Inclusion Criteria:  18 years and older, Having been diagnosed with COPD by the physician based on the results of the pulmonary function test taken with spirometry according to the GOLD criteria, who are in the stable period of COPD, Applying to thoracic polyclinics, not bedridden, Does not have vision and hearing problems that do not interfere with communication, Patients who can complete the six-minute walk test, Willing to sing and/or play melodica Patients who agreed to participate in the study and who read and signed the informed consent form were included in the sample.  Exclusion Criteria:-  Those who do not agree to participate in the research, with asthma, with a diagnosis of cancer, with a diagnosis of Covid-19, Having unstable angina or myocardial infarction in the last 1 month, Having a resting heart rate >120/min, Patients with a resting systolic blood pressure of >180 mmHg and a diastolic blood pressure of >100 mmHg (183) were excluded from the study.