Literature DB >> 21509413

Helplessness, self blame and faith may impact on self management in COPD: a qualitative study.

Nicolette Sheridan1, Timothy Kenealy, Elizabeth Salmon, Harold Rea, Deborah Raphael, Jacqueline Schmidt-Busby.   

Abstract

AIMS: To explore how patients with COPD experience helplessness.
METHODS: In-depth interviews with 29 patients with moderate to very severe COPD. Data were analysed using a general inductive approach.
RESULTS: All patients focused on acute symptoms and expressed feelings of helplessness in the management of their condition; little attention was paid to longer-term strategies. For one group of patients, mostly European, self blame appeared to intensify feelings of helplessness. For a second group, mostly Pacific, a focus on faith in God, Church and family provided a more positive affect and existed alongside helplessness.
CONCLUSIONS: Clinicians seeking to support patients to include longer term strategies in their self management will need to coach patients to experiences of short-term success, and be aware of the ways that patients experience and interpret their helplessness. Clinicians need to address self blame, and recognise patients' priorities of faith and family.

Entities:  

Mesh:

Year:  2011        PMID: 21509413      PMCID: PMC6549848          DOI: 10.4104/pcrj.2011.00035

Source DB:  PubMed          Journal:  Prim Care Respir J        ISSN: 1471-4418


  26 in total

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