Understanding the Challenges Experienced by COPD Patients: A Qualitative Study
Yıl 2024,
Cilt: 6 Sayı: 3, 164 - 175
Zahide Aksoy
,
Saime Erol
,
Özlem Oruç
Öz
Objective: The aim of this study is to investigate the difficulties experienced by COPD patients, understand their needs, and provide a reference for the content of COPD patient empowerment programs.
Method: In this study using phenomenological design, semi-structured individual in-depth interviews were conducted with 11 COPD patients using purposive sampling between May 2023 and July 2023. The transcribed interviews were transferred to the MAXQDA program for analysis. Thematic analysis was used to code the data and determine themes. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used as a guide to ensure the quality of the study.
Results: As a result of the analysis, five themes emerged regarding the challenges experienced in COPD: Perception of disease, difficulty in disease management, losses in lifestyle, emotional burden of the disease, need for information.
Conclusions: It is thought that the interventions to be implemented to strengthen COPD patients can increase their effectiveness by creating them within the scope of the themes obtained in this study.
Etik Beyan
This study was approved by the Istanbul Kent University Health Sciences Scientific Research and Publication Ethics Committee (Date: 25.05.2023, Decision no: 2023-04).
Destekleyen Kurum
This research received a grant from TUBITAK (project no: 223S519).
Teşekkür
We thank COPD patients for their interest and participation in our study. This study was presented as an oral presentation at the 1st National Primary Health Care Congress.
Kaynakça
- Bloom, D. E., Cafiero, E. T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Fathima, S., Feigl, A. B., Gaziano, T., Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A., & Weinstein, C. (2011). The global economic burden of non-communicable diseases. Geneva, Switzerland: World Economic Forum. https://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
- Brinkmann, S., & S. Kvale. 2018. Doing interviews (2nd ed.). SAGE Publications Ltd. https://doi.org/10.4135/9781529716665
- Bringsvor, H. B., Langeland, E., Oftedal, B. F., Skaug, K., Assmus, J., & Bentsen, S. B. (2019). Self-management and health related quality of life in persons with chronic obstructive pulmonary disease. Quality of Life Research, 28, 2889-2899.
- Chen, S., Kuhn, M., Prettner, K., Yu, F., Yang, T., Bärnighausen, T., Bloom, D. E., & Wang, C. (2023). The global economic burden of chronic obstructive pulmonary disease for 204 countries and territories in 2020-50: A health-augmented macroeconomic modelling study. The Lancet. Global health, 11(8), e1183–e1193. https://doi.org/10.1016/S2214-109X(23)00217-6
- Disler, R. T., Green, A., Luckett, T., Newton, P. J., Inglis, S., Currow, D. C., & Davidson, P. M. (2014). Experience of advanced chronic obstructive pulmonary disease: Metasynthesis of qualitative research. Journal of Pain and Symptom Management, 48(6), 1182–1199. https://doi.org/10.1016/j.jpainsymman.2014.03.009
- Giacomini, M., DeJean, D., Simeonov, D., & Smith, A. (2012). Experiences of living and dying with COPD: a systematic review and synthesis of the qualitative empirical literature. Ontario Health Technology Assessment Series, 12(13), 1–47
- Global Initiative for Chronic Obstructive Lung Disease. (2022). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2022 report). https://www.goldcopd.org
- Holloway, I., & Galvin, K. (2023). Qualitative Research in Nursing and Healthcare (5th ed.). John Wiley & Sons.
- Hurst, J. R., Skolnik, N., Hansen, G. J., Anzueto, A., Donaldson, G. C., Dransfield, M. T., & Varghese, P. (2020). Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. European Journal of Internal Medicine, 73(1), 1–6. https://doi.org/10.1016/j.ejim.2019.12.014
- Jerpseth, H., Knutsen, I. R., Jensen, K. T., & Halvorsen, K. (2021). Mirror of shame: Patients experiences of late-stage COPD. A qualitative study. Journal of Clinical Nursing, 30(19-20), 2854–2862. https://doi.org/10.1111/jocn.15792
- Kochamat, A., Harnirattisai, T., & Juratovac, E. (2024). The effects of a symptom management program on symptom experience and physical function in Thai adults with chronic obstructive pulmonary disease: A single-blind randomized controlled trial study. Belitung Nursing Journal, 10(4), 378-388. https://doi.org/10.33546/bnj.3393
- Lahham, A., McDonald, C. F., Moore, R., Cox, N. S., Rawlings, S., Nichols, A., Liacos, A., & Holland, A. E. (2020). The impact of home-based pulmonary rehabilitation on people with mild chronic obstructive pulmonary disease: A randomised controlled trial. The Clinical Respiratory Journal, 14(4), 335–344. https://doi.org/10.1111/crj.13138
- Marx, G., Nasse, M., Stanze, H., Boakye, S. O., Nauck, F., & Schneider, N. (2016). Meaning of living with severe chronic obstructive lung disease: A qualitative study. BMJ Open, 6(12), e011555. https://doi.org/10.1136/bmjopen-2016-011555
- National Jewish Health. (2024, July). Inhaled medicines. National Jewish. https://www.nationaljewish.org/conditions/medications/devices
- Paterson, B. (2001). Myth of empowerment in chronic illness. Journal of Advanced Nursing, 34(5), 574–581. https://doi.org/10.1046/j.1365-2648.2001.01786.x
- Pope, C., & Mays, N. (2006). Synthesising qualitative research. Qualitative Research in Health Care, 142-152.
- Seamark, D. A., Blake, S. D., Seamark, C. J., & Halpin, D. M. (2004). Living with severe chronic obstructive pulmonary disease (COPD): Perceptions of patients and their carers. An interpretative phenomenological analysis. Palliative Medicine, 18(7), 619–625. https://doi.org/10.1191/0269216304pm928oa
- Strang, P., Fürst, P., Hedman, C., Bergqvist, J., Adlitzer, H., & Schultz, T. (2021). Chronic obstructive pulmonary disease and lung cancer: access to palliative care, emergency room visits and hospital deaths. BMC pulmonary medicine, 21(1), 170-177. https://doi.org/10.1186/s12890-021-01533-3
- Svedsater, H., Roberts, J., Patel, C., Macey, J., Hilton, E., & Bradshaw, L. (2017). Life Impact and treatment preferences of individuals with asthma and chronic obstructive pulmonary disease: Results from Qualitative Interviews and Focus Groups. Advances in Therapy, 34(6), 1466–1481. https://doi.org/10.1007/s12325-017-0557-0
- Wahl, A. K., Osborne, R. H., Larsen, M. H., Andersen, M. H., Holter, I. A., & Borge, C. R. (2021). Exploring health literacy needs in Chronic obstructive pulmonary disease (COPD): Associations between demographic, clinical variables, psychological well-being and health literacy. Heart & Lung: The Journal of Critical Care, 50(3), 417–424. https://doi.org/10.1016/j.hrtlng.2021.02.007
- Williams, V., Hardinge, M., Ryan, S., & Farmer, A. (2014). Patients' experience of identifying and managing exacerbations in COPD: A qualitative study. NPJ Primary Care Respiratory Medicine, 24(1), 1–6. https://doi.org/10.1038/npjpcrm.2014.23
- World Health Organization (WHO). (2020). The top 10 causes of death. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
- World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
KOAH Hastalarının Yaşadığı Zorlukların Anlaşılması: Nitel Bir Çalışma
Yıl 2024,
Cilt: 6 Sayı: 3, 164 - 175
Zahide Aksoy
,
Saime Erol
,
Özlem Oruç
Öz
Amaç: Bu çalışmanın amacı, KOAH hastalarının yaşadığı güçlükleri keşfetmek, ihtiyaçlarını anlamak ve KOAH hastalarını güçlendirme programları içeriği için bir referans sağlamaktır.
Yöntem: Fenomenolojik tasarım kullanılan bu çalışmada, Mayıs 2023 ile Temmuz 2023 arasında, amaçlı örnekleme yöntemiyle seçilen 11 KOAH hastasıyla yarı yapılandırılmış bireysel derinlemesine görüşmeler yapıldı. Transkript edilen görüşmeler analiz için MAXQDA programına aktarıldı. Verileri kodlamak ve temaları belirlemek için tematik analiz kullanıldı. Niteliksel Araştırma Raporlama için Birleştirilmiş Kriterler (COREQ) kontrol listesi, çalışmanın kalitesini sağlamak için bir rehber olarak kullanıldı.
Bulgular: Analiz sonucunda KOAH’ta yaşanan güçlüklere ilişkin beş tema ortaya çıktı: Hastalık algısı, hastalık yönetiminde güçlük, yaşam biçiminde kayıplar, hastalığın duygusal yükü, bilgi ihtiyacı.
Sonuç: KOAH hastalarını güçlendirmeye yönelik uygulanacak girişimlerin, bu çalışmada elde edilen temalar doğrultusunda oluşturulmasıyla etkinliğinin arttırılabileceği düşünülmektedir.
Destekleyen Kurum
Türkiye Bilimsel ve Teknolojik Araştırma Kurumu
Teşekkür
Bu çalışma, Türkiye Bilimsel ve Teknolojik Araştırma Kurumu (TÜBİTAK) tarafından 223S519 Numaralı proje ile desteklenmiştir. Projeye verdiği destekten ötürü TÜBİTAK’a teşekkürlerimizi sunarız.
Kaynakça
- Bloom, D. E., Cafiero, E. T., Jané-Llopis, E., Abrahams-Gessel, S., Bloom, L. R., Fathima, S., Feigl, A. B., Gaziano, T., Mowafi, M., Pandya, A., Prettner, K., Rosenberg, L., Seligman, B., Stein, A., & Weinstein, C. (2011). The global economic burden of non-communicable diseases. Geneva, Switzerland: World Economic Forum. https://www3.weforum.org/docs/WEF_Harvard_HE_GlobalEconomicBurdenNonCommunicableDiseases_2011.pdf
- Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa
- Brinkmann, S., & S. Kvale. 2018. Doing interviews (2nd ed.). SAGE Publications Ltd. https://doi.org/10.4135/9781529716665
- Bringsvor, H. B., Langeland, E., Oftedal, B. F., Skaug, K., Assmus, J., & Bentsen, S. B. (2019). Self-management and health related quality of life in persons with chronic obstructive pulmonary disease. Quality of Life Research, 28, 2889-2899.
- Chen, S., Kuhn, M., Prettner, K., Yu, F., Yang, T., Bärnighausen, T., Bloom, D. E., & Wang, C. (2023). The global economic burden of chronic obstructive pulmonary disease for 204 countries and territories in 2020-50: A health-augmented macroeconomic modelling study. The Lancet. Global health, 11(8), e1183–e1193. https://doi.org/10.1016/S2214-109X(23)00217-6
- Disler, R. T., Green, A., Luckett, T., Newton, P. J., Inglis, S., Currow, D. C., & Davidson, P. M. (2014). Experience of advanced chronic obstructive pulmonary disease: Metasynthesis of qualitative research. Journal of Pain and Symptom Management, 48(6), 1182–1199. https://doi.org/10.1016/j.jpainsymman.2014.03.009
- Giacomini, M., DeJean, D., Simeonov, D., & Smith, A. (2012). Experiences of living and dying with COPD: a systematic review and synthesis of the qualitative empirical literature. Ontario Health Technology Assessment Series, 12(13), 1–47
- Global Initiative for Chronic Obstructive Lung Disease. (2022). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease (2022 report). https://www.goldcopd.org
- Holloway, I., & Galvin, K. (2023). Qualitative Research in Nursing and Healthcare (5th ed.). John Wiley & Sons.
- Hurst, J. R., Skolnik, N., Hansen, G. J., Anzueto, A., Donaldson, G. C., Dransfield, M. T., & Varghese, P. (2020). Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. European Journal of Internal Medicine, 73(1), 1–6. https://doi.org/10.1016/j.ejim.2019.12.014
- Jerpseth, H., Knutsen, I. R., Jensen, K. T., & Halvorsen, K. (2021). Mirror of shame: Patients experiences of late-stage COPD. A qualitative study. Journal of Clinical Nursing, 30(19-20), 2854–2862. https://doi.org/10.1111/jocn.15792
- Kochamat, A., Harnirattisai, T., & Juratovac, E. (2024). The effects of a symptom management program on symptom experience and physical function in Thai adults with chronic obstructive pulmonary disease: A single-blind randomized controlled trial study. Belitung Nursing Journal, 10(4), 378-388. https://doi.org/10.33546/bnj.3393
- Lahham, A., McDonald, C. F., Moore, R., Cox, N. S., Rawlings, S., Nichols, A., Liacos, A., & Holland, A. E. (2020). The impact of home-based pulmonary rehabilitation on people with mild chronic obstructive pulmonary disease: A randomised controlled trial. The Clinical Respiratory Journal, 14(4), 335–344. https://doi.org/10.1111/crj.13138
- Marx, G., Nasse, M., Stanze, H., Boakye, S. O., Nauck, F., & Schneider, N. (2016). Meaning of living with severe chronic obstructive lung disease: A qualitative study. BMJ Open, 6(12), e011555. https://doi.org/10.1136/bmjopen-2016-011555
- National Jewish Health. (2024, July). Inhaled medicines. National Jewish. https://www.nationaljewish.org/conditions/medications/devices
- Paterson, B. (2001). Myth of empowerment in chronic illness. Journal of Advanced Nursing, 34(5), 574–581. https://doi.org/10.1046/j.1365-2648.2001.01786.x
- Pope, C., & Mays, N. (2006). Synthesising qualitative research. Qualitative Research in Health Care, 142-152.
- Seamark, D. A., Blake, S. D., Seamark, C. J., & Halpin, D. M. (2004). Living with severe chronic obstructive pulmonary disease (COPD): Perceptions of patients and their carers. An interpretative phenomenological analysis. Palliative Medicine, 18(7), 619–625. https://doi.org/10.1191/0269216304pm928oa
- Strang, P., Fürst, P., Hedman, C., Bergqvist, J., Adlitzer, H., & Schultz, T. (2021). Chronic obstructive pulmonary disease and lung cancer: access to palliative care, emergency room visits and hospital deaths. BMC pulmonary medicine, 21(1), 170-177. https://doi.org/10.1186/s12890-021-01533-3
- Svedsater, H., Roberts, J., Patel, C., Macey, J., Hilton, E., & Bradshaw, L. (2017). Life Impact and treatment preferences of individuals with asthma and chronic obstructive pulmonary disease: Results from Qualitative Interviews and Focus Groups. Advances in Therapy, 34(6), 1466–1481. https://doi.org/10.1007/s12325-017-0557-0
- Wahl, A. K., Osborne, R. H., Larsen, M. H., Andersen, M. H., Holter, I. A., & Borge, C. R. (2021). Exploring health literacy needs in Chronic obstructive pulmonary disease (COPD): Associations between demographic, clinical variables, psychological well-being and health literacy. Heart & Lung: The Journal of Critical Care, 50(3), 417–424. https://doi.org/10.1016/j.hrtlng.2021.02.007
- Williams, V., Hardinge, M., Ryan, S., & Farmer, A. (2014). Patients' experience of identifying and managing exacerbations in COPD: A qualitative study. NPJ Primary Care Respiratory Medicine, 24(1), 1–6. https://doi.org/10.1038/npjpcrm.2014.23
- World Health Organization (WHO). (2020). The top 10 causes of death. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
- World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053