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Living as Severe COPD Patient - Life of Stepping on the Thin Ice  

Kim, Sung-Reul (Asan Medical center)
Kim, Yun-Ok (Asan Medical Center)
Kwon, Kyoung-Min (Samsung Seoul Medical Center)
Publication Information
Korean Journal of Adult Nursing / v.22, no.6, 2010 , pp. 663-675 More about this Journal
Abstract
Purpose: The purpose of this study was to explore the life experiences of patients with a severe Chronic Obstructive Pulmonary Disease (COPD). Methods: The data were collected through in-depth interviews of six patients suffering from severe COPD. The interviewed data were audio-recorded and transcribed verbatim and checked for accuracy. The Giorgi method of phenomenology was used for analyzing data. Results: Eight themes forming the, units of meaning, were: Repeated and Unpredictable Suffering of Dyspnea, Confidence Loss/Exhaustion Life due to non-efficient breathing, Gradually Deprived Liberty, Absolute Being to Sustaining my life, Source of Burden but Significant Person I am in the Family, Endless Tug-of-War-Capability/Endeavor to Breath, Longing for my Life, and Dead-end of breathing. Conclusion: The study results provide an in-depth understanding of life experiences of patients suffering from severe COPD. The findings will be useful to nurses caring for this population.
Keywords
Life experience; COPD patients; Phenomenology;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Oh, E. G., Kim, S. H., Park, H. O., Bang, S. Y., Lee, C. H., & Kim, S. H. (2003). Effects of a short-term home-based pulmonary rehabilitation program in patients with chronic lung disease. Journal of Korean Academy of Nursing, 33 (5), 570-579.   과학기술학회마을
2 Speziale, H. J. S., & Carpenter, D. R. (2003) Qualitative Research in Nursing: Advancing the humanistic imperative. Lippincott Williams and Wilkins, Philadelphia. 51-106.
3 Sutherland, E. R., & Cherniack, R. M. (2004) Management of chronic obstructive pulmonary disease. The New England Journal of Medicine, 350, 2689-2697.   DOI   ScienceOn
4 Mars, G. M. J., Proot, I. M., Janssen, P. P. M., Van Eijk, J. TH. M., & Kempen, G. I. J. M. (2007). How do people with COPD or diabetes type 2 experience autonomy? An exploratory study. Disability and Rehabilitation, 29 (6), 485-493.   DOI   ScienceOn
5 Maurer, J., Rebbapragada, V., Borson, S., Goldstein, R., Kunik, M. E., Yohannes, A. M., et al. (2008). Anxiety and depression in COPD: Current understanding, Unanswered Questions, and Research Needs. CHEST, 134 , 43S-56S.   DOI   ScienceOn
6 National Statistical Office (2006, September). 2005 Deaths and death rates by cause. Retrieved December 7, 2006, from the Korea National Statistical Office Web site: http:// www.nso.go.kr/
7 Nicholls, D. A. (2000). Breathlessness: A qualitative model of meaning. Physiotherapy, 86, 23-27.   DOI   ScienceOn
8 Nicholls, D. A. (2003). The experience of breathlessness. Physiotherapy Theory and Practice, 19, 123-136.   DOI   ScienceOn
9 Oh, E. G., Kim, C. J., Lee, W. H., Kim, S. S., Kwon, B. E., Chang, Y. S. (2002). Factors influencing functional status in people with chronic lung disease. Journal of Korean Academy of Nursing, 32 (5), 643-653.   과학기술학회마을
10 Jonsdottir, H. (1998). Life patterns of people with chronic obstructive pulmonary disease: Isolation and being closed in. Nursing Science Quarterly, 11 , 160-166.   DOI   ScienceOn
11 Jun, J. J., Kim, A. K., Choi, S. O., Ae, J. H., Choi, M. K., & Jang, S. A. (2003). Development of a scale to measure self-care for Korean patients with chronic obstructive pulmonary disease. Journal of Korean Academy of Nursing, 33 (1), 9-16.   과학기술학회마을
12 Kang, G-J, Kim, M-H, & Hwang, S-K. (2008). Self-care, Symptom experience, and health-related quality of life by COPD severity. Journal of Korean Academy of Adult Nursing, 20 (1), 163-175.
13 Kang, K. A., Shim, J. S., Jeon, D. G., & Koh, M. S. (2009). The effects of logotherapy on meaning in life and quality of life of late adolescents with terminal cancer. Journal of Korean Academy of Nursing, 39 (6), 759-768.   과학기술학회마을   DOI
14 Ekerholt, K., & Bergland, A. (2008). Breathing: A sign of life and a unique area for reflection and action. Physical Therapy, 88 , 832-840.   DOI   ScienceOn
15 Barnett, M. (2005). Chronic obstructive pulmonary disease: A phenomenological study of patients' experiences. Journal of Clinical Nursing, 14, 805-812.   DOI   ScienceOn
16 Carrieri-Kohlman, V., Donesky-Cuenco, D., Park, S. K., Mackin, L., Nguyen, H. Q., & Paul, S. M. (2010). Additional evidence for the affective dimension of dyspnea in patients with COPD. Research in Nursing & Health, 2010, 33 , 4-19.
17 Centers for Disease Control (2003, September). New report looks at latest mortality trends. Retrieved October 20, 2006, from CDC Web site: http://www.cdc.gov
18 Giorgi, A. (1985). Phenomenology and psychological research. Duquesne University, Pittsburg, PA: USA.
19 Guba, E. G., & Lincoln, Y. S. (1981). Effective evaluation: Improving the usefulness of evaluation results through responsive and naturalistic approaches. San Francisco, CA: Jossey-Bass.
20 Han, S. J., Park, S. N., Jung, H. S., & Kim, N. C. (1999). Learning needs chronic obstructive pulmonary disease patients: A comparison of nurse & patient perceptions. Journal of Korean Academy of Adult Nursing, 11 (3), 401-412.
21 Bailey, P. H. (2004). The dyspnea-Anxiety-Dyspnea cycle- COPD patients stories of breathlessness: "It s scary/When you can't breathe". Qualitative Health Research, 14 (6), 760-778.   DOI   ScienceOn
22 Han, S. J. (2003). The effects o a pulmonary rehabilitation program for chronic obstructive pulmonary disease patients. Journal of Korean Academy of Nursing, 33 (7), 1008-1017.
23 Bang, S. Y. (2002). Aggravating factors & management strategies of dyspnea in chronic lung disease patients. Unpublished master's thesis, Yonsei University, Seoul.