Journal of International Psychiatry

[Abstract] Objective To study the therapeutic effect of the connect introduce communicate ask respond exit (CICARE) communication mode and pulmonary rehabilitation training on stable chronic obstructive pulmonary disease (COPD) patients with depression and its impact on their negative emotions.Methods The clinical dataes of 72 stable COPD patients with depression admitted in our hospital from June 2020 to December 2023 were collected, and conduct a retrospective comparative study.According to different management plans, patients were divided into observation group (n=36, received CICARE communication mode+pulmonary rehabilitation training) and control group (n=36, received routine health education+pulmonary rehabilitation training).The intervention effects of two groups were compared and the patient's treatment compliance and anxiety and depression scores before and after the intervention were recorded.Results After intervention, the observation group had significantly higher forced vital capacity, forced expiratory volume in 1s and 6-minute walk test than the control group (P<0.05).After intervention, the treatment compliance of the observation group was significantly better than that of the control group (P<0.05).After intervention, the scores of the self rating depression scale and the self rating anxiety scale in the two groups were significantly decreased,with compared with before intervention, and after intervention, the scores of the observation group were significantly lower than those of the control group (P<0.05).Conclusion The CICARE communication model and pulmonary rehabilitation training has significant effect on stable COPD with depression patients,it help to improve their mental and psychological state, enhance treatment compliance, and improve lung function.

[Keywords] CICARE communication mode; Pulmonary rehabilitation training; Stable COPD;Depression; Psychological state