COPD-ES Questionnaire Based COPD Patients Management in Stable Phrase Improves Disease Group Classification

Yi Yang; Yajie Huo; Shengyang He; Lihua Xie

doi:10.2147/COPD.S484979

COPD-ES Questionnaire Based COPD Patients Management in Stable Phrase Improves Disease Group Classification

Int J Chron Obstruct Pulmon Dis. 2024 Dec 31:19:2787-2798. doi: 10.2147/COPD.S484979. eCollection 2024.

Authors

Yi Yang¹, Yajie Huo², Shengyang He^{2

3

4

5}, Lihua Xie¹

Affiliations

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

Abstract

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.

Publication types

Randomized Controlled Trial
Validation Study

MeSH terms

Aged
China
Female
Health Knowledge, Attitudes, Practice*
Humans
Lung / physiopathology
Male
Medication Adherence*
Middle Aged
Patient Education as Topic*
Predictive Value of Tests
Pulmonary Disease, Chronic Obstructive* / classification
Pulmonary Disease, Chronic Obstructive* / diagnosis
Pulmonary Disease, Chronic Obstructive* / physiopathology
Pulmonary Disease, Chronic Obstructive* / therapy
Quality of Life*
Reproducibility of Results
Smoking Cessation*
Surveys and Questionnaires
Time Factors
Treatment Outcome

Grants and funding

This study was supported by grants from the National Natural Science Foundation of China (No.82070048), the National Natural Science Foundation of China (the youth foundation No. 82400051), Natural Science Foundation of Hunan province of China (No. 2023JJ30849), Natural Science Foundation of Hunan province of China (the youth foundation, No. 2023JJ40820) and the Scientific Research Launch Project for new employees of the Second Xiangya Hospital of Central South University (to Shengyang He). The National Key Clinical Specialty Construction Projects of China.