Effect of comprehensive nursing intervention on the quality of life and mental state of patients with chronic obstructive pulmonary failure

Objective To explore the clinical effect of comprehensive nursing intervention on the quality of life and psychology of patients with chronic obstructive pulmonary disease (COPD) with respiratory failure. Methods A total of 90 COPD patients with respiratory failure were selected in our respiratory department from January, 2016 to October, 2017. They were randomly divided into observation group (45 cases) and control group (45 cases). The control group was given conventional COPD combined with respiratory failure nursing, and the observation group applied comprehensive nursing intervention on the basis of routine nursing. The treatment effects of 2 groups of patients and the changes of blood gas indexes before and after nursing were compared, and the quality of life and mental state of 2 groups of patients were compared before and after nursing by the WHO quality of life measurement scale (WHOQOL-BREF) and symptom self-assessment scale (SCL-90) score. Results There was no statistically significant difference between blood gas index and SCL-90 score in 2 groups of patients before nursing intervention, P>0.05. After nursing intervention, the total effective rate of treatment was 93.3% in the observation group and 77.8% in the control group; the blood gas index of 2 groups was obviously improved, but PaO₂ in the observation group significantly higher than that in the control group, while PaCO₂ was lower in the control group, P<0.05. The WHOQOL-BREF score and SCL-90 score of the 2 groups were increased, but the score of the observation group was higher than that of the control group, and the nursing satisfaction of the observation group was 95.6%, which was higher than 82.2% of the control group, P<0.05. Conclusion Comprehensive nursing not only improves the quality of life of patients with COPD combined with respiratory failure, but also adjusts the psychological state of patients, increases the confidence of patients, strengthens the cooperation between nurses and patients, and is worthy of clinical application.