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Breathing through a troubled life - a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients' lived experiences during the course of pulmonary rehabilitation.
Int J Qual Stud Health Well-being 2019; 14(1):1647401IJ

Abstract

Purpose:

Exploring real-life experiences of Chronic Obstructive Pulmonary Disease (COPD) patients during rehabilitation can contribute with new knowledge of what has significance for their participation and chance for improved health and well-being. Therefore, this study aims to gain in-depth knowledge of COPD patients' lived experiences while following standard pulmonary out-patient rehabilitation.

Methods:

Combined participant observations and interviews were conducted among 21 participants in pulmonary rehabilitation. A three-leveled phenomenological-hermeneutic interpretation was applied.

Results:

Living with COPD was challenging due to dyspnea and other physical troubles. This caused a lack of trust in the body and complicated rehabilitation participation. When improving management of breath during rehabilitation, the patients gained a new sense of trust in the body. This was accompanied by a nascent hope and increased well-being. However, not succeeding in this left patients with a persistent lack of hope.

Conclusions:

Comprehensive troubles in living with COPD paradoxically prevents patients' prospect of overcoming a perceived lack of trust in their body during standard pulmonary rehabilitation. Enhancing breath management has a significant impact on COPD patients' trust in own capabilities to improve well-being and health. Future rehabilitation must accommodate COPD patients' troubles by longer-lasting, well-coordinated, individually supportive and more easily accessible programmes.

Authors+Show Affiliations

Department of Physiotherapy and Occupational Therapy, Slagelse Hospital , Slagelse , Denmark. Institute of Regional Health, University of Southern Denmark , Odense , Denmark. Section of Nursing Science, Institute of Health, Aarhus University , Aarhus , Denmark.Institute of Regional Health, University of Southern Denmark , Odense , Denmark. Department of Internal Medicine M1, Slagelse Hospital , Slagelse , Denmark.Department of Respiratory Medicine (M1), Naestved Hospital , Naestved , Denmark. Department of Respiratory Medicine, Zealand University Hospital , Roskilde , Denmark. Institute of Regional Health Science, University of Southern Denmark , Odense , Denmark.Department of Health Research , Lillebaelt Hospital , Vejle , Denmark. Institute of Regional Health Research, University of Southern Denmark , Odense , Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31432771

Citation

Simonÿ, Charlotte, et al. "Breathing Through a Troubled Life - a Phenomenological-hermeneutic Study of Chronic Obstructive Pulmonary Disease Patients' Lived Experiences During the Course of Pulmonary Rehabilitation." International Journal of Qualitative Studies On Health and Well-being, vol. 14, no. 1, 2019, p. 1647401.
Simonÿ C, Andersen IC, Bodtger U, et al. Breathing through a troubled life - a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients' lived experiences during the course of pulmonary rehabilitation. Int J Qual Stud Health Well-being. 2019;14(1):1647401.
Simonÿ, C., Andersen, I. C., Bodtger, U., & Birkelund, R. (2019). Breathing through a troubled life - a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients' lived experiences during the course of pulmonary rehabilitation. International Journal of Qualitative Studies On Health and Well-being, 14(1), p. 1647401. doi:10.1080/17482631.2019.1647401.
Simonÿ C, et al. Breathing Through a Troubled Life - a Phenomenological-hermeneutic Study of Chronic Obstructive Pulmonary Disease Patients' Lived Experiences During the Course of Pulmonary Rehabilitation. Int J Qual Stud Health Well-being. 2019;14(1):1647401. PubMed PMID: 31432771.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breathing through a troubled life - a phenomenological-hermeneutic study of chronic obstructive pulmonary disease patients' lived experiences during the course of pulmonary rehabilitation. AU - Simonÿ,Charlotte, AU - Andersen,Ingrid Charlotte, AU - Bodtger,Uffe, AU - Birkelund,Regner, PY - 2019/8/22/entrez PY - 2019/8/23/pubmed PY - 2019/8/23/medline KW - Rehabilitation KW - chronic obstructive pulmonary disease KW - interviews KW - participant observation KW - patients’ experience KW - phenomenological-hermeneutic design SP - 1647401 EP - 1647401 JF - International journal of qualitative studies on health and well-being JO - Int J Qual Stud Health Well-being VL - 14 IS - 1 N2 - Purpose: Exploring real-life experiences of Chronic Obstructive Pulmonary Disease (COPD) patients during rehabilitation can contribute with new knowledge of what has significance for their participation and chance for improved health and well-being. Therefore, this study aims to gain in-depth knowledge of COPD patients' lived experiences while following standard pulmonary out-patient rehabilitation. Methods: Combined participant observations and interviews were conducted among 21 participants in pulmonary rehabilitation. A three-leveled phenomenological-hermeneutic interpretation was applied. Results: Living with COPD was challenging due to dyspnea and other physical troubles. This caused a lack of trust in the body and complicated rehabilitation participation. When improving management of breath during rehabilitation, the patients gained a new sense of trust in the body. This was accompanied by a nascent hope and increased well-being. However, not succeeding in this left patients with a persistent lack of hope. Conclusions: Comprehensive troubles in living with COPD paradoxically prevents patients' prospect of overcoming a perceived lack of trust in their body during standard pulmonary rehabilitation. Enhancing breath management has a significant impact on COPD patients' trust in own capabilities to improve well-being and health. Future rehabilitation must accommodate COPD patients' troubles by longer-lasting, well-coordinated, individually supportive and more easily accessible programmes. SN - 1748-2631 UR - https://www.unboundmedicine.com/medline/citation/31432771/Breathing_through_a_troubled_life_-_a_phenomenological-hermeneutic_study_of_chronic_obstructive_pulmonary_disease_patients'_lived_experiences_during_the_course_of_pulmonary_rehabilitation L2 - http://www.tandfonline.com/doi/full/10.1080/17482631.2019.1647401 DB - PRIME DP - Unbound Medicine ER -