Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
J Clin Nurs. 2018 Mar;27(5-6):e1089-e1096. doi: 10.1111/jocn.14170. Epub 2018 Feb 27.
The aim of this study was to describe peoples' experiences and expectations of support when living with chronic obstructive pulmonary disease.
We conducted and analysed face-to-face or telephone interviews with 17 individuals (aged 44-77 years) diagnosed with chronic obstructive pulmonary disease. The interviewer asked open-ended questions aimed at encouraging further narration, and we analysed the participants' narratives using a phenomenological hermeneutical approach. This report adheres to the COREQ guidelines.
The overall theme suggests that people with chronic obstructive pulmonary disease describe support as shared knowledge and experiences, based on the following subthemes; similar experiences, the need of genuine professional knowledge, self-reliance versus self-blame, and the Internet - feeling safe but uncertain.
People with chronic obstructive pulmonary disease find their strength through shared knowledge and dialogical support with others who have similar experiences and with professionals. A person-centred eHealth approach may be suitable for this group as it offers both collaboration and support.
There is a demand for access to genuine professional knowledge as additional support to patients' own capabilities and needs. Patient associations were assessed as reliable sources of information and to some extent also support, but the importance of access to professional sources was also stressed.
本研究旨在描述人们在患有慢性阻塞性肺疾病时对支持的体验和期望。
我们对 17 名(年龄 44-77 岁)被诊断为慢性阻塞性肺疾病的个体进行了面对面或电话访谈,并对访谈内容进行了分析。访谈者提出了旨在鼓励进一步叙述的开放性问题,我们采用现象学诠释学方法对参与者的叙述进行了分析。本报告遵循 COREQ 指南。
总体主题表明,慢性阻塞性肺疾病患者将支持描述为基于以下子主题的共同知识和经验:相似的经历、对真正专业知识的需求、自力更生与自责、以及互联网——感到安全但不确定。
慢性阻塞性肺疾病患者通过与具有相似经历的人和专业人士分享知识和对话性支持来找到力量。以患者为中心的电子健康方法可能适合这一群体,因为它提供了协作和支持。
患者对获取真正的专业知识有需求,以作为对患者自身能力和需求的额外支持。患者协会被评估为可靠的信息来源,在某种程度上也是支持的来源,但强调了获取专业资源的重要性。