The Effects of Clinical Pathway of Nursing on Pulmonary Function Index and Complications in Patients with COPD / 昆明医科大学学报

ABSTRACT

Objective To explore the effects of clinical pathways of nursing on pulmonary function index and complication in patients with COPD. Methods From October 2015 to June 2017, 94 patients with COPD were divided into two groups according to the order of admission and the nursing method: 47 patients undergoing routine nursing care and 47 patients receiving clinical pathways of nursing. We compared the incidence of complications, lung function, satisfaction, sense of comfort, anxiety, average hospitalization, health knowledge score and hours of ventilator use between the observation group and the control group. Results The incidence of complications in the observation group was significantly lower than that in the control group (P＜0.05) . The lung function index of the observation group was better than that of the control group, but the difference was not statistically significant (P＞0.05) . In the observation group, the satisfaction, the sense of comfort and the health knowledge score were higher.The anxiety degree was lower and the average hospital stay and hours of ventilator use were shorter compared to the control group (P＜0.05) . Conclusion The clinical pathways of nursing are used to reduce the incidence of complications, to improve the lung function index, the nursing satisfaction, sense of comfort and health knowledge score,and to reduce the average length of hospital stay, anxiety and hours of ventilator use in patients with COPD care.