Effectiveness of ITHBC-Based Care In COPD Management

Area of Science:

• Pulmonary Medicine
• Health Behavior Science
• Nursing Research

Background:

• Chronic obstructive pulmonary disease (COPD) presents a growing global health challenge with increasing incidence and mortality.
• Effective nursing management is crucial for improving COPD patient outcomes and quality of life.
• Current nursing practices require innovative approaches to address the complexities of COPD management.

Purpose of the Study:

• To propose and evaluate the clinical utility of a novel nursing intervention grounded in the Integrated Theory of Health Behavior Change (ITHBC).
• To assess the impact of ITHBC-based nursing management on COPD patient self-management, lung function, clinical symptoms, and quality of life.

Main Methods:

• A randomized controlled trial involving 120 COPD patients was conducted.
• Patients were assigned to either a control group (routine nursing) or an observation group (ITHBC-based nursing management).
• Key outcomes including self-management scales, 6-minute walk test (6MWT), dyspnea scores, and quality of life (WHOQOL-BREF) were compared between groups.

Main Results:

• The ITHBC group demonstrated significant improvements in all domains of COPD self-management, including symptom, daily living, emotional, and information management, as well as self-efficacy (P < .05).
• Enhanced exercise endurance was observed in the ITHBC group via the 6MWT (P < .05).
• Patients receiving ITHBC-based nursing reported lower dyspnea scores and better quality of life (WHOQOL-BREF) compared to the control group (P < .05).

Conclusions:

• ITHBC-based nursing management significantly enhances self-management capabilities and improves the overall prognosis for COPD patients.
• This intervention strategy shows promise for improving COPD patient care and may be applicable to managing other chronic health conditions.