[Self-management support for patients with chronic obstructive pulmonary disease in ambulatory care--an observational study].
This cross-sectional study focuses on the status of COPD-related fears and impairments of adult patients receiving ambulant care as well as their use of self-management strategies. On the basis of the COPD Clinical Questionnaire, COPD Disability Index, COPD Assessment Test and the COPD Anxiety Questionnaire, COPD-dependent fears and impairments were determined in a convenience sample. Furthermore, data on important characteristics of the illness experience were gathered by semi-standardised interviews. Altogether, 80 patients (average age: 67.1 ± 8.5 years) took part in the quantitative interviews. In addition, 10 patients (average age: 68.2 ± 4.1 years) took part in qualitative interviews. Results showed that there were disease-related impairments in the areas of respiration, recovery and physical stress as well as in family and domestic obligations. Furthermore, illness-dependent fears had a high relevance in the study population. The management of COPD-related fears and taking into consideration information and counseling needs of these patients are important intervention approaches. On the basis of the presented results, evidence-based, multi-disciplinary, and disease-, situation- and above all, patient' needs-related interventions could be planned to support patients in self-management skills.
Institut für Gesundheits- und Pflegewissenschaft der Medizinischen Fakultät der Martin-Luther-Universität Halle-Wittenberg (Direktorin: Prof. Dr. phil. Gabriele Meyer).
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Hörold
Institut für Gesundheits- und Pflegewissenschaft der Medizinischen Fakultät der Martin-Luther-Universität Halle-Wittenberg (Direktorin: Prof. Dr. phil. Gabriele Meyer).
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Landenberger
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care / Q000523:psychology / Q000706:statistics & numerical data*; D015984:Causality; D003131:Combined Modality Therapy / Q000523:psychology / Q000706:statistics & numerical data; D015897:Comorbidity; D005239:Fear / Q000523:psychology*; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy*; D012307:Risk Factors; D012648:Self Care / Q000523:psychology* / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires