The goal of this observational study is to investigate the usage of spacers and their relationship with symptom severity in chronic obstructive pulmonary disease elderly patients. Patients with chronic obstructive pulmonary disease aged 65 years or over at thoracic medicine outpatient clinics were recruited in this study. Research participants were interviewed using structured questionnaires, including demographic characteristics information, clinical characteristics information, and the chronic obstructive pulmonary disease assessment test.

The goal of this observational study is to investigate the usage of spacers and their relationship with symptom severity in chronic obstructive pulmonary disease elderly patients. A convenience sample was used to recruit patients with chronic obstructive pulmonary disease aged 65 years or over at thoracic medicine outpatient clinics from a teaching hospital in Taiwan. Research participants were interviewed using structured questionnaires, including demographic characteristics information, clinical characteristics information, and the chronic obstructive pulmonary disease assessment test.

Inclusion Criteria:

• Individuals aged 65 or above diagnosed with COPD by a pulmonologist.
• Clear consciousness and communication abilities in Mandarin or Taiwanese.
• Consent to participate in this study and sign the informed consent form.

Exclusion Criteria:

• Patients who are blind, deaf, unable to express themselves, and unable to understand the study explanation.

Patients with chronic obstructive pulmonary disease aged 65 years or over at thoracic medicine outpatient clinics.