Faculty of Health Science, Sogn og Fjordane University College, Førde, Norway.
Disabil Rehabil. 2010;32(15):1272-80. doi: 10.3109/09638280903464471.
To unpack and interpret descriptions of experiences of social relationships during pulmonary rehabilitation (PR) for people living with chronic obstructive pulmonary disease (COPD).
Inspired by interpretive phenomenology, individual qualitative interviews were conducted twice with 18 persons from COPD rehabilitation units in two general hospitals. Qualitative content analysis was performed.
Analysis of the interviews revealed the overarching theme of belonging. The participants emphasised social integration in rehabilitation groups as well as support from peers and health-care personnel as important dimensions of social relationships with regard to PR. Active participation in and engagement with the groups provided opportunities for patients to share their knowledge, encouraged mutual trust, and support and increased self-confidence, and motivation for self-care and further social participation. Integration in the groups and perceived support during PR made coping and adaptation easier and had a positive effect on quality of life.
Patients' perspectives on PR were strongly influenced by certain facets of social relationships, such as social integration and social support. Patients', peers' and health-care professionals' strategies to promote social support and social integration should be further explored in the future, both in different contexts and for longer periods of time.
剖析并阐释慢性阻塞性肺疾病（COPD）患者在参与肺康复（PR）过程中对社会关系体验的描述。
本研究受解释现象学的启发，对来自两家综合医院 COPD 康复病房的 18 名患者进行了两次个体定性访谈。采用定性内容分析法进行分析。
对访谈的分析揭示了归属这一总体主题。参与者强调康复小组中的社会融合以及同伴和医疗保健人员的支持是 PR 中社会关系的重要维度。积极参与和融入小组为患者提供了分享知识的机会，鼓励了相互信任、支持和增强自信，并激发了自我护理和进一步参与社会的动力。在小组中的融合以及在 PR 过程中感知到的支持，使应对和适应变得更加容易，并对生活质量产生了积极影响。
患者对 PR 的看法受到社会关系某些方面的强烈影响，例如社会融合和社会支持。未来应进一步探讨患者、同伴和医疗保健专业人员促进社会支持和社会融合的策略，无论是在不同的环境中还是在更长的时间内。
