OBJECTIVE: Nursing services are crucial for the recovery and prognosis of patients with chronic obstructive pulmonary disease (COPD). This study is to evaluate the impact of out-of-hospital extended care services on patients with COPD. METHODS: A total of 67 COPD patients were enroled in this study, divided into a control group and an intervention group. The intervention group was provided with out-of-hospital extended care services for 6 months, and at the end of the follow-up visit, the patients' psychological status, pulmonary function, and exercise endurance were assessed. RESULTS: Compared with the control group, patients in the intervention group showed significant improvement in pulmonary function, as reflected in FVC, FEV1, FEV1%, and FEV1/FVC. Meanwhile, after 6 months of extended care services, patients in the intervention group showed significant improvement in exercise endurance, with a significant increase in 6-min walking distance. In addition, patients in the intervention group experienced a significant reduction in anxiety and depression after extended care services. CONCLUSIONS: Extended care service as a new care model can significantly improve the prognosis of COPD patients.