Abstract：Objective To investigate the effect of Kano model-based health education mode in elderly outpatients with interstitial lung disease (ILD) under the background of aging. Methods A total of 154 elderly ILD patients admitted to the outpatient department of Nanjing Drum Tower Hospital from December 2023 to October 2024 were selected and randomly divided into two groups with 77 cases each. The control group received routine health education, while the research group received the Kano model-based health education mode. The 6-min walking distance, dyspnea, quality of life, negative emotions, and nursing satisfaction were compared between the two groups before and after the intervention. Results After intervention, the research group exhibited a longer 6-minute walking distance, lower mMRC scores (P<0.05), higher SF-36 scores across all domains (P<0.05), reduced HADS-A and HADS-D scores (P<0.05), and higher nursing satisfaction (P<0.05) compared with the control group. Conclusions Under aging background, the Kano model-based health education mode can improve exercise endurance, alleviates dyspnea and negative emotions, and enhances quality of life in elderly ILD outpatients.
Bekelman D B, Feser W, Morgan B, et al. Nurse and social worker palliative telecare team and quality of life in patients with COPD, heart failure, or interstitial lung disease: the ADAPT randomized clinical trial [J]. JAMA, 2024, 331(3): 212-223.
Hanada M, Tanaka T, Kozu R, et al. The interplay of physical and cognitive function in rehabilitation of interstitial lung disease patients: a narrative review [J]. J Thorac Dis, 2023, 15(8): 4503-4521.
Koyauchi T, Suzuki Y, Sato K, et al. Impact of end-of-life respiratory modalities on quality of dying and death and symptom relief in patients with interstitial lung disease: a multicenter descriptive cross-sectional study [J]. Respir Res, 2022, 23(1): 79.
Koyauchi T, Suzuki Y, Sato K, et al. Quality of dying and death in patients with interstitial lung disease compared with lung cancer: an observational study [J]. Thorax, 2021, 76(3): 248-255.
[19]
Liu Q W, Qin T, Hu B, et al. Relationship between illness perception, fear of progression and quality of life in interstitial lung disease patients: a cross-sectional study [J]. J Clin Nurs, 2021, 30(23-24): 3493-3505.
Zhao R, Wang Y, Zhou W, et al . Associated factors with interstitial lung disease and health-related quality of life in Chinese patients with primary Sjogren's syndrome [J]. Clin Rheumatol, 2020, 39(2): 483-489.
[24]
Fan J, Chang Y, Cheng S, et al. Effect of breathing exercises on patients with interstitial lung disease: a systematic review and meta-analysis [J]. Qual Life Res, 2024, 33(9): 2335-2347.
2025, Vol. 36 
