International Journal of Clinical Research

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.

Integration of medical care and elderly care; Rehabilitation nursing; Self-management; Elderly patients with chronic obstructive pulmonary disease