons. During the period of whole study, each group of three researchers areresponsible for10patients with COPD form the intervention group and the controlgroup according to the personnel responsibility system principle.Two groups ofpatients can received a conventional therapy. The patients in the control group weregiven the regular health education, and the patients in the intervention group weregiven the regular health education and family nursing.Health education was held once every1month, including a total of three times.and each health lecture time isabout20~30minutes. Health education includes three aspects of content, thepathogenesis of COPD symptoms, risk factors,and how to prevent and control it,and how to use the drug. Family nursing intervention was held once every2weeks, including a total of6times, and the intervention time is made according tothe cognition level of subjects. The family nursing intervention mainly includes6aspects, strengthen the cognition, family oxygen therapy, respiratory functiontraining, exercise, diet guidance and psychological guidance. Stem the scoresof health of two groups of patients before and after the intervention by surveyingwith the SF-36, then compare two sets of results.Results（1）Each of the two communities had40persons to participate in this study.Andat the end of the intervention, the intervention group had38, control group had36.General data of patients of the two groups, the difference had no statisticalsignificance (P>0.05), showing that the baseline data of the two groups of subjectswere comparable.（2）Before the intervention,the difference between two groups of patients aboutthe health status scores was not significant (P>0.05). After the intervention,thedifference between two groups of patients about the health status scores wassignificant（P＜0.05）. Before and after the intervention,the difference of the healthstatus scores in the intervention group was significant（P＜0.05）. Before and afterthe intervention,the difference of the health status scores in the contorl group wassignificant（P＜0.05.（3）Before the intervention,the difference between two groups of patientsabout health condition of each dimension score was not statistically significant (P>0.05). Two groups of patients after the intervention in the health condition of eachdimension score compared, the physiological function, physiological function,general health, vitality, social function, mental health, emotional function sevendimensions difference was statistically significant (P <0.05). （4）The intervention group of patients before and after the intervention in thehealth condition of each dimension score compared, seven dimensions of differencewas statistically significant (P <0.05),as follow the physical function, physiologicalfunction, overall health, vitality, social function, emotional function, mental health;The control group of patients before and after the intervention in the healthcondition of each dimension score compared, three dimensions of difference wasstatistically significant (P <0.05),as follow the physiological function, generalhealth and social function.Conclusions(1) Family nursing intervention can improve the cognition of disease to patientswith COPD in community, and improve their health situation.(2) Family nursing intervention can correct their attitude towards the disease,so as to improve the ability of self management and their quality of life.(3) Family nursing intervention for community patients with COPD, which canprovide reference for the formulation of relevant interventions.