Endre søk
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Experiences of a health coaching self-management program in patients with COPD: a qualitative content analysis.
Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT. Department of Nursing, School of Nursing, Tianjin Medical University, Tianjin, People's Republic of China.
Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, HHJ. ADULT.ORCID-id: 0000-0002-7406-8732
Department of Nursing, School of Nursing, Tianjin Medical University, Tianjin, People's Republic of China.
Högskolan i Jönköping, Hälsohögskolan, HHJ, Avd. för omvårdnad. Högskolan i Jönköping, Hälsohögskolan, The Jönköping Academy for Improvement of Health and Welfare. Högskolan i Jönköping, Hälsohögskolan, HHJ. IMPROVE (Improvement, innovation, and leadership in health and welfare).
2018 (engelsk)Inngår i: The International Journal of Chronic Obstructive Pulmonary Disease, ISSN 1176-9106, E-ISSN 1178-2005, Vol. 13, s. 1527-1536Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Purpose: To describe the experiences of patients with COPD participating in a health coaching self-management program.

Patients and methods: Twenty patients who had participated in a 6-month health coaching self-management program intervention were purposefully selected for a qualitative evaluation of the program using semi-structured interviews. The interviews were analyzed using inductive qualitative content analysis.

Results: Four categories and 13 subcategories emerged describing the participants' experiences of the program. Their experiences were expressed as gaining insight into the importance of knowledge and personal responsibilities in the management of COPD, taking action to maintain a healthy lifestyle, feeling supported by the program, and being hindered by individual and program limitations.

Conclusion: Iterative interactions between patients and health care professionals together with the content of the program are described as important to develop skills to manage COPD. However, in future self-management programs more awareness of individual prerequisites should be considered.

sted, utgiver, år, opplag, sider
Dove Medical Press , 2018. Vol. 13, s. 1527-1536
Emneord [en]
chronic obstructive pulmonary disease, health coaching, qualitative content analysis, self-management
HSV kategori
Identifikatorer
URN: urn:nbn:se:hj:diva-41081DOI: 10.2147/COPD.S161410ISI: 000432048200001PubMedID: 29785102Scopus ID: 2-s2.0-85047080588Lokal ID: HHJADULTIS, HHJIMPROVEISOAI: oai:DiVA.org:hj-41081DiVA, id: diva2:1236094
Tilgjengelig fra: 2018-07-31 Laget: 2018-07-31 Sist oppdatert: 2019-03-07bibliografisk kontrollert
Inngår i avhandling
1. A health coaching self-management programme for patients with Chronic Obstructive Pulmonary Disease: An explorative and interventional study
Åpne denne publikasjonen i ny fane eller vindu >>A health coaching self-management programme for patients with Chronic Obstructive Pulmonary Disease: An explorative and interventional study
2018 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

Background: Chronic Obstructive Pulmonary Disease (COPD) is a primary cause of chronic morbidity and mortality and contributes to an increased economic and social burden on patients and families. Self-management education as one non-pharmacological treatment approach is highlighted in guidelines. Although self-management programmes have shown positive effects for COPD, lack of disease-specific self-management skills, high dropout rates, and poor attendance of participants are problems which should be taken under consideration. One way to cope with the problems is to use amore motivational approach which focuses on patients’ health decisions in cooperation with healthcare practitioners, combined with systematic and structured health coaching. However, there is a lack of such studies, which are needed to explore the effects of self-management on patients with COPD by health coaching, not least in China.

Aims: The overall aim of this thesis was to explore sociodemographic and clinical factors influencing self-management and to test and evaluate a health coaching self-management programme for patients with COPD in China.

Methods: The study’s design was explorative, prospective, and longitudinal, with both quantitative and qualitative approaches. Specifically, a quantitative method with a cross-sectional approach was used to explore the self-management status of patients with COPD and examine the associations with socio-demographic and clinical variables (I). Furthermore, a prospective randomized controlled trial was conducted to study the longitudinal effects of the health coaching self-management programme using a repeated-measures analysis of variance model of patients with COPD (II & III). A qualitative study implementing inductive content analysis was used to describe and explore participants’ experiences of the health coaching self-management programme of patients with COPD (IV).

Results: High physical activity, high salary, and low age affected the self-management of patients with COPD most positively (I). The health coaching programme improved lung function, physical activity, quality of life, and self-management skills, as well as psychological status in both the short and long term (II & III). Participants expressed their experiences of the health coaching self-management programme as making them more aware of the importance of knowledge of the disease and their own responsibilities, taking action to maintain a healthy lifestyle, feeling supported by the programme, and being hindered by individual and programme limitations (IV).

Conclusions: This thesis contributes to knowledge about the self-management skills of patients with COPD, which is low in China. A health coaching self-management programme with iterative interactions between patients and healthcare professionals represented a valuable and effective intervention designed to improve health-related outcomes. Moreover, low literacy, poor physical condition, and family and economic burdens should be taken into account in the development of future self-management programmes in China.

sted, utgiver, år, opplag, sider
Jönköping: Jönköping University, School of Health and Welfare, 2018. s. 80
Serie
Dissertation Series. School of Health and Welfare, ISSN 1654-3602 ; 092
Emneord
Chronic Obstructive Pulmonary Disease, Self-management, Health coaching
HSV kategori
Identifikatorer
urn:nbn:se:hj:diva-41179 (URN)978-91-85835-91-1 (ISBN)
Disputas
2018-09-13, Forum Humanum, School of Health and Welfare, Jönköping, 13:00 (engelsk)
Opponent
Veileder
Tilgjengelig fra: 2018-08-20 Laget: 2018-08-20 Sist oppdatert: 2019-03-07bibliografisk kontrollert

Open Access i DiVA

Fulltekst mangler i DiVA

Andre lenker

Forlagets fulltekstPubMedScopus

Person

Wang, LanMårtensson, JanNygårdh, Annette

Søk i DiVA

Av forfatter/redaktør
Wang, LanMårtensson, JanNygårdh, Annette
Av organisasjonen
I samme tidsskrift
The International Journal of Chronic Obstructive Pulmonary Disease

Søk utenfor DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric

doi
pubmed
urn-nbn
Totalt: 169 treff
RefereraExporteraLink to record
Permanent link

Direct link
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annet format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annet språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf