Abstract:
:This qualitative study explores the illness experiences, the efficacy of pulmonary rehabilitation as perceived by patients with chronic obstructive pulmonary disease (COPD) and their rationale for improvements in health. 23 patients participated in a daily, three-month home-based pulmonary rehabilitation. A pre-post self-perceived assessment of efficacy was conducted. Semi-structured interviews, illness narratives and participant-observation provided a "dense description" of patients' lived-experience before and after the program. Interviews and narratives were tape-recorded, transcribed and coded. Qualitative data was subjected to "thematic content analysis" and "contextualized semantic interpretation". Patients compare functional status before and after falling ill, experience loss, stigma and depression, describe health improvements and judge the pulmonary rehabilitation's efficacy. Giving voice to chronically-ill patients, as individuals, is needed. To reduce clinical conflicts, health professionals should encourage illness narratives and value their patients' lived-experience.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Pinto JM,Martín-Nogueras A,Nations Mdoi
10.1590/0102-311x00072313subject
Has Abstractpub_date
2014-06-01 00:00:00pages
1270-80issue
6eissn
0102-311Xissn
1678-4464pii
S0102-311X2014000601270journal_volume
30pub_type
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