OTRNQualitativeNursing open2017

A qualitative study of women's experiences of living with COPD.

Simen A Steindal, Jane Österlind, Kristin Halvorsen and 4 others

PMID 29085646

WHAT IT FOUND

Women with COPD described home life as limited by breathlessness, housework and appearance, yet they found good moments through pacing, assistive devices and support.

They wanted a known contact person and education that did not feel like moralizing.

Key findings

01Women described limitations in housework and socializing because of impaired energy and breathlessness, and some avoided using portable oxygen outdoors because of appearance concerns.

02To feel safe, women wanted to know who to contact and wanted a healthcare professional who knew their story.

03Women reported that action plans supported self-management, but nurses' smoking advice was unhelpful when it felt moralizing.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for RNs

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What it does not show

Only nine women were interviewed, and they were recruited from a general hospital in a large city in Norway, so the themes may not represent women with COPD elsewhere. Participants had to understand, read and write Norwegian and were excluded for known cognitive impairment or severe hearing impairment, so women with communication or cognitive difficulties are not represented. The study is qualitative and does not test whether contact persons, action plans, education or assistive devices improve outcomes. Findings come from women only and may not represent men or people in other settings.

Declared interests

The authors reported no conflicts.

The easy way to misread this

Do not read the women's reports of action plans, contact persons or adaptation strategies as proof that these approaches improve COPD outcomes. This small qualitative interview study describes experiences rather than testing effects.

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