The significance of combining rehabilitation nursing with self-management in elderly patients with chronic obstructive pulmonary disease (COPD) under the medical and elderly care integration model
医养结合模式下康复护理结合自我管理在老年慢阻肺患者中的的意义

摘要

目的 探讨医养结合模式下康复护理结合自我管理在老年慢性阻塞性肺疾病（慢阻肺）患者中的应用效果及意义。方法 选取2023年1月～2025年6月期间收治的265例老年慢阻肺患者，随机分为两组。对照组采用常规护理，观察组实施医养结合模式下的康复护理结合自我管理干预。对比两组肺功能指标、生活质量、自我管理能力、心理状态、急性发作次数和住院天数。结果 与对照组相比，观察组HADS评分、SGRQ各维度得分及总分较低，FEV₁/FVC、FEV₁及自我管理能力评分更高，急性发作次数较少，住院天数短（P<0.05）。结论 医养结合模式下康复护理结合自我管理可有效改善老年慢阻肺患者的肺功能，提高生活质量和自我管理能力，改善心理状态，值得推广。

Abstract

Objective To explore the application effect and significance of rehabilitation nursing combined with self-management in elderly patients with chronic obstructive pulmonary disease (COPD) under the mode of medical and elderly care integration.
Methods 265 elderly patients with chronic obstructive pulmonary disease admitted between January 2023 and June 2025 were randomly divided into two groups. The control group received routine nursing care, while the observation group received rehabilitation nursing combined with self-management intervention under the medical and nursing integration model. Compare two groups of lung function indicators, quality of life, self-management ability, psychological status, number of acute attacks, and length of hospital stay.
Results Compared with the control group, the observation group had lower scores in HADS, SGRQ dimensions, and total score, higher scores in FEV₁/FVC, FEV₁, and self-management ability, fewer acute attacks, and shorter hospital stays (P<0.05).
Conclusion   The combination of rehabilitation nursing and self-management under the medical and elderly care model can effectively improve the lung function of elderly patients with chronic obstructive pulmonary disease, enhance their quality of life and self-management ability, and improve their psychological state. It is worth promoting.