Shi XR, Wu WL, Li CY, Ao J, Xiong HX, Guo J, Fang Y. Study on the impact of comprehensive geriatric assessment on anxiety and depression in chronic obstructive pulmonary disease patients. World J Clin Cases 2024; 12(20): 4057-4064 [PMID: 39015897 DOI: 10.12998/wjcc.v12.i20.4057]
Corresponding Author of This Article
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@aliyun.com
Research Domain of This Article
Medicine, Research & Experimental
Article-Type of This Article
Retrospective Cohort Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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. See: http://creativecommons.org/licenses/by-nc/4.0/
Xian-Rong Shi, Jing Guo, Department of Nursing, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
Wen-Li Wu, Jiao Ao, Hai-Xia Xiong, Yan Fang, Respiratory and Critical Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
Chun-Yan Li, Department of Intensive Care Medicine, The First People’s Hospital of Jiangxia District, Wuhan 430000, Hubei Province, China
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.
Institutional review board statement: This study was reviewed and approved by the First People’s Hospital of Jiangxia District.
Informed consent statement: All patients provided written informed consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Open-Access: 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. See: https://creativecommons.org/Licenses/by-nc/4.0/
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@aliyun.com
Received: April 1, 2024 Revised: May 13, 2024 Accepted: May 22, 2024 Published online: July 16, 2024 Processing time: 90 Days and 16.5 Hours
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.
Core Tip: This study found that comprehensive geriatric assessment has a significant effect in the care of patients with chronic obstructive pulmonary disease, and can improve patients' clinical symptoms, quality of life, and reduce their anxiety and depression. It is particularly noteworthy that comprehensive assessment can prolong the patient's symptom relief time and is of great significance in improving the patient's treatment effect.
