Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2019 , Vol 10, Issue 2
The Relationship Between Sleep Quality, Anxiety and Depression In Patients With Chronic Obstructive Pulmonary Disease
Gül Dural1,Seyhan Çıtlık Sarıtaş1
1İnönü Üniversitesi, Hemşirelik Fakültesi, İç Hastalıkları Hemşireliği Anablim Dalı, Malatya, Türkiye DOI : 10.31067/0.2019.146 Objectives: In patients with Chronic Obstructive Pulmonary Disease (COPD), patients may experience inadequate sleep due to symptoms such as shortness of breath. Patients may have poor sleep quality and experience anxiety and depression.

Study design: In this descriptive study, voluntary, open communication, 144 COPD patients were included. "Data Collection Form", "Pittsburgh Sleep Quality Index (PUKI)" and "Hospital Anxiety and Depression Scale (HADS)" were used in the collection of study data. The data for the study were collected from January 2016 to April 2016. Numbers, percentages, mean, independent t-test, pearson correlation analysis were used in the evaluation of the data.

Results: It was determined that 59.7% of the patients included in the study were male, 84.7% were 55 years and over, 88.2% were married. Mean PUKI score was 9.01 ± 4.14, mean HAD-A score was 7.53 ± 5.33, mean HAD-D score was 10.27 ± 5.31 and mean HAD-total score was 17.79 ± 9.59. It was determined that 77.8% of the patients participating in the study had poor sleep quality, 75% had no anxiety and 68.7% had depression. There was a significant relationship between sleep quality and anxiety and depression (p<0.01). As the sleep quality of patients decreased, anxiety and depression levels increased.

Conclusion: Patients with COPD were found to have low sleep quality and were mostly depressed. Anxiety and depression increased when sleep quality of the patients decreased. In this case, an approach using a pharmacologic approach with diseasesupporting psychological help is required. Nurses trained in this area may be advised to arrange appropriate training programs for COPD patients and their relatives. Keywords : Anxiety, COPD, depression, nursing, sleep quality