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The Effect of Dsypnea On Quality of Life and Depression In Patients With Chronic Obstructive Pulmonary Disease
Özden Gökçek1,Esra Doğru Hüzmeli1,Nihan Katayıfçı1
1Mustafa Kemal Üniversitesi, Fizyoterapi ve Rehabilitasyon, Hatay, Türkiye DOI : 10.31067/0.2018.89 Aim: The purpose of the study was to examine the effect of dsypnea on quality of life and depression in patients with chronic obstructive pulmonary disease (COPD).

Materials and methods: The study was conducted with patients admitted to the Mustafa Kemal University Health Practice and Research Hospital Chest Diseases Clinic, who had been referred to the physiotherapy department for respiratory rehabilitation. Data from previous patients were also included. 40 patients (22 male, 18 female) with a mean age of 65.55±11.77, all of whom had been diagnosed with COPD, were included in the study. Demographic data, the Modified Medical Research Council Dyspnea Scale score (which looks at the patient"s level of dyspnea), the Beck Depression Inventory score (which screens for depression) and the Short Form-36 (which examines quality of life) were each recorded.

Results: 22.5% of the patients had grade I, 40% had grade II, 27.5% had grade III and 10% had grade IV dyspnea. 30% of the patients had severe, 40% moderate and 30% mild COPD. According to the Beck Depression Inventory, 10% had moderate depression, whilst 62.5% had severe depression. Significant differences were found in depression, quality of life and dyspnea severity (p<0.05) scores. Significant differences were also discovered in COPD level, orthopnea (p=0.005) and paroxysmal nocturnal dyspnea (p=0.002).

Conclusion: It was observed that patients whose COPD was severe had a higher level of depression compared to those with mild COPD. We found that the more severe the COPD, the lower the patients" quality of life. COPD calls for a multidisciplinary approach to management. Keywords : COPD, dyspnea, quality of life, depression