Effect of problem-oriented health education model on the lung function and quality of life in elderly patients with chronic obstructive pulmonary disease

LIU Wei; FU Yuanzhong; LI Shiying

doi:10.3969/j.issn.1002-7386.2025.05.015

Abstract：Objective To analyze the effects of problem-oriented health education on the lung function and quality of life in elderly patients with chronic obstructive pulmonary disease(COPD).Methods A total of 100 elderly COPD patients admitted from March 2023 to March 2024 were selected.They were randomly divided into the control group and study group using a random number table,with 50 cases per group.Patients in the control group received routine intervention and health education,while those in the study group received a problem-oriented health education.The lung function,quality of life,psychological state,sleep quality,subjective well-being,self-perceived burden,and time for symptom improvement were observed between groups.Results Compared with those before interventions,forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),FEV1/FVC,quality of life,and subjective well-being scores of the two groups significantly increased after interventions,which were significantly higher in the study group than the control group(P＜0.05).Compared with those before interventions,the Hamilton Anxiety Rating Scale(HAMA),Hamilton Depression Rating Scale(HAMD),Pittsburgh Sleep Quality Index(PSQI),caring,family/economy,emotion,and treatment burden scores of the two groups significantly decreased after interventions,which were significantly lower in the study group than the control group(P＜0.05).Compared with the control group,patients in the study group had a significantly shorter time for the improvement of symptoms like chest tightness,cough,and sputum production(P＜0.05).Conclusion Problem-oriented health education model applied in elderly COPD patients can improve the lung function,quality of life,and bad emotions with definite outcomes.