High quality nursing intervention of PERMA model for elderly patients with chronic obstructive pulmonary disease and hypertension
PERMA模式的优质护理干预对老年慢阻肺并高血压

摘要

目的 探讨PERMA模式的优质护理干预对老年慢阻肺并高血压患者的效果。方法 选取2024年2月—2025年2月收治的80例老年COPD合并高血压患者，随机分为两组，对照组采用常规护理，观察组实施基于PERMA模式的优质护理干预，比较两组肺功能指标、血压控制情况、心理状态、生活质量及自我管理能力。结果 与对照组相比，观察组FEV1、FEV1%pred、FEV1/FVC更优，SBP、DBP、SAS和SDS评分更低，血压达标率、GQOLI-74评分及SDSCA评分更高（p＜0.05）。结论 PERMA模式的优质护理干预可有效改善老年COPD合并高血压患者的肺功能和血压控制效果，缓解不良心理状态，提升生活质量和自我管理能力，值得临床推广应用。

Abstract

Objective To explore the effect of high-quality nursing intervention using PERMA model on elderly patients with chronic obstructive pulmonary disease and hypertension.
Methods 80 elderly COPD patients with hypertension admitted from February 2024 to February 2025 were randomly divided into two groups. The control group received routine nursing care, while the observation group received high-quality nursing intervention based on the PERMA model. The lung function indicators, blood pressure control, psychological status, quality of life, and self-management ability of the two groups were compared.
Results Compared with the control group, the observation group had better FEV1, FEV1% pred, FEV1/FVC, lower SBP, DBP, SAS, and SDS scores, and higher blood pressure compliance rate, GQOLI-74 score, and SDSCA score (p<0.05).
Conclusion   The high-quality nursing intervention of PERMA model can effectively improve the lung function and blood pressure control effect of elderly COPD patients with hypertension, alleviate adverse psychological states, improve quality of life and self-management ability, and is worthy of clinical promotion and application.