Inclusion Criteria:  To receive inpatient treatment with the diagnosis of COPD, To be literate, To have the cognitive and mental competence to answer questions, Disease symptoms are at a level that does not prevent communication  Exclusion Criteria:  The patient is in an acute exacerbation period, Having dyspnea at a level that prevents cooperation, Presence of sensory loss related to vision, hearing and speech, Presence of cognitive and mental impairment that prevents communication