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Hope: a construct central to living with chronic obstructive pulmonary disease
Author(s) -
Milne Linda,
Moyle Wendy,
Cooke Marie
Publication year - 2009
Publication title -
international journal of older people nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.707
H-Index - 29
eISSN - 1748-3743
pISSN - 1748-3735
DOI - 10.1111/j.1748-3743.2009.00185.x
Subject(s) - copd , pulmonary disease , medicine , thematic analysis , construct (python library) , activities of daily living , psychology , qualitative research , gerontology , physical therapy , psychiatry , sociology , social science , computer science , programming language
Background. Hope plays an integral role in health and illness and may assist individuals to cope in difficult and adverse circumstances, for instance when living with an illness such as chronic obstructive pulmonary disease (COPD), which can demand continuous adaptation. Aim. This paper reports the meaning of hope in people living with COPD as described by seven participants involved in a home‐based pulmonary maintenance program. Methods. Using an interpretive phenomenological approach a purposive sample of seven participants were interviewed to understand participants’ experiences of the phenomena of hope. An interpretative description is provided. Results. Thematic analysis revealed a number of themes, including that hope persists despite chronic illness and the unpredictable dilemmas of living with COPD. Many benefits were found to be gained from involvement in a home‐based pulmonary maintenance program, including increasing exercise capacity, hope and wellbeing. Conclusion. Despite the limitations imposed by living with COPD participants revealed a determination to live as normal a life as possible. The pulmonary maintenance program was pivotal in assisting participants to improve exercise capacity, hope and wellbeing. Nurses may have a role to play in helping people with COPD maintain or regain hope.