Objective To investigate the effect of systematic health education to improve the quality of life and prog-nostic role of patients with stable chronic obstructive pulmonary disease. Methods 124 patients with stable chronic ob-structive pulmonary disease admitted to Department of Neonatology in Yiwu Central Hospital from September 2010 to June 2013 were chosen and divided into intervention group (65 cases) and control group (59 cases), the intervention group received systemic health education intervention and control group used traditional conventional health education, St. George respiratory questionnaire (SGRQ) was used to evaluate patients quality of life, symptom checklist-90 (SCL-90) was used to evaluate mental health of patients. The acute exacerbation rate during follow-up, re-hospitalization rate and mortality were observed. Results SGRQ scale in intervention group after the intervention of respiratory symptoms, activity, psychosocial scores were (41.06±8.92), (30.26±5.52), (27.15±5.49) points, which were significantly lower than those in the control group on quality of life [(56.24±10.59), (40.89±6.98), (32.58±6.22) points] (P< 0.05). After inter-vention, in the intervention group, SCL-90 scale of somatization, interpersonal sensitivity, depression, anxiety, hostility, paranoia scores were (30.15±4.34), (21.56±4.45), (26.37±4.49), (24.36±3.45), (19.64±3.56), (12.13±3.35) points, which were significantly lower than those of the control group [(36.92±4.45), (25.67±4.88), (39.94±4.46), (40.26±4.45), (19.36±3.35), (20.65±3.75) points] (P < 0.05). The exacerbation rates, readmission rates and mortality rates of intervention group were 18.46%, 12.31%, 0.00%, which were significantly lower than those of the control group (49.15%, 45.76%, 5.08%) (P<0.05). Conclusion The targeted for health education through comprehensive psychological counseling, life behavior guidance, training and rehabilitation assistance in the form of groups will help to improve health behaviors in patients with stable chronic obstructive pulmonary disease and improve quality of life and mental health status, reduce adverse outcomes occurs.%目的：探讨系统性健康教育改善稳定期慢性阻塞性肺疾病患者生活质量及预后的作用。方法将2010年9月~2013年6月义乌市中心医院新生儿科收治的124例稳定期慢性阻塞性肺疾病患者分为干预组(65例)和对照组(59例)，干预组采用系统性健康教育进行干预，对照组采用传统常规健康教育。采用圣乔治呼吸问卷(SGRQ)评价患者生活质量，症状自评量表(SCL-90)评价患者心理健康状况，观察随访期间急性发作率、再住院率及病死率。结果干预后干预组SGRQ量表呼吸症状、活动能力、社交心理评分分别为(41.06±8.92)、(30.26±5.52)、(27.15±5.49)分，显著低于对照组的(56.24±10.59)、(40.89±6.98)、(32.58±6.22)分，差异有统计学意义(P<0.05)。干预后干预组SCL-90量表的躯体化、人际关系、抑郁、焦虑、敌对、偏执评分分别为(30.15±4.34)、(21.56±4.45)、(26.37±4.49)、(24.36±3.45)、(19.64±3.56)、(12.13±3.35)分，显著低于对照组的(36.92±4.45)、(25.67±4.88)、(39.94±4.46)、(40.26±4.45)、(19.36±3.35)、(20.65±3.75)分，差异有统计学意义(P<0.05)。干预组急性发作率、再住院率及病死率分别为18.46%、12.31%、0.00%，均显著低于对照组的49.15%、45.76%、5.08%，差异有统计学意义(P<0.05)。结论有针对性地进行健康宣教，通过综合心理辅导、生活行为指导、康复训练和团体互助形式有利于改善稳定期慢性阻塞性肺疾病患者健康行为而提高生活质量和心理健康状态，减少不良预后的发生。
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