Laughter may be the best medicine for COPD breathlessness

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * Those aged 40 and over, * He was diagnosed with COPD as a result of medical history, physical examination and pulmonary function tests, and his CAT score is 10 and above according to the COPD Unified Assessment\* of the GOLD guide; In Group B and D (1), * There is no diagnosis of a disease that may affect the cognitive state, * Not having a diagnosis of a physical or mental illness that will prevent communication, and able to use a telephone. * Individuals who agree to participate in the research are included in the study Non-Inclusion Criteria: Those who have difficulty in verbal communication (intubation, tracheostomy, delirium, etc.) * With a CAT score of less than 10 and in Groups A and C according to the COPD Combined Assessment\* of the GOLD guide, * Having a disorder that disrupts the cognitive process such as schizophrenia or dementia * Alcohol, substance addiction, * Laughter therapy was not deemed appropriate due to the diagnosis of abdominal surgery, uncontrolled hypertension, glaucoma, abdominal hernia, epilepsy in the last three months, * Using complementary and integrative treatments such as acupuncture, meditation, yoga, massage, relaxation exercises, * Patients who do not agree to participate in the study are excluded from the study. Exclusion criteria * Not complying with pursed lip breathing exercise and laughter therapy and program, * Developing a disease that may affect the health status or a condition requiring hospitalization (COPD exacerbation, etc.) during the 12-week period during which the research will take place, * Changes in bronchodilator and oxygen therapy regimens, * A situation that is not suitable for laughter therapy due to the diagnosis of surgery in the abdominal region, uncontrollable hypertension, glaucoma, abdominal hernia, epilepsy, * Patients who want to withdraw from the study are excluded from the study.