A Qualitative Study on Illness Perception and Coping Behaviors Among Patients with Chronic Obstructive Pulmonary Disease: Implications for Intervention.

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM International Journal of Chronic Obstructive Pulmonary Disease Pub Date : 2024-11-18 eCollection Date: 2024-01-01 DOI:10.2147/COPD.S473790
Lv-Mei Huang, Chun-Yan Tan, Xia Chen, Ya-Juan Jiang, Yan-Rui Zhou, Hong Zhao
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Abstract

Background: Understanding patients' perceptions of their illness may be more beneficial for healthcare providers in maintaining vigilance than merely focusing on the clinical status of patients. As patients' perceptions can significantly influence their behavior, it is possible that health care providers who are aware of patients' thoughts in advance may help improve their intervention programs, such as increased treatment adherence. However, current research offers limited insight into the subjective perceptions of disease among patients with Chronic Obstructive Pulmonary Disease (COPD). This study aims to deeply explore COPD patients' illness perception and coping behaviors.

Methods: A descriptive qualitative approach was used, conducting semi-structured in-depth interviews with 32 COPD patients, and verbatim data recording. Data analysis was based on thematic analysis methods proposed by Braun and Clarke.

Results: Through data analysis, we identified three themes to describe participants' perceptions and coping behaviors related to COPD: inadequate knowledge regarding the disease, improper self-management of the disease, and diverse impacts resulting from the disease.

Conclusion: Illness perception is crucial for COPD patients. Participants' descriptions underscored their perceptions of the disease as well as the various challenges and consequences they face when dealing with it. To enhance care for individuals with COPD, researchers and healthcare professionals should increase awareness about the disease among patients, understanding their coping strategies, beliefs, and recognizing its significant impacts.

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慢性阻塞性肺病患者的疾病认知和应对行为定性研究:干预的意义。
背景:与仅仅关注患者的临床状况相比,了解患者对自身疾病的看法可能更有利于医疗服务提供者保持警惕。由于患者的认知会极大地影响他们的行为,因此医疗服务提供者提前了解患者的想法可能有助于改善他们的干预计划,例如提高治疗依从性。然而,目前的研究对慢性阻塞性肺病(COPD)患者对疾病的主观认知了解有限。本研究旨在深入探讨慢性阻塞性肺病患者的疾病认知和应对行为:采用描述性定性方法,对 32 名慢性阻塞性肺病患者进行半结构化深度访谈,并逐字记录数据。数据分析基于布劳恩和克拉克提出的主题分析方法:通过数据分析,我们确定了三个主题来描述参与者对慢性阻塞性肺病的认知和应对行为:对疾病的认知不足、对疾病的自我管理不当以及疾病带来的各种影响:结论:疾病认知对慢性阻塞性肺病患者至关重要。参与者的描述强调了他们对疾病的认知,以及在应对疾病时所面临的各种挑战和后果。为了加强对慢性阻塞性肺病患者的护理,研究人员和医护人员应提高患者对该疾病的认识,了解他们的应对策略和信念,并认识到该疾病的重大影响。
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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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