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已发表论文
预见性护理对慢性阻塞性肺疾病患者心理状态和生活质量的影响：一项准实验研究
Received 8 July 2025
Accepted for publication 25 November 2025
Published 24 December 2025 Volume 2025:20 Pages 4091—4101
DOI https://doi.org/10.2147/COPD.S552322
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Jill Ohar
Xingyi Hu, Li Wen, Caili Zhang
Department of Pneumoconiology and Respiratory and Critical Care Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, 610000, People’s Republic of China
Correspondence: Caili Zhang, Department of Pneumoconiology and Respiratory and Critical Care Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, No. 18, Section 3, Renmin South Road, Wuhou District, Chengdu, Sichuan, 610000, People’s Republic of China, Email zhang85445@163.com
Background: Chronic obstructive pulmonary disease (COPD) is frequently accompanied by psychological distress, delayed symptom resolution, and poor quality of life (QoL). Anticipatory nursing interventions may offer a proactive strategy to address these multifaceted challenges, yet their clinical efficacy remains insufficiently established, particularly in resource-constrained settings where holistic care is often lacking.
Methods: This quasi-experimental study with historical controls included 369 COPD patients admitted between January 2023 and December 2024. Patients were divided into a control group (n = 186) receiving routine nursing care and an intervention group (n = 183) receiving structured, multidisciplinary anticipatory nursing interventions over a six-month period. The protocol comprised individualized care plans, proactive complication prevention, psychological support, and management of respiratory, circulatory, nutritional, and sleep needs. Outcomes included psychological status (SAS, SDS), symptom resolution time, QoL (GQOLI-74), and complications.
Results: All enrolled patients completed the study. Baseline demographic, clinical, and socioeconomic characteristics showed no significant differences between groups. Compared with routine care, anticipatory nursing significantly reduced post-intervention SAS and SDS scores (both p < 0.001), shortened symptom resolution times for dyspnea, cough, wheezing, and chest tightness (all p < 0.001), and improved all QoL domains (p < 0.001). The total complication rate was significantly lower in the intervention group (12.02% vs 33.33%, χ2 = 23.83, p < 0.001).
Conclusion: Structured anticipatory nursing significantly improves psychological well-being, accelerates symptom resolution, enhances quality of life, and reduces complications in COPD patients. These findings support integrating proactive, holistic nursing strategies into standard COPD care, offering a viable model for improving outcomes even in settings with limited resources.
Keywords: chronic obstructive pulmonary disease, anticipatory nursing, psychological status, quality of life, symptom resolution, complication prevention
Department of Pneumoconiology and Respiratory and Critical Care Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan, 610000, People’s Republic of China
Correspondence: Caili Zhang, Department of Pneumoconiology and Respiratory and Critical Care Medicine, West China School of Public Health and West China Fourth Hospital, Sichuan University, No. 18, Section 3, Renmin South Road, Wuhou District, Chengdu, Sichuan, 610000, People’s Republic of China, Email zhang85445@163.com
Background: Chronic obstructive pulmonary disease (COPD) is frequently accompanied by psychological distress, delayed symptom resolution, and poor quality of life (QoL). Anticipatory nursing interventions may offer a proactive strategy to address these multifaceted challenges, yet their clinical efficacy remains insufficiently established, particularly in resource-constrained settings where holistic care is often lacking.
Methods: This quasi-experimental study with historical controls included 369 COPD patients admitted between January 2023 and December 2024. Patients were divided into a control group (n = 186) receiving routine nursing care and an intervention group (n = 183) receiving structured, multidisciplinary anticipatory nursing interventions over a six-month period. The protocol comprised individualized care plans, proactive complication prevention, psychological support, and management of respiratory, circulatory, nutritional, and sleep needs. Outcomes included psychological status (SAS, SDS), symptom resolution time, QoL (GQOLI-74), and complications.
Results: All enrolled patients completed the study. Baseline demographic, clinical, and socioeconomic characteristics showed no significant differences between groups. Compared with routine care, anticipatory nursing significantly reduced post-intervention SAS and SDS scores (both p < 0.001), shortened symptom resolution times for dyspnea, cough, wheezing, and chest tightness (all p < 0.001), and improved all QoL domains (p < 0.001). The total complication rate was significantly lower in the intervention group (12.02% vs 33.33%, χ2 = 23.83, p < 0.001).
Conclusion: Structured anticipatory nursing significantly improves psychological well-being, accelerates symptom resolution, enhances quality of life, and reduces complications in COPD patients. These findings support integrating proactive, holistic nursing strategies into standard COPD care, offering a viable model for improving outcomes even in settings with limited resources.
Keywords: chronic obstructive pulmonary disease, anticipatory nursing, psychological status, quality of life, symptom resolution, complication prevention