For Publishers
DiscoveryMetadataPeer reviewHostingPublishing
For Researchers
JoinPublishReviewCollect
Register
Blog
About
Search
Advanced search
My ScienceOpen
Search
For Publishers
For Researchers
Blog
About
0
views
24
references
 Top references
cited by
0
    
0 reviews
 Review
0
comments
 Comment
0
recommends
+1 Recommend
0 collections
    0
    shares
      398
      similar
       All similar
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Study on the impact of comprehensive geriatric assessment on anxiety and depression in chronic obstructive pulmonary disease patients

      research-article

      Read this article at

      ScienceOpenPublisherPMC
      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          BACKGROUND

          Psychological factors such as anxiety and depression will not only aggravate the symptoms of chronic obstructive pulmonary disease (COPD) patients and reduce the quality of life of patients, but also affect the treatment effect and long-term prognosis. Therefore, it is of great significance to explore the clinical application of senile comprehensive assessment in the treatment of COPD and its influence on psychological factors such as anxiety and depression.

          AIM

          To explore the clinical application of comprehensive geriatric assessment in COPD care and its impact on anxiety and depression in elderly patents.

          METHODS

          In this retrospective study, 60 patients with COPD who were hospitalized in our hospital from 2019 to 2020 were randomly divided into two groups with 30 patients in each group. The control group was given routine nursing, and the observation group was given comprehensive assessment. Clinical symptoms, quality of life [COPD assessment test (CAT) score], anxiety and depression Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) were compared between the two groups.

          RESULTS

          CAT scores in the observation group decreased from an average of 24.5 points at admission to an average of 18.3 points at discharge, and in the control group from an average of 24.7 points at admission to an average of 18.3 points at discharge. The average score was 22.1 ( P < 0.05). In the observation group, HAMA scores decreased from 14.2 points at admission to 8.6 points at discharge, and HAMD scores decreased from 13.8 points at admission to 7.4 points at discharge. The mean HAMD scores in the control group decreased from an average of 14.5 at admission to an average of 12.3 at discharge, and from an average of 14.1 at admission to an average of 11.8 at discharge.

          CONCLUSION

          The application of comprehensive geriatric assessment in COPD care has a significant effect on improving patients' clinical symptoms and quality of life, and can effectively reduce patients' anxiety and depression.

          Related collections

          Most cited references24

          • Record: found
          • Abstract: found
          • Article: not found

          Nurse-conducted smoking cessation in patients with COPD using nicotine sublingual tablets and behavioral support.

          Philip Tønnesen, Kim Mikkelsen, Linda Bremann (2006)
          Few studies have examined the effect of nicotine replacement therapy (NRT) in COPD patients. To evaluate the efficacy of nicotine sublingual tablets and two levels of support for smoking cessation in COPD patients. Double-blind, multicenter, placebo-controlled smoking cessation trial. Pulmonary outpatient clinics. Three hundred seventy COPD patients who smoked a mean of 19.6 cigarettes per day (mean, 42.7 pack-years; mean FEV(1), 56% of predicted). Nicotine sublingual tablet or placebo for 12 weeks combined with either low support (four visits plus six telephone calls) or high support (seven visits plus five telephone calls) provided by nurses. Carbon monoxide-verified abstinence rates and St. George Respiratory Questionnaire (SGRQ) assessed at 6 months and 12 months. Two hundred eighty-eight of 370 patients were evaluable for the final study end points. Smoking cessation rates were statistically significantly superior with sublingual nicotine vs placebo for all measures of abstinence: 6-month point prevalence, 23% vs 10%; 12-month point prevalence, 17% vs 10%. There was no significant difference in effect between low vs high behavioral support. The SGRQ score improved significantly in abstainers vs nonabstainers; the changes in mean scores were -10.9 vs - 2.9 for total score, and - 28.6 vs - 2.3 for symptom score, respectively. This trial demonstrated the long-term efficacy of NRT for cessation for the general population of COPD smokers, regardless of daily cigarette consumption. Cessation success rates were in the same range as in healthy smokers, and abstinence improved SGRQ scores. NRT should be used to aid cessation in all smokers with COPD, regardless of disease severity and number of cigarettes smoked.
          Article 0 comments Cited 45 times – based on 0 reviews     Review now
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Expanding nurse practice in COPD: is it key to providing high quality, effective and safe patient care?

            Monica Fletcher, Birthe Dahl (2013)
            The prevalence of chronic obstructive pulmonary disease (COPD), a common and preventable chronic disease, is on the increase, and so are the financial and social burdens associated with it. The management of COPD is particularly challenging, as patients have complex health and social needs requiring life-long monitoring and treatment. In order to address these issues and reduce the burden imposed by COPD, the development of innovative disease management models is vital. Nurses are in a key position to assume a leading role in the management of COPD since they frequently represent the first point of contact for patients and are involved in all stages of care. Although evidence is still limited, an increasing number of studies have suggested that nurse-led consultations and interventions for the management of COPD have the potential to impact positively on the health and quality of life of patients. The role of nurses in the management of COPD around the world could be significantly expanded and strengthened. Providing adequate educational opportunities and support to nurses, as well as addressing funding issues and system barriers and recognising the importance of the expanding roles of nurses, is vital to the well-being of patients with long-term medical conditions such as COPD and to society as a whole, in order to reduce the burden of this disease.
            Article 0 comments Cited 25 times – based on 0 reviews     Review now
              Bookmark
              • Record: found
              • Abstract: found
              • Article: not found

              Cluster-randomised trial of a nurse-led advance care planning session in patients with COPD and their loved ones

              Carmen Houben, Martijn Spruit, Hans Luyten … (2019)
              Advance care planning (ACP) is uncommon in patients with chronic obstructive pulmonary disease (COPD). To assess whether a nurse-led ACP-intervention can improve quality of patient-physician end-of-life care communication in patients with COPD. Furthermore, the influence of an ACP-intervention on symptoms of anxiety and depression in patients and loved ones was studied. Finally, quality of death and dying was assessed in patients who died during 2-year follow-up. A multicentre cluster randomised-controlled trial in patients with advanced COPD was performed. The intervention group received an 1.5 hours structured nurse-led ACP-session. Outcomes were: quality of patient-physician end-of-life care communication, prevalence of ACP-discussions 6 months after baseline, symptoms of anxiety and depression in patients and loved ones and quality of death and dying. 165 patients were enrolled (89 intervention; 76 control). The improvement of quality of patient-physician end-of-life care communication was significantly higher in the intervention group compared with the control group (p 0.05). The quality of death and dying was comparable between both groups (p=0.17). One nurse-led ACP-intervention session improves patient-physician end-of-life care communication without causing psychosocial distress in both patients and loved ones.
              Article 0 comments Cited 24 times – based on 0 reviews     Review now
                Bookmark
                All references

                Author and article information

                Contributors
                Xian-Rong Shi
                Wen-Li Wu
                Chun-Yan Li
                Jiao Ao
                Hai-Xia Xiong
                Jing Guo
                Yan Fang
                Journal
                Journal ID (nlm-ta): World J Clin Cases
                Journal ID (publisher-id): WJCC
                Title: World Journal of Clinical Cases
                Publisher: Baishideng Publishing Group Inc
                ISSN (Electronic): 2307-8960
                Publication date (Print): 16 July 2024
                Publication date (Electronic): 16 July 2024
                Volume: 12
                Issue: 20
                Pages: 4057-4064
                Affiliations
                Department of Nursing, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
                Respiratory and Critical Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
                Department of Intensive Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
                Respiratory and Critical Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
                Respiratory and Critical Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
                Department of Nursing, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
                Respiratory and Critical Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China. fy478521@ 123456aliyun.com
                Author notes

                Author contributions: Shi XR and Wu WL designed the research study; Shi XR, Wu WL, Li CY and Ao J performed the research; Li CY and Guo J collected and analyzed the data; Xiong HX and Fang Y has been involved in drafting the manuscript and all authors have been involved in revising it critically for important intellectual content. All authors give final approval of the version to be published. All authors have participated sufficiently in the work to take public responsibility for appropriate portions of the content and agreed to be accountable for all aspects of the work in ensuring that questions related to its accuracy or integrity.

                Corresponding author: Yan Fang, Bachelor, Nurse-in-charge, Respiratory and Critical Care Medicine, The First People’s Hospital of Jiangxia District, No. 1 Wenhua Avenue, Jiangxia District, Wuhan 430000, Hubei Province, China. fy478521@ 123456aliyun.com

                Article
                Other ID: jWJCC.v12.i20.pg4057 Publisher-manuscript ID: 94253
                DOI: 10.12998/wjcc.v12.i20.4057
                PMC ID: 11235538
                PubMed ID: 39015897
                SO-VID: 7a8505ee-b1e3-42dd-b830-71545429a5bf
                Copyright © ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
                License:

                This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial.

                History
                Date received : 1 April 2024
                Date revision received : 13 May 2024
                Date accepted : 22 May 2024
                Categories
                Subject: Retrospective Cohort Study

                Keywords: chronic obstructive pulmonary disease,comprehensive geriatric assessment,anxiety,depression,retrospective study,hamilton anxiety rating scale
                Data availability:
                Keywords: chronic obstructive pulmonary disease, comprehensive geriatric assessment, anxiety, depression, retrospective study, hamilton anxiety rating scale

                Comments

                Comment on this article