Building Patient Trust in Nurses Can Improve Respiratory Function, Quality of Life and Self-Management Ability in Patients with Bronchopneumonia.

OBJECTIVE

This study aimed to investigate the effect of building Trust in Nurses (TN) on improving respiratory function, quality of life (QoL) and the self-management ability of patients with bronchopneumonia.

METHODS

A total of 92 patients hospitalized in The Second Affiliated Hospital of Harbin Medical University in China between November 2019 and October 2020 were prospectively included in the study. Patients were randomly assigned to either the TN group (intervention group; n = 46) or routine nursing (control group; n = 46). Clinical symptom improvement time, pre- and post- pulmonary function (PF) after the nursing intervention, QoL, self-management ability, patient compliance and satisfaction in the 2 groups were recorded and compared.

RESULTS

Clinical symptom improvement time, including the resolution of cough, lung rales, expectoration and wheezing in the TN group were significantly shorter than in the control group (P < .001). PF, including forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and mid-maximum expiratory flow (MMEF) velocity 25% to 75% in the TN group were significantly better than in the control group (P < .001). In addition, patient QoL based on the 36-Item Short Form Health Survey (SF-36) (P < .001), self-management ability based on the Exercise of Self-Care Agency Scale (ESCA) (P < .001), good compliance rate (P = .024) and satisfaction rate (P = .024) in the TN group were all significantly better than in the control group.

CONCLUSION

Building TN was an effective intervention in patients with bronchopneumonia, and was beneficial for improving clinical symptoms, PF, QoL, self-management ability, compliance and the satisfaction rate in patients.