The Effect of Perceived Stress Related to Covid-19 Pandemic on Dyspnea and Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease

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  • Meryem YILDIZ AYVAZ Koç Üniversitesi
  • Tuğba YENİ
  • Sevda TÜREN
  • Sevda EFİL
  • Elif BÜLBÜL



COPD, dyspnea, perceived stress, sleep quality, COVID-19


Objectives: This descriptive study was planned to evaluate the effect of perceived stress related to the COVID-19 pandemic on dyspnea and sleep quality in individuals with chronic obstructive pulmonary disease (COPD).

Methods: The study was conducted with 141 COPD patients who met the inclusion criteria from home care patients affiliated with a state hospital in Istanbul between July and October 2021. “Sociodemographic Characteristics Form” “Perceived Stress Scale (PSS)” “Dyspnea-12 Scale” “Pittsburgh Sleep Quality Index (PSQI)” was used to collect data.

Results: The mean age of the participants was 75.82±10.43. The stress scores associated with the pandemic of the individuals with chronic obstructive pulmonary disease were 27.87±3.59. The dyspnea score was 17.20±8.76 in total. The mean Pitsburg Sleep Quality Index score was found to be 7.50±3.21.

Conclusions: It was determined that the stress perceptions associated with the pandemic were high in the individuals with COPD who participated in the study, the severity of dyspnea was moderate and their sleep quality was poor. It was determined that smoking increased the severity of dyspnea, decreased sleep quality, and advanced age increased perceived stress.


Agargun, M. Y., Kara, H., & Anlar, O. (1996). The validity and reliability of the Pittsburgh Sleep Quality Index. Turk Psikiyatri Derg, 7(2), 107-115.

Akinci, B., Karaduman, S., Seferoğlu, S., Yalçin, R. M., Özenç, B., Şahi̇n, Ö., ... & Özkan, E. (2021). Investigation of the dyspnea perception in the elderly who underwent home quarantine due to covid-19 pandemics in Turkey.

Atalıkoğlu Başkan, S., & Güneş, D. (2021). The effect of stress perceived by adults due to the COVID-19 pandemic on their sleep quality. Türk Uyku Tıbbı Dergisi, 8(1), 57-66.

Buysse, D. J., Reynolds III, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989). The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry research, 28(2), 193-213.

Campo-Arias, A., Pedrozo-Cortés, M. J., & Pedrozo-Pupo, J. C. (2020). Pandemic-Related Perceived Stress Scale of COVID-19: An exploration of online psychometric performance. Revista Colombiana de psiquiatria (English ed.), 49(4), 229.

Cellini, N., Canale, N., Mioni, G., & Costa, S. (2020). Changes in sleep pattern, sense of time and digital media use during COVID‐19 lockdown in Italy. Journal of sleep research, 29(4), e13074.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of health and social behavior, 385-396.

Eskin, M., Harlak, H., Demirkiran, F., & Dereboy, Ç. (2013). The adaptation of the perceived stress scale into Turkish: a reliability and validity analysis. In New Symp J (Vol. 51, No. 3, pp. 132-140).

Gök Metin, Z., & Helvacı, A. (2018). Validity and reliability of Turkish version of the Dyspnea-12 Scale. Journal of Hacettepe University Faculty of Nursing, 5(2), 102-115.

Grewal, J. S., Carlsten, C., Johnston, J. C., Shah, A. S., Wong, A. W., & Ryerson, C. J. (2023). Post-COVID dyspnea: prevalence, predictors, and outcomes in a longitudinal, prospective cohort. BMC Pulmonary Medicine, 23(1), 84.

Helvaci, A., Izgu, N., & Ozdemir, L. (2020). Relationship between symptom burden, medication adherence and spiritual well‐being in patients with chronic obstructive pulmonary disease. Journal of Clinical Nursing, 29(13-14), 2388-2396.

Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry research, 288, 112954.

Jiang, Z., Zhu, P., Wang, L., Hu, Y., Pang, M., Ma, S., & Tang, X. (2021). Psychological distress and sleep quality of COVID-19 patients in Wuhan, a lockdown city as the epicenter of COVID-19. Journal of psychiatric research, 136, 595-602.

Kabeloğlu, V., & Gül, G. (2021). Investigation of sleep quality and associated social psychological factors during the COVID-19 outbreak. Journal of Turkish Sleep Medicine, 8(2), 97.

Kyle, S. D., Morgan, K., & Espie, C. A. (2010). Insomnia and health-related quality of life. Sleep medicine reviews, 14(1), 69-82.

Li, X., Yu, H., Bian, G., Hu, Z., Liu, X., Zhou, Q., ... & Zhou, D. (2020). Prevalence, risk factors, and clinical correlates of insomnia in volunteer and at home medical staff during the COVID-19. Brain, behavior, and immunity, 87, 140.

Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., & Roma, P. (2020). A nationwide survey of psychological distress among Italian people during the COVID-19 pandemic: immediate psychological responses and associated factors. International journal of environmental research and public health, 17(9), 3165.

Neculicioiu, V. S., Colosi, I. A., Costache, C., Sevastre-Berghian, A., & Clichici, S. (2022). Time to Sleep?—A Review of the Impact of the COVID-19 Pandemic on Sleep and Mental Health. International Journal of Environmental Research and Public Health, 19(6), 3497.

Ora, J., Liguori, C., Puxeddu, E., Coppola, A., Matino, M., Pierantozzi, M., ... & Rogliani, P. (2020). Dyspnea perception and neurological symptoms in non-severe COVID-19 patients. Neurological Sciences, 41(10), 2671-2674.

Ozel, Y., & Bay Karabulut, A. (2018). Daily living and stress management. Turkish Journal of Health Sciences and Research, 1(1), 48-56.

Perissinotto, C., Holt‐Lunstad, J., Periyakoil, V. S., & Covinsky, K. (2019). A practical approach to assessing and mitigating loneliness and isolation in older adults. Journal of the American Geriatrics Society, 67(4), 657-662.

Philip, K. E., Lonergan, B., Cumella, A., Farrington-Douglas, J., Laffan, M., & Hopkinson, N. S. (2020). COVID-19 related concerns of people with long-term respiratory conditions: a qualitative study. BMC pulmonary medicine, 20(1), 1-10.

Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian journal of psychiatry, 52, 102066.

Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C. S., & Ho, R. C. (2020). Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health, 17(5), 1729.

Werner, A., Kater, M. J., Schlarb, A. A., & Lohaus, A. (2021). Sleep and stress in times of the covid‐19 pandemic: The role of personal resources. Applied Psychology: Health and Well‐Being, 13(4), 935-951.

Yorke, J., Moosavi, S. H., Shuldham, C., & Jones, P. W. (2010). Quantification of dyspnoea using descriptors: development and initial testing of the Dyspnoea-12. Thorax, 65(1), 21-26.




How to Cite

YILDIZ AYVAZ, M., YENİ, T., TÜREN, S., EFİL, S., BÜLBÜL, E., & KAYMAK YALÇIN, E. (2024). The Effect of Perceived Stress Related to Covid-19 Pandemic on Dyspnea and Sleep Quality in Patients with Chronic Obstructive Pulmonary Disease . GEVHER NESIBE JOURNAL OF MEDICAL AND HEALTH SCIENCES, 9(2), 191–198.