Effectiveness of nursing interventions in care of chronic obstructive pulmonary disease (COPD)
Jacob Ajombora, Apapaara; Yenimi, Gbanabila; Apapaara, Jacob Ajombora (2024)
2024
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024111127839
https://urn.fi/URN:NBN:fi:amk-2024111127839
Tiivistelmä
Background: Globally, chronic obstructive pulmonary disease is the seventh leading cause of poor health.This condition presents significant healthcare challenges, with patients often experiencing debilitating symptoms and frequent exacerbations.
Aim: The aim of this study was to assess the effectiveness of nursing interventions in chronic obstructive pulmonary disease care.
Method: This study used literature review method to examine peer-reviewed articles that reported one or more nursing interventions implemented in the care of COPD patients. These interventions range from respiratory support and individualised nursing care to telehealth and self-management strategies. Seven studies were selected and reviewed; these involved mostly elderly patients, some with additional conditions such as congestive heart failure (CHF), or respiratory failure. The settings for these interventions varied between hospital-based and community-based environments, with four studies focusing on critical care interventions for severe chronic obstructive pulmonary disease cases.
Results: The effectiveness of interventions for COPD patients has been varied. Thus, High Flow Nasal Cannula (HFNC) oxygen therapy was found to have similar effect as Non-Invasive Ventilation (NIV) in primary outcomes such as treatment failure and mortality. Telehealth-assisted nursing program reduced unnecessary hospital visits and improved patient management. Individualized nursing care intervention showed strongly related to improving exercise capacity, mental health, and quality of life. Two-way feedback nursing intervention enhanced patient management through technology-driven feedback. Psychological nursing and non-invasive ventilator intervention improved mental health and physiological measures, with lower complication rates. Air quality in self-management intervention reduced hospital visits and exacerbations, but further standardization is needed
Aim: The aim of this study was to assess the effectiveness of nursing interventions in chronic obstructive pulmonary disease care.
Method: This study used literature review method to examine peer-reviewed articles that reported one or more nursing interventions implemented in the care of COPD patients. These interventions range from respiratory support and individualised nursing care to telehealth and self-management strategies. Seven studies were selected and reviewed; these involved mostly elderly patients, some with additional conditions such as congestive heart failure (CHF), or respiratory failure. The settings for these interventions varied between hospital-based and community-based environments, with four studies focusing on critical care interventions for severe chronic obstructive pulmonary disease cases.
Results: The effectiveness of interventions for COPD patients has been varied. Thus, High Flow Nasal Cannula (HFNC) oxygen therapy was found to have similar effect as Non-Invasive Ventilation (NIV) in primary outcomes such as treatment failure and mortality. Telehealth-assisted nursing program reduced unnecessary hospital visits and improved patient management. Individualized nursing care intervention showed strongly related to improving exercise capacity, mental health, and quality of life. Two-way feedback nursing intervention enhanced patient management through technology-driven feedback. Psychological nursing and non-invasive ventilator intervention improved mental health and physiological measures, with lower complication rates. Air quality in self-management intervention reduced hospital visits and exacerbations, but further standardization is needed