Patients with acute exacerbation of chronic obstructive pulmonary disease feel safe when treated at home: a qualitative study.
BACKGROUND
The design of new interventions to improve health care for patients with chronic obstructive pulmonary disease (COPD) requires knowledge about what patients with an acute exacerbation experience as important and useful. The objective of the study was to explore patients' experiences of an early discharge hospital at home (HaH) treatment programme for exacerbations in COPD.


METHODS
Six exacerbated COPD patients that were randomised to receiving HaH care and three patients randomised to receiving traditional hospital care were interviewed in semi-structured in-depth interviews. Four spouses were present during the respective patients' interviews. The interviews were audio-taped, transcribed and analysed by a four-step method for systematic text condensing.


RESULTS
Despite limited assistance from the health care service, the patients and their spouses experienced the HaH treatment as safe. They expressed that information that was adapted to specific situations in their daily lives and given in a familiar environment had positive impact on their self-management of COPD.


CONCLUSIONS
The results contribute to increased knowledge and awareness about what the patients experienced as important aspects of a HaH treatment programme. How adapted input from health services can make patients with exacerbation of COPD feel safe and better able to manage their disease, is important knowledge for developing new and effective health services for patients with chronic disease.
HØKH, Research Centre, Akershus University Hospital, Lørenskog, Norway. ying.wang@ahus.no
Ying
Y
Wang
Torbjørn
T
Haugen
Sissel
S
Steihaug
Anne
A
Werner
D000208:Acute Disease; D000368:Aged; D019468:Disease Management; D005260:Female; D018575:Home Care Services, Hospital-Based; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D017533:Marital Status; D008875:Middle Aged; D010045:Outpatients / Q000523:psychology*; D010351:Patient Discharge; D017060:Patient Satisfaction; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy*; D012648:Self Care; D012720:Severity of Illness Index