Evaluation of the relationshipbetween the levels and perceptions of dyspnea and the levels of anxiety and depression in chronic obstructive pulmonary disease (COPD) patients

Özet

Objectives: This study was performed with a descriptive design to determine the relationship between level and perception of dyspnea and levels of anxiety and depression. Methods: The research data were collectedusing the Medical Research Council Scale and HAD via face- to-face interviews. Results: The study consisted of a total of 90 individuals,which included 8 women and 82 men, with chronic obstructive pulmonary disease. It was determined that the average anxiety score was 7.42±4.43 (min: 0–max: 20) and that the average depression score was 8.85±4.23 (min:3-max: 18). According to the logistic regression analysis results,among the participants, those who indicated they had severe dyspnea or a background of psychiatric illness or showed depression symptomshad a 22.75 times, 4.304 times and 17.528 times higher risk, respectively, for anxiety symptoms. There was a greater risk of depression (5.957 times) in the participants who were suffering from severe dyspnea than in the patients with mild dyspnea, and a 22.181 times greater risk of depression in the participants who had been admitted to a hospital three or more times and a 12.352 times greater risk in patients who had been admitted one or two times a year than in the participants who had never been admitted to a hospital. Finally, there was a 28.712 times greater risk of depression in patients who did not have social support versus those that had, andthere was a 23.294 times greater risk of depressive symptoms in patients who presented symptoms of anxiety than in patients who did not. Conclusion: Individuals with a high perception of dyspnea had a high risk of both depression and anxiety.