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Strategies used by pulmonary nurses to stimulate selfmanagement in patients with COPD

Verbrugge, R., Boer, F. de, Georges, J-J.

Summary

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AIM. To collect information about strategies used by pulmonary nurses, during an ambulatory) consultation hour, to improve self-management of patients with COPD.
METHOD. A qualitative research study was carried out using Grounded Theory method. Data were collected during open interviews conducted by an external researcher with a nursing background. The interviews were analysed through coding after which categories were developed.
FINDINGS. Fourteen pulmonary nurses were interviewed. The results show that pulmonary nurses emphasize quitting smoking during the consult. Attention is also paid to inhalation medication and techniques. Other self-management strategies that pulmonary nurses use are: relating with patients using a dialogue rather than a monologue, referring to other health care professionals and providing tools for coping with the illness in every day life.
DISCUSSION AND CONCLUSION. The main emphasis during the consultation is directed at quitting smoking. Other self-management strategies oriented toward other illness-related aspects of COPD, such as improving selfefficacy, paying attention to daily exercises and a healthy nutrition, receive less attention. During the consultation hour, pulmonary nurses should also focus on these self-management strategies in addition to quitting smoking. Further research should be directed at self-management strategies used by pulmonary nurses in relation to different characteristics of patients. In this way, a more patient-oriented form of consultation could be developed for COPD patients.

Uitgave:

01 december 2010, Jaargang 25 Nummer 4 | Nabestellen tijdschrift »

Trefwoorden:

self-management | pulmonary nurse | nurse consultation | qualitative research | COPD

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