For example, help-seeking behaviour was initially not one of the topics on the list, but was added after conducting the first few interviews, when it became apparent that patients did not actively express their wishes for help. Patients were included until data about the lack of expressed wish for help reached saturation.
This was done by using open-ended questions that were guided by a list of topics such as activities of daily living, medical and informal care, social support, stigmatisation, anxiety, and future.
Fear of dyspnoea and feelings of vulnerability also appear to contribute to good compliance. Most problems arise from breathlessness 3 — 7 as this often leads to immobility, 4 dependency on others, 5 and social isolation.
All patients reported being told to stop smoking, but patients varied as to whether they believed that smoking was harmful or not. How this fits in Patients with end-stage chronic obstructive pulmonary disease COPD experience numerous problems in daily life, yet they do not often actively express a wish for help because they do not regard themselves as ill, and because they do not feel that their situation can be improved.
Recurrent themes within the transcripts were then identified and text fragments were sorted. The severity of their illness ranged from mild to severe. However, as they often do not actively express a wish for help, they do not get the help they need.
All patients except one reported good compliance with medication but some patients expressed concerns about technique.
COPD patients require better education to manage their disease effectively. Future research should be directed towards studying whether such an approach meets the needs of patients at this stage of COPD. As a result, a thematic framework was constructed, consisting of categories and themes, as shown in Figure 1.
From those 82 patients with end-stage COPD, 11 responders were selected for the present qualitative study. Design of study Prospective qualitative study with semi-structured interviews.
Patients were unsure how much they should exercise, and were unsure whether breathlessness during exercise was harmful. The aim of the interviews was to provide an in-depth viewpoint based on personal experience.
Patients had been told to exercise but were given inadequate information as to why this was helpful. However, as part of a larger study on care for patients with end-stage COPD using in-depth interviews with patients, indications were found that patients did not actively express a wish for help, even though they experienced numerous limitations in their daily lives: However, this was not the case with the patients interviewed.
Patients had been given minimal advice about diet. Results To express a wish for help, patients should regard their limitations as abnormal and should realise that there are possibilities to improve their situation. The interview process was iterative and the topic list evolved over time.
Information given by health professionals about lifestyle modification was poor. All patients provided informed consent.
Patients with COPD have low levels of intentional non-compliance with medication in COPD, probably because, unlike asthmatics, these patients are chronically symptomatic.
Some had stopped smoking, some had tried to cut down, and others continued as normal.This study aimed to document the perspective of patients with chronic obstructive pulmonary disease (COPD) who underwent home-based pulmonary rehabilitation (HBPR) in a clinical trial.
In this qualitative study, open-ended questions explored participants’ views regarding HBPR. Thirteen semi-structured interviews were. AUSTRALIAN JOURNAL OF ADVANCED NURSING Volume 28 Number 2 46 RESEARCH PAPER Living with chronic obstructive pulmonary disease: a qualitative study.
This is a qualitative study conducted at the University of Texas Health Science Center at Tyler as a randomized controlled trial to determine the effectiveness of a lifestyle behavioral intervention to increase physical activity among patients with moderate to severe COPD.
This article presents results from a small qualitative study investigating the experiences of patients who have chronic obstructive pulmonary disease (COPD) with televideo consultations at home, as a supplement to conventional control and treatment. A qualitative study of compliance with medication and lifestyle modification in Chronic Obstructive Pulmonary Disease (COPD).
Previous studies have described women's experiences of living with COPD by comparing men and women. They suggest that women with COPD experience more severe dyspnoea, higher levels of anxiety and depression, In contrast to previous qualitative studies (Fraser et al.Download