Abstract:Objective To explore the effects of diversified education under scale assessment strategy on symptom remission, psychological state and treatment compliance in elderly patients with chronic obstructive pulmonary disease(COPD) and respiratory failure. Methods A total of 136 elderly COPD patients with respiratory failure treated in West China Hospital were selected and divided into control group(with routine nursing, n=68) and observation group(with diversified education under scale assessment strategy, n=68). The time to symptom relief after intervention was compared between two groups. The psychological state and the quality of life of patients were evaluated by symptom check list 90(SCL90) and St. Georges Hospital respiratory questionnaire(SGRQ). The treatment compliance of patients was evaluated by hospital self-made compliance questionnaire. The scores of general self-efficacy scale(GSES), medical coping modes questionnaire(MCMQ) and self-perceived burden scale(SPBS) were compared between two groups. Results After intervention, the remission time of clinical symptoms in observation group was statistically earlier than that in control group(P＜0.01). SCL90 and SGRQ scores were significantly decreased compared with those before intervention in both groups, and they were statistically lower in observation group than those in control group(P＜0.05). The treatment compliance score in observation group was significantly higher than that in control group(P＜0.01). After intervention, GSES and MCMQ scores were increased, while SPBS score was decreased in both groups. GSES and MCMQ scores in observation group were higher than those in control group, and SPBS score was lower than that in control group(P＜0.01). Conclusion Diversified education under scale assessment strategy can effectively shorten remission time of symptoms, improve psychological state and treatment compliance, reduce self-perceived burden, and thus improve the quality of life in elderly COPD patients with respiratory failure.