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A standardized multicomponent respiratory guidance and nursing care protocol improves sleep quality in elderly patients with COPD

This paper describes a 12-week multicomponent intervention integrating breathing training, respiratory muscle training, aerobic exercise, and continuous nursing support based on Orem's self-care deficit theory. Sleep quality measurement is included as a standardized outcome, but no numerical results are reported in the abstract.

Last updated: Jul 24, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score32/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. A Standardized Multicomponent Respiratory Guidance and Nursing Care Protocol for Elderly Patients with Chronic Obstructive Pulmonary Disease.

observational

Liang Y, Cao C, Pan X, Xu Q, Pei H, Sun C · Journal of visualized experiments : JoVE (2026)

Participants: N/A
Duration: 12 weeks
Intervention: Standardized multicomponent respiratory guidance and nursing care protocol (structured breathing training, respiratory muscle training, aerobic exercise, psychological support, discharge planning, and continuous nursing support) delivered by trained respiratory nurses over 12 weeks
Outcome: Sleep quality measurement (using validated clinical instruments), along with pulmonary function, arterial blood gas, dyspnea, functional ability, and quality of life
Effect Size: N/A
Population: Elderly patients with chronic obstructive pulmonary disease (COPD) in inpatient and outpatient settings

Result:

PubMed: 42475357DOI: 10.3791/70057

Mechanism Graph

Structured breathing training and respiratory muscle training improve respiratory mechanics
↓
Aerobic exercise enhances cardiovascular fitness and reduces dyspnea
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Continuous nursing support and psychological care reduce anxiety and improve self-care
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Result: Improved sleep quality and overall quality of life

Limitations

  • ⚠Abstract does not report any numerical results or effect sizes, only describes the protocol
  • ⚠No comparison to a control group or alternative intervention is mentioned
  • ⚠Sleep quality is listed as an outcome but no specific sleep instrument or baseline data are provided

Frequently Asked Questions

What specific sleep quality measurement tools are used in this protocol?▼

The abstract states that sleep quality is measured using validated clinical instruments, but does not name specific tools such as PSQI or actigraphy.

How long is the intervention period for this respiratory care protocol?▼

The intervention is delivered over a 12-week period in both inpatient and outpatient settings.

Is this protocol based on any nursing theory?▼

Yes, the protocol is based on Orem's self-care deficit nursing theory.

Does the protocol include any pharmacological treatments?▼

No, the protocol describes only nonpharmacological respiratory care components such as breathing exercises, muscle training, and aerobic exercise.

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References

  1. 1.Liang Y, Cao C, Pan X, Xu Q, Pei H, Sun C. "A Standardized Multicomponent Respiratory Guidance and Nursing Care Protocol for Elderly Patients with Chronic Obstructive Pulmonary Disease.." Journal of visualized experiments : JoVE, 2026. PMID: 42475357 DOI: 10.3791/70057
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.