Effect of meticulous nursing combined with humanistic care on disease perceived stress and self-management efficacy in patients with pulmonary infection: A randomized controlled trial

Jing Zhang; Xiaoli Xing; Shiyu Bao; Bu Xu; Tao Wei; Yan Bao; Xiangxia Rong; Bin Li

doi:10.1016/j.gerinurse.2025.103401

Effect of meticulous nursing combined with humanistic care on disease perceived stress and self-management efficacy in patients with pulmonary infection: A randomized controlled trial

Geriatr Nurs. 2025 Jun 26:64:103401. doi: 10.1016/j.gerinurse.2025.103401. Online ahead of print.

Authors

Jing Zhang¹, Xiaoli Xing², Shiyu Bao¹, Bu Xu², Tao Wei², Yan Bao³, Xiangxia Rong⁴, Bin Li¹

Affiliations

¹ Department of Internal Medicine, High-tech District Hospital, The First Hospital of Anhui University of Science and Technology, Huainan, 232000, China.
² Department of Nursing, The First Hospital of Anhui University of Science and Technology, No.203 Huaibin Road, Tianjia'an District, Huainan, Anhui Province 232000, China.
³ Department of Respiratory medicine, The First Hospital of Anhui University of Science and Technology, Huainan 232000, China.
⁴ Department of Nursing, The First Hospital of Anhui University of Science and Technology, No.203 Huaibin Road, Tianjia'an District, Huainan, Anhui Province 232000, China. Electronic address: Rrxiangxia@163.com.

PMID: 40578164
DOI: 10.1016/j.gerinurse.2025.103401

Abstract

Objective: To investigate the effect of meticulous nursing combined with humanistic care on disease-perceived stress and self-management efficacy in patients with pulmonary infection.

Methods: 74 patients with pulmonary infection admitted to our hospital from March 2023 to February 2024 were randomly divided into the observation group (n = 37) and the control group (n = 37) using the randomized numeric table method.Afterward, disease-perceived stress, self-management efficacy, and psychological status were compared between the 2 groups pre- and post-interventio.

Results: After the intervention, the observation group exhibited lower scores of disease identity, disease acuteness, disease periodicity, emotional statement, and serious outcomes in the CIPQ-R and higher scores of disease correlation, personal control, and treatment control than the control group (P < 0.05).

Conclusion: Meticulous nursing combined with humanistic care can enhance improvements to the disease-perceived pressure and self-management efficacy in patients with pulmonary infection.

Keywords: Humanistic care; Nursing; Pulmonary infection; Self-managemen; Stress of disease.