St. Antonius Hospital Nieuwegein, Utrecht and Graduate Student, Faculty of Medicine, Department of Nursing Science, Utrecht, The Netherlands.
J Clin Nurs. 2013 Oct;22(19-20):2787-99. doi: 10.1111/jocn.12048. Epub 2013 Jul 3.
To gain an insight into strategies, adopted by Dutch respiratory nurses during clinic sessions, to improve self-management of patients with chronic obstructive pulmonary disease.
Chronic obstructive pulmonary disease is highly prevalent and a significant cause of morbidity and mortality, impacting on quality of life and healthcare expenditure. Health promotion is therefore an important consideration. By applying specific strategies, respiratory nurses can play a major role in the promotion of self-management. Research has shown that respiratory nurses, who run clinics, have insufficient knowledge of evidence-based strategies that can be adopted to promote self-management among chronic obstructive pulmonary disease patients. It appears that respiratory nurses adopt their own strategies during clinic sessions.
A qualitative research study was carried out using Grounded Theory method.
Data were collected during open interviews conducted by an external researcher with a nursing background. The interviews were analysed through coding after which categories were developed.
Fourteen respiratory nurses were interviewed. The results show that respiratory nurses emphasise quitting smoking during the consult. Attention is also paid to inhalation medication and techniques. Other self-management strategies that respiratory nurses use are: application of specific interviewing techniques, referring to other healthcare professionals and providing tools for coping with the illness in everyday life.
The main emphasis during the clinic session is directed at quitting smoking. Other self-management strategies such as providing information regarding nutrition and exercise, instilling confidence and becoming an equal discussion partner, gain less attention. During the clinic session, respiratory nurses should also focus on these self-management strategies in addition to quitting smoking. Further research should be directed at self-management strategies used by respiratory nurses in relation to different characteristics of patients. In this way, a more patient-oriented form of consultation could be developed for chronic obstructive pulmonary disease patients.
深入了解荷兰呼吸科护士在诊所中采用的策略，以改善慢性阻塞性肺疾病患者的自我管理。
慢性阻塞性肺疾病患病率高，是发病率和死亡率的重要原因，对生活质量和医疗保健支出有影响。因此，促进健康是一个重要的考虑因素。通过应用特定的策略，呼吸科护士可以在促进自我管理方面发挥重要作用。研究表明，管理诊所的呼吸科护士对可用于促进慢性阻塞性肺疾病患者自我管理的循证策略知之甚少。似乎呼吸科护士在诊所期间会采用自己的策略。
采用扎根理论方法进行定性研究。
由具有护理背景的外部研究人员进行开放式访谈收集数据。访谈分析采用编码后开发类别。
采访了 14 名呼吸科护士。结果表明，呼吸科护士在咨询中强调戒烟。还关注吸入药物和技术。呼吸科护士使用的其他自我管理策略包括：应用特定的访谈技巧、向其他医疗保健专业人员咨询以及提供应对日常生活中疾病的工具。
诊所会议的主要重点是戒烟。其他自我管理策略，如提供有关营养和运动的信息、树立信心和成为平等的讨论伙伴，关注度较低。在诊所会议期间，呼吸科护士除了戒烟外，还应关注这些自我管理策略。应进一步研究呼吸科护士针对不同患者特征使用的自我管理策略。通过这种方式，可以为慢性阻塞性肺疾病患者开发更以患者为中心的咨询形式。
