Yi Yang,1 Yajie Huo,2 Shengyang He,2– 5 Lihua Xie1 

1Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, Changsha, People’s Republic of China; 2Department of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital of Central South University, Changsha, People’s Republic of China; 3Research Unit of Respiratory Disease, Central South University, Changsha, People’s Republic of China; 4Clinical Medical Research Center for Pulmonary and Critical Care Medicine in Hunan Province, Changsha, People’s Republic of China; 5Diagnosis and Treatment Center of Respiratory Disease, Central South University, Changsha, People’s Republic of China

Correspondence: Shengyang He, Department of Pulmonary and Critical Care Medicine, The Second Xiangya Hospital of Central South University, 139 Mid Renmin Road, Changsha, Hunan, 410011, People’s Republic of China, Email hermmoon@csu.edu.cn Lihua Xie, Department of Pulmonary and Critical Care Medicine, The Third Xiangya Hospital of Central South University, 138 Tongzipo Road, Changsha, Hunan, 410013, People’s Republic of China, Email xielihua@csu.edu.cn

Introduction: Chronic obstructive pulmonary disease (COPD) is a prevalent, incurable condition requiring lifelong management. Inadequate daily management exacerbates COPD, leading to increased healthcare utilization and reduced quality of life.
Methods: This study aimed to design and validate a 10-item COPD self-evaluation (COPD-ES) questionnaire and apply it in the education of stable COPD patients. Participants were recruited from the Third Xiangya Hospital of Central South University and randomly assigned to control and intervention groups. The intervention group received monthly disease education using the COPD-ES questionnaire during a 6 months observation period.
Results: Significant improvements in smoking cessation, medication adherence, and disease knowledge in the intervention group were found. The intervention also led to a reduction in COPD Assessment Test (CAT) scores, modified Medical Research Council (mMRC) grades and acute exacerbation frequency. The COPD group classification improved accordingly.
Conclusion: The study highlights the importance of patient-centered education with our COPD-ES questionnaire in improving COPD management outcomes.

Keywords: COPD, management, questionnaire