To investigate the impact of the Internet Health Coach (E-Coach) nursing model on disease management and lung function in elderly patients with chronic obstructive pulmonary disease (COPD), a total of 98 COPD patients who visited our hospital from January 2021 to January 2022 were selected. They were randomly divided into observation and control groups, with 49 patients in each group. The control group received routine continuous care, while the observation group was provided with the E-Coach nursing model for a constant intervention period of 3 months. The study compared the disease management ability, lung function, and self-efficacy levels of the two groups. One year after discharge, the study also compared the frequency of acute exacerbations and quality of life between the two groups. After the nursing intervention, the health knowledge level, self-care skills, self-care responsibility, and self-concept self-care ability (ESCA) scores were all higher than before the intervention, and the observation group scored significantly higher than the control group (P<0.05). After the nursing intervention, the forced vital capacity (FVC), first-second forced expiratory volume (FEV1), and maximum voluntary ventilation (MVV) scores were all higher than before the intervention, and the observation group scored significantly higher than the control group (P<0.05). After the nursing intervention, the self-efficacy scores for disease information, exercise, symptom management, and dietary management were all higher than before the intervention, and the observation group scored significantly higher than the control group (P<0.05). One year after discharge, the World Health Organization Quality of Life Index (WHOQOL-100 score) for both groups was higher than before the intervention, and the observation group scored significantly higher than the control group (P <0.05), the number of acute attacks and readmission in the observation group was lower than that in the control group (P <0.05). E-coach nursing mode can improve the disease management ability and lung function level of elderly COPD patients, reduce the number of COPD acute attacks, and improve the quality of life.

Linghua Liu, Xiaomei Liu, Wenting Li. Effect of E-Coach on Disease Management and Lung Function in Elderly COPD Patients. Academic Journal of Medicine & Health Sciences (2025), Vol. 6, Issue 6: 41-46. https://doi.org/10.25236/AJMHS.2025.060606.

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