Abstract: Objective: To explore the current status of breathlessness beliefs in COPD patients. Methods: A descriptive, cross-sectional design was used. By convenience sampling, a total of 147 outpatients with COPD in PUMC hospital were recruited in this study. The Chinese version of the Breathlessness Beliefs Questionnaire was used to detect the breathlessness beliefs in patients with COPD. Results: No significant difference in the average score of breathlessness beliefs was found between Chinese COPD patients and Dutch patients with respiratory diseases (P>0.05). The total scores of BBQ(t= -2.770, P=0.006) and the Somatic Focus domain scores of BBQ (Z= -2.889, P=0.004) showed that there is significant differences between stable phase and exacerbation, and there is no significant difference shown in the Activity Avoidance domain scores of BBQ (P>0.05). The total score of BBQ (F=7.762, P=0.001) and the Activity Avoidance domain scores of BBQ ( 2=16.468, P<0.001) showed that there is significant difference between different levels of dyspnea, and there is no significant difference shown in the Somatic Focus domain scores of BBQ (P>0.05). The total scores of BBQ (F=8.924,P<0.001) and the Activity Avoidance domain scores of BBQ ( 2=18.567, P<0.001) showed significant difference in different groups of BODE index, and there is no significant difference shown in the Somatic Focus domain scores of BBQ(P>0.05). Conclusion: There is no difference in the breathlessness beliefs between Chinese COPD outpatients and Dutch outpatients with respiratory diseases. The total scores of BBQ showed that there is no differences between stable phase and exacerbation in different levels of dyspnea and different groups of BODE index. Nurses should strengthen the management of dyspnea symptom of COPD patients in exacerbation period, and should take measures to intervene the breathlessness beliefs of COPD patients with lower scores of BODE index, especially when the patients are unwilling to take exercises.