Living With Chronic Obstructive Pulmonary Disease

Chen, K.-H.; Liu, Chien-Ying; Shyu, Yea‐Ing Lotus; Yeh, Shu-Ling

doi:10.1097/jnr.0000000000000152

Cited by 18 publications

(30 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the remaining articles, two by Andersen et al 29 , 30 concerned the same study and two by Chen et al also reported on one study. 31 , 32 In both instances these were analysed as one. The paper by Ogunbayo et al is from the same research team as this review.…”

Section: Resultsmentioning

confidence: 99%

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals

Russell¹,

Ogunbayo²,

Newham

et al. 2018

npj Prim Care Resp Med

114

163

View full text Add to dashboard Cite

Self-management interventions for chronic obstructive pulmonary disease (COPD) can improve quality of life, reduce hospital admissions, and improve symptoms. However, many factors impede engagement for patients and practitioners. Qualitative research, with its focus on subjective experience, can provide invaluable insights into such factors. Therefore, a systematic review and synthesis of qualitative evidence on COPD self-management from the perspective of patients, carers, and practitioners was conducted. Following a systematic search and screening, 31 studies were appraised and data extracted for analysis. This review found that patients can adapt to COPD; however, learning to self-manage is often a protracted process. Emotional needs are considerable; frustration, depression, and anxiety are common. In addition, patients can face an assortment of losses and limitations on their lifestyle and social interaction. Over time, COPD can consume their existence, reducing motivation. Support from family can prove vital, yet tinged with ambivalence and burden. Practitioners may not have sufficient time, resources, or appropriate skills or confidence to provide effective self-management support, particularly in regard to patients’ psychosocial needs. This can compound patients’ capability to engage in self-management. For COPD self-management to be effective, patients’ psychosocial needs must be prioritised alongside medication and exacerbation management. In addition, patients’ personal beliefs regarding COPD and its management should be reviewed periodically to avoid problematic behaviours and enhance positive adaptions to the disease. Patients with COPD are not a homogenous group and no one intervention will prove effective for all. Finally, practitioners require greater education, training, and support to successfully assist patients.

show abstract

Section: Resultsmentioning

confidence: 99%

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals

Russell¹,

Ogunbayo²,

Newham

et al. 2018

npj Prim Care Resp Med

114

163

View full text Add to dashboard Cite

show abstract

“…Anxiety and depression are the major comorbidities in COPD patients (Chen, Liu, Shyu, & Yeh, 2016;Tselebis et al, 2016). Noted that COPD patients suffering from anxiety and depression are associated with an increased risk of exacerbations, hospitalisation and poorer overall health status and prognosis of COPD treatment (GOLD, 2017).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Lin

Yeh

Lai

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To examine the effects of the two‐month breathing‐based walking intervention and its follow‐up on anxiety, depression, dyspnoea and quality of life in patients with chronic obstructive pulmonary disease. Background Mind–body‐related exercises improve bio‐psychological symptoms and quality of life in chronic diseases, but these improvements are not proven for chronic obstructive pulmonary disease. Design This was a randomised controlled study and applied the Consolidated Standards of Reporting Trials (CONSORT) statement. Methods Outpatients diagnosed with chronic obstructive pulmonary disease were recruited from a medical centre in Taiwan and randomly assigned to two groups. The walking group (n = 42) received breathing, meditation and walking for two months, and the control group (n = 42) did not. Data from the outcomes of anxiety, depression, dyspnoea and quality of life were collected at baseline and in Month 1, Month 2 and Month 3. Clinical trial registration was done (ClinicalTrials.gov.: NCT03388489). Findings The results showed significant changes in anxiety, depression, dyspnoea and quality of life in the walking group across three months, compared to those in the control group and at baseline. Conclusion This breathing‐based walking intervention is promising to achieve bio‐psychological well‐being for patients with chronic obstructive pulmonary disease. Relevance to clinical practice This breathing‐based walking, as a mind–body exercise, could serve as an evidence‐based nursing care that contributes to improving anxiety, depression, dyspnoea and quality of life in stable chronic obstructive pulmonary disease outpatients. The feasibility and acceptability of the breathing‐based walking were met the requirement of the chronic obstructive pulmonary disease outpatients, which could be considered as home‐based exercise.

show abstract

“…Self-management behaviours are affected by the patient's living environment and include individuals' awareness of the disease and symptom, lifestyle changes, psychosocial conditions and discussion with health professionals (Chen, Chen, Lee, Cho, & Weng, 2008;Kong et al, 2015Kong et al, , 2018. The influence of environmental factors, such as support and illness experiences from social relationships, on chronic disease self-management is as critical as that of personal factors, such as disease severity (Bhandari & Kim, 2016;Chen, Liu, Shyu, & Yeh, 2016). Findings of note are that patients with chronic hepatitis B spend most of their time on self-care at home, and therefore, disease self-management plans should be patient-centred (Cedeño-Moreno, Vargas-Lombardo, Salas-Zárate, Paredes-Valverde, & Valencia-García, 2017; Robotin & George, 2014;Yang, 2013).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Environmental factors affecting self‐management of chronic hepatitis B from the patients’ perspective

Lin

Lee²,

Yang

et al. 2019

Journal of Clinical Nursing

View full text Add to dashboard Cite

Aims and objectives To explore factors affecting self‐management experiences of patients with chronic hepatitis B within their social and cultural environments. Background Many cases of hepatitis B are not detected until they are in end‐stage liver disease. Despite an increasing trend of indicating a lack of health awareness as the reason, studies have rarely referred to the personal, social and cultural environmental constraints from patients' perspectives. Design A descriptive qualitative study. Methods Forty‐seven adults diagnosed with chronic hepatitis B were interviewed in a private area of a hospital clinic in Taiwan in 2018. Four open‐ended questions relating to care self‐management included the following: disease detection; disease control; preventive care; and perceptions of screening and follow‐ups. Data were examined using content analysis. This study also adhered to the consolidated COREQ guidelines. Results Five main themes emerged: personal experiences, awareness of occupational health, the availability of conventional treatment, cultural beliefs about health care and family roles. Findings of note were that some participants became aware that they had never known the difference between follow‐up for hepatitis B and regular adult/labourer health checks due to a lack of information within their living environment. Many participants added alternative treatments to their self‐management strategies and others frequently ignored follow‐up appointments because of different cultural health beliefs. Conclusions Patients’ disease self‐management perceptions are driven by dynamic influences suggesting that development of policies integrating personal, family, social and cultural environmental factors could enhance individual screening and subsequent health behaviours of patients with chronic hepatitis B. Relevance to practice Adding person‐centred case management of hepatitis B could enhance patients’ adherence to follow‐up. Attention should be given to increasing provider awareness of the influence of their own attitude and communication on patients’ participation in self‐management.

show abstract

Living With Chronic Obstructive Pulmonary Disease

Cited by 18 publications

References 27 publications

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals

Qualitative systematic review of barriers and facilitators to self-management of chronic obstructive pulmonary disease: views of patients and healthcare professionals

Two‐month breathing‐based walking improves anxiety, depression, dyspnoea and quality of life in chronic obstructive pulmonary disease: A randomised controlled study

Environmental factors affecting self‐management of chronic hepatitis B from the patients’ perspective

Contact Info

Product

Resources

About