الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Chronic obstructive pulmonary disease is a serious public health problem worldwide. It’s a progressive inflammatory pulmonary disease characterized by chronic obstruction in the peripheral bronchus and pulmonary emphysema. The disease is disabling, with symptoms such as chronic cough, phlegm, wheezing, shortness of breath and increased infections of the respiratory passage. In addition, severely ill patients with COPD often have other symptoms, including congestive heart failure, brittleness of the bones, muscular weakness, malnutrition, weight loss, cognitive dysfunction, fatigue and depression.
Chronic Obstructive Pulmonary Disease is a chronic debilitating condition that typically increases in severity with aging, with increasingly onerous physical and psychosocial consequences. COPD is associated with significant disability and reduced quality of life for people of all ages.
The patient with COPD usually requires both pharmacological and non-pharmacological adapted strategies. Pharmacological strategies include essentially oxygen therapy, bronchodilators, corticosteroids, and antibiotics, while, non-pharmacological management of COPD is called pulmonary rehabilitation that is delivered by multidisciplinary team providing multidisciplinary care. This care of patients with COPD is directed towards assisting the patient to control or alleviate symptoms of respiratory dysfunction, maintain or improve ability to function as independently as possible, adapt and cope with progressive impairment, and minimizing or preventing development of complications.
The aim of this study was to determine the physical and psychosocial adaptation strategies used by patients with COPD. The study was carried at the inpatient chest diseases units of the Alexandria Main University Hospital. Subjects of the study consisted of convenient sample of 100 male and female adult patients with COPD.
Five tools were structured by the researcher after review of relevant literature to collect the necessary data