Introduction:

Chronic obstructive pulmonary disease (COPD) is a chronic progressive respiratory disease

that leads to irreversible airway obstruction, with a high global prevalence of about 20.9%, and it is
responsible for the leading cause of death worldwide.

In 2016, COPD was the fifth leading cause of death in china with the prevalence ranging from
2% to 21%.

In 2019, COPD was the third leading cause of deaths globally, contributing to 3.23 million
deaths.

COPD kills more than 3 milllion people every year, making it the 4th largest cause of death in
the world. According to world health organization (WHO) It has been estimated that by the year
2030, COPD will become the third biggest cause of death.

People with respiratory system disorder are very anxious and fearful that they may die.
Respiratory problems are wide spread ranges from minor inconvenience to more life threatening
process. Chronic respiratory problems affects many people often causing them to make radical life
styles.

NEED FOR THE STUDY:

One example of an evidence-based intervention is the use of care bundles. These are simple
tools used with the aim of reliably achieving delivery of clearly specified elements of care.
Care bundles are sets of evidence- based interventions, elements of which are known to
optimise the clinical outcomes. A bundle is a structured way of improving the process of care and
thereby improving patient outcomes.

In 2015, nearly 3.2 million global deaths were reported due to COPD (5% of overall deaths)
globally in 2015,6309 million disability – adjusted life years (DALYs).
according to the 2017 GBD study, of all the chronic respiratory diseases, COPD contributed
50% of all cases and 69% of years lived with disability.

In 2020, aroud 5.6 percent of adultsed 18 years and older in the united states had chronic
obstructive pulmonary disease (COPD).