Olga Gornatkevič, Lina Šakienė


Chronic obstructive pulmonary disease is a big problem for all countries of the world. Chronic obstructive pulmonary disease can impair quality of life. These diseases cause respiratory tract lesions which can be rreversible, and various complications can even result in death. The work aim is to analyze the nursing of patients with chronic obstructive pulmonary disease. The survey methodology. A quantitative study using a questionnaire survey was done. The sample consisted of 60 nurses, which are working in therapeutic, nursing and intensive care units and with experience in nursing of patients with chronic obstructive pulmonary disease. The study was conducted in accordance with the ethical principles in a Vilnius district hospital. The results were calculated using mathematical statistical analysis with computer spreadsheet. Results of the study. There changes occur in all (12) vital activities for the patients with chronic obstructive pulmonary disease: a nursing problems and specific needs arise for the patient. It is important to provide assistance to the sick with COPD patients: to help incorporate the patient‘s relatives in the care, teamwork, motivation and strengthen human hope and faith claim. Conclusion. The main nursing problems of patients with chronic obstructive pulmonary disease, are: knowledge deficit, communication problems, movement disorder, activity intolerance, excessive sputum production, urinary incontinence, pain in the chest, self-care deficit, cough, shortness of breath, exhaustion, helplessness and hopelessness, social isolation, anxiety and insomnia. Nurse, in order to help patients with COPD, in particular, must to assess changes at vital activities, social environment, provide nursing problems. The main goals of care: ensuring complete physical, emotional and mental peace by reducing anxiety, fear, pain, etc.; to reduce the stress of the patient‘s internal and external environment; the prevention of potential complications.

Keyword(s): chronic obstructive pulmonary disease; nursing; nursing problems.
DOI: 10.5200/sm-hs.2015.077
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