How do informal self-care strategies evolve among patients with chronic obstructive pulmonary disease managed in primary care? A qualitative study

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dc.contributor.author Apps, L. D. en
dc.contributor.author Harrison, S. L. en
dc.contributor.author Williams, J. E. A. en
dc.contributor.author Hudson, Nicky en
dc.contributor.author Steiner, M. en
dc.contributor.author Morgan, M. D en
dc.contributor.author Singh, S. J. en
dc.date.accessioned 2014-03-11T09:05:14Z
dc.date.available 2014-03-11T09:05:14Z
dc.date.issued 2014
dc.identifier.citation App, L.D. et al. (2014) How do informal self-care strategies evolve among patients with chronic obstructive pulmonary disease managed in primary care? A qualitative study. International Journal of COPD, 9, pp. 257-263 en
dc.identifier.uri http://hdl.handle.net/2086/9754
dc.description.abstract Background: There is much description in the literature of how patients with chronic obstructive pulmonary disease (COPD) manage their breathlessness and engage in self-care activities; however, little of this is from the perspective of those with less severe disease, who are primarily managed in primary care. This study aimed to understand the self-care experiences of patients with COPD who are primarily managed in primary care, and to examine the challenges of engaging in such behaviors. Methods: Semistructured interviews were carried out with 15 patients with COPD as part of a larger project evaluating a self-management intervention. Thematic analysis was supported by NVivo software (version 8, QSR International, Melbourne, Australia). Results: Three main themes are described, ie, experiencing and understanding symptoms of COPD, current self-care activities, and the importance of family perceptions in managing COPD. Conclusion: Self-care activities evolved spontaneously as participants experienced symptoms of COPD. However, there was a lack of awareness about whether these strategies would impact upon symptoms. Perceptions of COPD by family members posed a challenge to self-care for some participants. Health care professionals should elicit patients' prior disease experiences and utilize spontaneous attempts at disease management in future self-management. These findings have implications for promoting self-management and enhancing quality of life. en
dc.language.iso en en
dc.publisher Dovepress en
dc.title How do informal self-care strategies evolve among patients with chronic obstructive pulmonary disease managed in primary care? A qualitative study en
dc.type Article en
dc.identifier.doi http://dx.doi.org/10.2147/COPD.S52691
dc.peerreviewed Yes en
dc.funder n/a en
dc.projectid n/a en


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