Background: Chronic Obstructive Pulmonary Disease (COPD) a general term referring to lung diseases and conditions which restrict or obstruct air flow. The desire for sexuality, intimacy are fundamental human needs that continue despite the diagnosis of (COPD) Aim of the study: This study aimed to evaluate the effect of Nursing Intervention Model Guided by BETTER Model on Sexuality Satisfaction and Psychological Status among Chronic Obstructive Pulmonary Disease Women. Subjects and method: Quasi-experimental design, one group with pre- assessment post evaluation used in the study conducted on 80 COPD women tested the effectiveness of a PSHE-COPDW program designed to elevate breathing painful symptoms experienced by COPD women during the practice of their sexual relation. Results: This study showed a highly statistically significant difference at study participants sexuality, marital satisfaction and psychological status pre and post intervention of (PSEH-COPDW) based on BETTER model. Conclusion: The developed PSEH-COPDW program helped COPD women to suffer fewer sexual problems, and improved their general physical health. (PSEH-COPDW) had high significant impact on improving sexuality, marital satisfaction and psychological status of COPD women. This program not only addresses the disease, but also provides emotional and educational support to reduce the symptoms of (COPD) and improve the quality of life for these women. Recommendations: Adopt a BETTER sexual model of counseling for management of sexual dysfunction and psychological problems in chest institutions. Ongoing education for nurses on the impact of COPD on women's sexuality and psychological status, as well as strategies to address women's sexual and psychological problems