Psychological care and compliance management in patients with chronic respiratory diseases: A study based on psychological intervention strategies

doi:10.5498/wjp.v16.i6.114809

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World Journal of Psychiatry

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2220-3206

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Psychiatry. Jun 19, 2026; 16(6): 114809
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.114809

Psychological care and compliance management in patients with chronic respiratory diseases: A study based on psychological intervention strategies

Xiao-Yan Wu, Gong-Hui Wang, Hang Wang, Duo-Hang Gao, Na-Na Li

Xiao-Yan Wu, Gong-Hui Wang, Hang Wang, Duo-Hang Gao, Na-Na Li, Department of Tuberculosis, Affiliated Hospital of Zunyi Medical University, Zunyi 563000, Guizhou Province, China

Author contributions: Wu XY conducted the research, performed statistical analyses, and wrote the manuscript; Wang GH and Wang H collected data; Wang H and Gao DH assisted with data analysis and revised the manuscript; Wu XY, Wang GH, Wang H and Gao DH contributed to data interpretation; Li NN was responsible for facilitating clinical data access, overseeing patient recruitment, and providing critical revisions to the manuscript; Wu XY and Li NN supervised the overall study design. All authors have read and approved the final version of the manuscript.

AI contribution statement: AI tools (Deepseek) were adopted only for language polishing and literature retrieval and arrangement. No AI was used to generate any manuscript text, design the study, interpret results, or create any images in this paper.

Supported by GuiZhou Provincial Research Foundation for Basic Research, No. Qiankehe jichu[2022]648.

Institutional review board statement: This study was approved by the Medical Ethics Committee of Affiliated Hospital of Zunyi Medical University, approval No. 202404.

Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

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.

Data sharing statement: The datasets used and/or analyzed in the present study can be obtained from the corresponding author upon reasonable request.

Corresponding author: Na-Na Li, Department of Tuberculosis, Affiliated Hospital of Zunyi Medical University, No. 149 Dalian Road, Huichuan District, Zunyi 563000, Guizhou Province, China. 15085116731@163.com

Received: September 28, 2025
Revised: November 5, 2025
Accepted: February 14, 2026
Published online: June 19, 2026
Processing time: 242 Days and 1 Hours

Abstract

BACKGROUND

Chronic respiratory diseases (CRDs), such as chronic obstructive pulmonary disease and asthma, impose significant physical and psychological burdens on patients. Effective management requires medical treatment and psychological support to improve treatment compliance and overall well-being.

AIM

To improve the psychological care and compliance management of patients with CRDs.

METHODS

Pre- and post-intervention assessments were conducted with 128 patients diagnosed with CRDs. The patients were divided into two groups. The experimental group (EG) received innovative nursing interventions based on psychological techniques such as cognitive behavioral therapy, counseling, relaxation, and mindfulness-based exercises. The control group (CG) received traditional nursing care. Interventions were delivered through hospital visits, home care, and telemedicine over a two- or three-week period. Pre- and post-intervention assessment data were used to determine which method better supported the patients in managing their condition and enhanced their overall quality of life (QoL). Descriptive statistics, independent t-tests, analyses of variance and covariance, effect size calculations, and χ² tests were performed using SPSS v23.

RESULTS

Compared with the CG, the EG demonstrated significantly higher psychological well-being scores (13.4 ± 5. 2 vs 2.6 ± 4. 5, P < 0.001). A larger proportion of patients in the EG reported notable improvements in QoL (85% vs 45%, P < 0.001). Moreover, the EG showed significantly greater reductions than the CG in the Hamilton Anxiety Scale and Hamilton Depression Scale scores (both P < 0.01), along with substantially larger improvements across all dimensions of the 36-Item Short-Form Health Survey.

CONCLUSION

Integrating psychological intervention techniques with innovative nursing strategies led to a statistically significant improvement in psychological well-being and QoL (Cohen’s d = 1.22) compared with standard nursing care.

Keywords: Chronic respiratory diseases; Psychological intervention strategies; Psychological care; Nursing care; Cognitive behavioral therapy; Compliance management; Quality of life

Core Tip: This study demonstrates that integrating psychological intervention strategies, including cognitive behavioral therapy, counseling, relaxation, and mindfulness, into nursing care significantly improves psychological well-being, treatment compliance, and quality of life in patients with chronic respiratory diseases. The findings highlight the importance of combining psychological support with conventional medical treatment to achieve holistic and effective disease management.