Intervention of narrative nursing on breathlessness beliefs in chronic obstructive pulmonary disease patients

Objective To explore the effect of narrative nursing in chronic obstructive pulmonary disease (COPD) patients with breathlessness beliefs.

Methods A total of 76 patients diagnosed with acute stage COPD were selected as study objects, and were randomly divided into narrative group and routine group by random number table method, with 38 patients in each group. The routine group was given COPD routine nursing, and the narrative group was given narrative nursing intervention on the basis of routine nursing. Breathlessness beliefs, discharge readiness and exercise compliance were compared between the two groups.

Results During the intervention, eight patients were lost and four patients were lost during follow-up in each group. After intervention, the Breathlessness Beliefs Questionnaire (BBQ) score, Somatic Focus dimension (BBQ-SF) score and Activity Avoidance dimension (BBQ-AA) score were all lower than before intervention, and the above scores were lower in the narrative group than in the routine group (P < 0.05). At discharge, the readiness for discharge score was (88.39±6.28) in the narrative group, which was higher than (80.66±5.72) in the routine group (P < 0.05).

Conclusion Narrative nursing can reduce the breathlessness beliefs in patients with acute COPD, and improve discharge readiness and exercise compliance of stable stage COPD patients.