›› 2011, Vol. 31 ›› Issue (6): 713-.doi: 10.3969/j.issn.1674-8115.2011.06.006

• Monographic report (Clinical nursing and management) • Previous Articles     Next Articles

Application of health promotion model in elderly patients with chronic obstructive pulmonary disease

ZHU Ping1, LI Xian-hua2   

  1. 1.Department of Geriatrics, 2.Department of Nursing, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China
  • Online:2011-06-28 Published:2011-06-27


Objective To investigate the application of health promotion model (HPM) in elderly patients with chronic obstructive pulmonary disease (COPD), and evaluate its effect on therapy compliance of patients. Methods Systemic and comprehensive health education was conducted with HPM in 48 elderly patients with COPD. Health Promoting Interview Outline was employed for case analysis, Patient Therapy Questionnaire was utilized to assess the therapy compliance and admission rate of patients before intervention and one year after intervention. Results Health promotion behavior assessment indicated that all the 48 patients knew benefits of health promoting behaviors and accepted walking as the form of exercise, while 19 patients did not quit smoking, and 2 patients were lack of support from significant others. The main complaints of patients were the long distance from residence to hospital and the subjective ignorance, and the health promotion behavior of 3 patients was affected by working factors. All patients identified their health behavior programs. One year after intervention, the therapy compliance of patients significantly improved in the aspects of medicine taking, out-patient follow-up and physical therapy (P<0.05), and the admission rate significantly decreased (P<0.05). Conclusion Health education with HPM can improve the therapy compliance and decrease the admission rate of elderly patients with COPD.

Key words: chronic obstructive pulmonary disease, health promotion model, therapy compliance