Investigation of The Factors Affecting Psychosocial Adjustment To COPD

Objective: we aimed to determine the factors affecting the psychosocial adjustment of individuals with COPD, health care adaptation, occupational environment, family environment, sexual relations, extended family relationships, social environment and psychological pressure. Material and Methot: The study was conducted with the participation of 230 patients between August-October 2017 in the COPD clinic of Research Hospital. The data were collected using the COPD Asseement Test (CAT), Psychosocial Adaptation-Self-Report Scale (PAIS-SR) and the interview form. Results: The mean age was 66 ± 10 and 76.5% male and 77% were married, 52.2% primary school graduates and 64.3% low socioeconomic status, and 67.8% did not participate in social activities, 88.3% of the patients were found to have poor psychosocial compliance, the worst harmonized psychosocial areas were health care orientation, occupational environment and the best fit was wide family relationships. Conclusions: In this study, female gender, being over 60-75 years old, being single, having no children, low education level, working status, poor living conditions, living alone, low socioeconomic status, quitting smoking due to COPD, getting information about the COPD, number of diseases accompanying COPD, physical loss of power, frequency of admission to the hospital, having ancillary devices and ancillary person, participation in social activities and shy to go out, high level of insomnia, level of symptoms seen and frequency, were identified as factors that changed adjustment. Suggested that controlling symptoms of COPD and accompanying diseases, supporting patients to participate in social activity groups increase patients’ psychosocial compliance to COPD.