College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
West J Nurs Res. 2020 Jun;42(6):423-430. doi: 10.1177/0193945919865532. Epub 2019 Jul 17.
Individuals with chronic obstructive pulmonary disease (COPD) struggle with effective self-management, contributing to poor health outcomes and costly health care. More research is needed to understand the factors influencing COPD self-management better in order to improve outcomes and reduce health care costs for those living with this prevalent chronic illness. The purpose of this article is to describe factors influencing community-dwelling adults' COPD self-management. In-depth interviews were conducted with 28 people living with COPD. Braun and Clarke's thematic analysis approach was used to analyze interview data, and it resulted in the identification of themes providing insight into COPD self-management as described by those living with the disease. Specifically, factors impacting engagement in treatment recommendations are described. These findings have implications for informing evidence-based recommendations for self-management support and improving the quality of care provided to those with COPD.
患有慢性阻塞性肺疾病 (COPD) 的个体在进行有效的自我管理方面存在困难,这导致了较差的健康结果和昂贵的医疗保健费用。为了改善患有这种普遍慢性疾病的人群的结局并降低医疗保健成本,需要更多的研究来更好地了解影响 COPD 自我管理的因素。本文的目的是描述影响社区居住成年人 COPD 自我管理的因素。对 28 名患有 COPD 的成年人进行了深入访谈。采用 Braun 和 Clarke 的主题分析方法对访谈数据进行了分析,结果确定了主题,深入了解了患有这种疾病的人对 COPD 自我管理的描述。具体而言,描述了影响参与治疗建议的因素。这些发现对为自我管理支持提供循证建议和改善 COPD 患者护理质量具有重要意义。