Evidence map›Paper›PMID 28875771›Full record

ArticleInternational journal of qualitative studies on health and well-being2017

The experience of being a participant in one's own care at discharge and at home, following a severe acute exacerbation in chronic obstructive pulmonary disease: a longitudinal study.

Ingrid Charlotte Andersen, Thora Grothe Thomsen, Poul Bruun, Uffe Bødtger, Lise Hounsgaard

Abstract read
In one paragraph

Article in International journal of qualitative studies on health and well-being, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ingrid Charlotte Andersena Odense Patient data Explorative Network, Odense University Hospital/Department of Clinical Research , University of Southern Denmark , Odense , Denmark.ORCID http://orcid.org/0000-0003-2558-0673
Thora Grothe Thomsenc Zealand University Hospital, Roskilde and Koege, Denmark and Institute of Regional Health Research , University of Southern Denmark , Odense Denmark.ORCID http://orcid.org/0000-0003-1767-3204
Poul Bruund Health Sciences Research Center , University College Lillebaelt , Denmark.ORCID http://orcid.org/0000-0002-8206-9954
Uffe Bødtgere Department of Respiratory Medicine , Næstved Hospital, Næstved, Denmark and Institute of Regional Health Research, University of Southern Denmark , Odense , Denmark.ORCID http://orcid.org/0000-0002-1231-9209
Lise Hounsgaarda Odense Patient data Explorative Network, Odense University Hospital/Department of Clinical Research , University of Southern Denmark , Odense , Denmark.ORCID http://orcid.org/0000-0002-2591-2087

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn healthcare related to hospital discharge and follow-up, it is acknowledged that patient participation can strengthen self-management in patients with chronic obstructive pulmonary disease. However, the meaning of participation in care following a severe acute exacerbation is less described. Therefore, the aim of this part of a larger study was to explore patients' experiences of participating in their care around discharge and in their subsequent day-to-day care at home.

methodThe study was designed as a qualitative, longitudinal study. Data were collected by repeated participant observations and in-depth interviews with 15 patients within a period of 18 months post-discharge. A phenomenological-hermeneutic approach was used to interpret the data.

resultsBefore discharge, the patients struggled to regain a sense of control in their efforts to build up strength, and acquire sufficient clarity and confidence to face self-management at home. At home, the patients strived to comply with advice and encouragement in a struggle to stay motivated and confident, and to ask for help.

conclusionsWith more knowledge about patients' participation in care, healthcare professionals can encounter patients in ways that are sensitive to their specific care and support needs and, thereby, contribute to the promotion of patients' health and well-being.

Indexed as

Attitude to HealthPatient DischargeSelf CareSelf-ManagementAgedFemaleHermeneuticsHumansLongitudinal StudiesMaleMiddle AgedPulmonary Disease, Chronic ObstructiveQualitative ResearchSurveys and QuestionnairesChronic obstructive pulmonary diseasefollow-uphospital dischargepatient participationpatients’ lived experiencesphenomenological-hermeneutic researchself-management

Identifiers

PMID28875771
PMCPMC5613917

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.