Literature Review: Nursing Care

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<ul><li><p>The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPDpatients: a qualitative study</p><p>nary rehabilitation has on the perception of breathlessness and activity.</p><p>AiregrofMethods: A qualitative, interview-based approach was</p><p>-l</p><p>hbreathlessness and panic; post PR, participants reported</p><p>Referencesin</p><p>isea</p><p>e e</p><p>cPalit</p><p>r e s p i r a t o r y m e d i c i n e : c o p d u p d a t e 5 ( 2 0 0 9 ) 9 0e 9 7 97doi:10.1016/j.rmedu.2009.10.0181. Williams SJ &amp; Bury MR. Impairment, disability and handicap29 (5): 609-616.</p><p>2. Anderson KL. The effect of chronic obstructive pulmonary d547-556.</p><p>3. Toms J &amp; Harrison K. Living with chronic lung disease and th605-619.</p><p>Original article reference: Williams V, Bruton A, Ellis-Hill C, Mtions of breathlessness and activity in COPD patients: a qu4104/pcrj.2009.00044.chronic respiratory illness. Social Science and Medicine 1989;</p><p>se on quality of life. Research in Nursing and Health 1995; 18:</p><p>ffect of pulmonary rehabilitation. Physiotherapy 2002; 88 (10):</p><p>herson K. The effect of pulmonary rehabilitation on percep-ative study. Primary Care Respiratory Journal 2009; doi:10.Royal Free NHS Trust, London, UK</p><p>Much of the early qualitative work relating to COPD 1,2 focussed on the patients experience of having the disease. Theunique aspect of this study is its enquiry, using grounded theory, into the impact of pulmonary rehabilitation (PR) onthe perceptions of breathlessness and activity of nine patients with COPD. The authors found that following rehabilitation,participants change in their perception of their breathlessness led to an increased confidence in performing activities dueto a decrease in fear of activity and panic and anxiety relating to breathlessness. Participants reported improved levels ofphysical activity, for example in improved walking distances and ability to do household activities like housework andgardening, and social activity with positive impacts on social isolation caused by the disease. Social isolation was relatedto two key factors: a perceived lack of social support and feeling trapped at home, for example because of having to useoxygen. Post PR participants described taking up social activities such as dancing and exercise. This study complementswork by Toms &amp; Harrison (2002)3 which used an interpretive methodological approach involving focus groups and identi-fied isolation as a key perception held by patients with COPD undergoing PR.</p><p>The authors point out that conducting a larger mixed methods study would enable a comparison of participants percep-tions with physical outcomes and could provide invaluable insights into the refinement of pulmonary rehabilitation and inturn provide a better health advantage for patients with COPD in physical, psychological and social terms.Commentary by Christine Mikelsonsemployed. Participants were interviewed pre- and post-PR.Data were analysed using systematic strategies informed bygrounded theory methods.Results: Nine participants (three female) took part. A changein participants perception of breathlessness and lesseningof fear of activity were the main themes identified. PR</p><p>reduced fear and felt able to increase their activities. Thesefindings add to our understanding of the impact of PR on indi-viduals experience of activity and may contribute toimproved programmes by addressing patients needs.Reprinted with permission from Primary Care RespiratoryJournalm: The aim of this study was to explore, using qualitativesearch methods, how pulmonary rehabilitation (PR) pro-ammes affect the experience of activity and breathlessnesspeople with COPD.</p><p>appeared to impact on the experience of physical social activities, allowing participants to overcome feelings of sociaisolation.Conclusions: Prior to PR, participants associated activities witThis grounded theory qualitative study explores the effect that pulmo</p><p>Abstract of Original Article</p><p>The effect of pulmonary rehabilitation on perceptions of breathlessness and activity in COPD patients: a qualitative studyAbstract of Original ArticleReferences</p></li></ul>

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