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| Application Effect of Graded Nursing Intervention Guided by the PASE in Elderly Patients with COPD |
| MA Bingbing, CUI Hongyan |
| Department of Health and Geriatrics, the Second Affiliated Hospital of Tianjin Medical University, Tianjin 300211 |
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Abstract 【Objective】To investigate the application effect of a graded nursing intervention guided by the Chinese version of the Physical Activity Scale for the Elderly (PASE) in elderly patients with chronic obstructive pulmonary disease (COPD).【Methods】A total of 72 elderly COPD patients who visited our hospital from March 2021 to October 2023 were selected and divided into a control group (receiving routine medical nursing) and an observation group (receiving PASE-guided graded nursing intervention) using a random number table method, with 36 patients in each group. Both groups received continuous intervention for 12 weeks. The length of hospital stay, total incidence of complications, pulmonary function [vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in the first second as a percentage of predicted value (FEV1% pred), and the ratio of FEV1 to FVC (FEV1/FVC)], quality of life [St. George's Respiratory Questionnaire (SGRQ) score], patient compliance, and nursing satisfaction were compared between the two groups. 【Results】After the intervention, the length of hospital stay in the observation group was significantly shorter than that in the control group, and the total incidence of complications was significantly lower than that in the control group, with statistically significant differences (P<0.05). After the intervention, the VC, FVC, and FEV1/FVC in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). After the intervention, the SGRQ score in the observation group was lower than that in the control group, while patient compliance and nursing satisfaction were higher than those in the control group, with statistically significant differences (P<0.05). 【Conclusion】The graded nursing intervention guided by the PASE can effectively shorten the hospital stay of elderly COPD patients, improve pulmonary function, enhance patient compliance and nursing satisfaction, and reduce the incidence of complications. It is worthy of clinical promotion.
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Received: 16 December 2024
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2025, Vol. 42 
