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Frailty further compounds COPD-related disability and mortality, yet links between these factors in community-managed elderly populations remain insufficiently studied. This cross-sectional study assessed predictors of disease perception and examined how community-based management influences disease perception and frailty among elderly COPD patients in China.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/factors-influencing-disease-perception-among-elderly-patients-with-chronic-obstructive-pulmonary-disease-in-china-a-cross-sectional-study/420342/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/factors-influencing-disease-perception-among-elderly-patients-with-chronic-obstructive-pulmonary-disease-in-china-a-cross-sectional-study/420342.png","ImageObject",300,407,{"name":42,"@type":43},"RuangKosong","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-09-28",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the purpose of the study on elderly COPD patients in China?","Question",{"text":63,"@type":64},"To identify factors influencing disease perception in elderly COPD patients and assess the role of community-based management.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were disease perception, frailty, and COPD severity measured?",{"text":68,"@type":64},"Disease perception was measured using the Brief Illness Perception Questionnaire (BIPQ), frailty with the Tilburg Frailty Indicator (TFI), and COPD severity using spirometry (FEV1/FVC) and symptom burden (COPD Assessment Test), with dyspnoea severity graded by the mMRC scale.",{"name":70,"@type":61,"acceptedAnswer":71},"Which factors predicted disease perception in the regression analysis?",{"text":72,"@type":64},"Regression identified disease duration, dyspnoea severity, and frailty as positive predictors, while community management and older age were negative 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RESEARCH  \nFactors Influencing Disease Perception Among Elderly Patients with Chronic Obstructive Pulmonary Disease in China: A Cross-Sectional Study  \nHoumin Li 1 , Lijun Liu 1 , Chuchu Xu2 , Jun Xie 1  \n1Department of General Medicine, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, 230011, People’s Republic of China; 2Department of Respiration and Critical Care Medicine, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Hefei, 230011, People’s Republic of China  \nCorrespondence: Jun Xie, Department of General Medicine, The Second People’s Hospital of Hefei, Hefei Hospital Affiliated to Anhui Medical University, Intersection of Guangde Road and Leshui Road, Yaohai District, Hefei, 230011, People’s Republic of China, Tel +86 13731962160,  \nEmail [xieejunn@126.com](xieejunn@126.com)  \n\n| Background: Community-based management improve chronic disease outcomes, but their impact on disease perception and frailty in chronic obstructive pulmonary disease (COPD) patients remains underexplored.\u003Cbr>Objective: To identify factors influencing disease perception in elderly COPD patients and assess the role of community-based management.\u003Cbr>Methods: In this cross-sectional study, 223 COPD patients aged ≥60 years (diagnosed per the 2021 Guidelines for Diagnosis and Treatment of Chronic Obstructive Pulmonary Disease) were randomly selected. Dyspnoea severity was graded via the mMRC scale; COPD severity incorporated spirometry (FEV1/FVC) and symptom burden (COPD Assessment Test) . Participants completed the Brief Illness Perception Questionnaire (BIPQ), Tilburg Frailty Indicator (TFI), and a general information survey. Differences between community-managed (n=81) and non-community-managed (n=142) groups were compared. Pearson’s correlation and multivariate linear regression analyses identified predictors of disease perception.\u003Cbr>Results: Mean BIPQ score was 46.87±7.47 (moderate threat perception), and frailty score was 8.02±2.38 . Disease perception positively correlated with total frailty and its subdomains (P\u003C0.05) . Community-managed patients had significantly lower BIPQ and TFI scores (P\u003C0.05) . Regression revealed disease duration (β=0.28), dyspnoea severity (β=0.22), and frailty (β=0.19) as positive predictors of disease perception; community management (β=−0.15) and older age (β=−0.12) were negative predictors (P\u003C0.05) . The model explained 46 .0% of variance (R2=0 .46, F=18 .03, P\u003C0 .001) .\u003Cbr>Conclusion: Elderly patients with COPD demonstrated strong links between disease perception and frailty. Community-based management considerably reduced these scores, indicating its potential to improve patient outcomes.\u003Cbr>Keywords: chronic obstructive pulmonary disease, the elderly, disease perception, frailty |\n| --- |\n| Introduction\u003Cbr>Chronic obstructive pulmonary disease (COPD) is a leading cause of global morbidity and mortality, affecting over 300 million individuals worldwide and contributing to 3.2 million deaths annually, according to the Global Initiative for Chronic Obstructive Lung Disease 2025 report.1 In 2023, COPD accounted for 6% of all deaths worldwide, underscoring its status as a major public health challenge. In China, COPD prevalence among adults aged ≥40 years exceeds 13%, with substantial socioeconomic burdens due to frequent hospitalisations and reduced quality of life.2\u003Cbr>Disease perception – patients’ cognitive and emotional interpretation of their illness – profoundly influences selfmanagement behaviours, treatment adherence and clinical outcomes.3 Negative perceptions are associated with heightened anxiety, poor coping strategies and accelerated disease progression. In patients with COPD, a negative disease perception can lead to poor treatment adherence, increased anxiety and a decline in quality of life.4,5 Frailt","cbCaip21CucEzjbe","https://ap.wps.com/l/cbCaip21CucEzjbe","pdf",511466,14,"English","# Background\n# Objective\n# Methods\n# Results\n# Conclusion\n# Introduction","[{\"question\":\"What was the purpose of the study on elderly COPD patients in China?\",\"answer\":\"To identify factors influencing disease perception in elderly COPD patients and assess the role of community-based management.\"},{\"question\":\"How were disease perception, frailty, and COPD severity measured?\",\"answer\":\"Disease perception was measured using the Brief Illness Perception Questionnaire (BIPQ), frailty with the Tilburg Frailty Indicator (TFI), and COPD severity using spirometry (FEV1/FVC) and symptom burden (COPD Assessment Test), with dyspnoea severity graded by the mMRC scale.\"},{\"question\":\"Which factors predicted disease perception in the regression analysis?\",\"answer\":\"Regression identified disease duration, dyspnoea severity, and frailty as positive predictors, while community management and older age were negative predictors.\"}]","Factors Influencing Disease Perception Among Elderly Patients with Chronic Obstructive Pulmonary Disease in China - A Cross-Sectional Study | PDF",1790620540,35]