[Pulmonary rehabilitation interventions strategies for patients with chronic obstructive pulmonary disease complicated with anxiety and depression: a summary of best evidence].

<b>Objective:</b> To systematically search, evaluate, and synthesize the best evidence on pulmonary rehabilitation intervention strategies for patients with chronic obstructive pulmonary disease (COPD) with comorbid anxiety and depression, and to provide evidence-based references for the rehabilitation and management of psychological comorbidities in COPD. <b>Methods:</b> Following the "6S" evidence pyramid model, a systematic top-down search was conducted across 24 domestic and international databases, guideline websites, and professional association websites from their inception to December 2024. Included literature comprised clinical decisions tools, guidelines, expert consensus statements, systematic reviews/meta-analyses, and randomized controlled trials related to pulmonary rehabilitation interventions for COPD patients with comorbid anxiety and depression. Two researchers trained in evidence-based nursing independently conducted literature screening, quality evaluation, and evidence extraction and synthesis. <b>Results:</b> A total of 32 studies were included, comprising 4 clinical decisions, 10 guidelines, 3 expert consensuses, 4 systematic reviews/meta-analyses, and 11 randomized controlled trials. Overall, 29 evidence items were synthesized from four aspects: status assessment, capacity enhancement, opportunity provision, and motivation promotion. The evidence indicates that pulmonary rehabilitation intervention strategies for COPD patients with comorbid anxiety and depression should embed continuous assessment throughout the entire rehabilitation process. These strategies should target psychological issues, integrating exercise training and psychological intervention to form the core of pulmonary rehabilitation. Furthermore, evidence integrated via the Capability, Opportunity, and Motivation-Behaviour (COM-B) model suggests that individualized interventions should be oriented toward the individual differences in patients' capability, opportunity, and motivation, with long-term assessment and management focusing on their psychological issues. <b>Conclusions:</b> This evidence summary synthesizes comprehensive and scientifically rigorous best evidence on pulmonary rehabilitation intervention strategies for COPD patients with comorbid anxiety and depression. It aims to promote the scientific and standardized management of psychological comorbidities in COPD, providing an evidence-based foundation for healthcare professionals to systematically implement pulmonary rehabilitation programs.