Abstract:Objective: To explore the application effect of implementing hospital-community-family linkage supervision model under the concept of behavioral goal attainment among elderly patients with stable chronic obstructive pulmonary disease (COPD). Methods: The clinical data of 107 elderly patients with stable COPD were collected. According to different nursing measures, the patients were divided into supervised group (n=54, hospital-community-family linkage supervision model under the concept of behavioral goal attainment) and control group (n=53, routine high-quality nursing). Both groups were nursed until the patients were discharged from hospital. The compliance behavior, pulmonary function, self-care ability and quality of life were compared between the two groups. Results: The scores of dimensions of COPD pulmonary rehabilitation training knowledge-attitude-practice questionnaire, pulmonary function level, scores of dimensions of exercise of self-care agency scale (ESCA) and score of COPD assessment test(CAT) in supervised group after intervention were higher than those in control group(P <0.05). Conclusion: Hospital-community-family linkage supervision model under the concept of behavioral goal attainment can effectively promote the compliance, improve the pulmonary function, enhance the self-care ability and improve the quality of life in elderly patients with stable COPD.