HØKH, Research Centre, Akershus University Hospital, Lørenskog, Norway.
BMC Pulm Med. 2012 Aug 24;12:45. doi: 10.1186/1471-2466-12-45.
The design of new interventions to improve health care for patients with chronic obstructive pulmonary disease (COPD) requires knowledge about what patients with an acute exacerbation experience as important and useful. The objective of the study was to explore patients' experiences of an early discharge hospital at home (HaH) treatment programme for exacerbations in COPD.
Six exacerbated COPD patients that were randomised to receiving HaH care and three patients randomised to receiving traditional hospital care were interviewed in semi-structured in-depth interviews. Four spouses were present during the respective patients' interviews. The interviews were audio-taped, transcribed and analysed by a four-step method for systematic text condensing.
Despite limited assistance from the health care service, the patients and their spouses experienced the HaH treatment as safe. They expressed that information that was adapted to specific situations in their daily lives and given in a familiar environment had positive impact on their self-management of COPD.
The results contribute to increased knowledge and awareness about what the patients experienced as important aspects of a HaH treatment programme. How adapted input from health services can make patients with exacerbation of COPD feel safe and better able to manage their disease, is important knowledge for developing new and effective health services for patients with chronic disease.
为改善慢性阻塞性肺疾病（COPD）患者的医疗护理而设计新干预措施，需要了解急性加重期患者认为哪些内容重要且有用。本研究旨在探讨 COPD 患者对早期出院居家（HaH）治疗方案的体验。
对随机分配至 HaH 护理的 6 名 COPD 加重患者和随机分配至传统医院护理的 3 名患者进行半结构式深入访谈。在各自患者访谈时，有 4 名配偶在场。采用系统文本浓缩的四步分析法对访谈进行录音、转录和分析。
尽管医疗服务的帮助有限，但患者及其配偶认为 HaH 治疗是安全的。他们表示，根据日常生活中具体情况进行调整并在熟悉的环境中提供的信息，对其 COPD 的自我管理产生了积极影响。
研究结果有助于增加对 HaH 治疗方案中患者体验的重要方面的了解和认识。医疗服务如何提供适应性信息，使 COPD 加重患者感到安全并更有能力管理疾病，这是为慢性病患者开发新的有效医疗服务的重要知识。
