关键词: COPD breathlessness qualitative

Mesh : Humans Male Dyspnea / physiopathology therapy psychology Female Middle Aged Aged Focus Groups Patient Satisfaction Pulmonary Disease, Chronic Obstructive / physiopathology therapy diagnosis psychology Treatment Outcome Breathing Exercises / instrumentation Equipment Design Qualitative Research Lung / physiopathology Recovery of Function Respiratory Muscles / physiopathology Emotions Muscle Strength

来  源:   DOI:10.2147/COPD.S443186   PDF(Pubmed)

Abstract:
UNASSIGNED: The High Frequency Airway Oscillating device (HFAO) was developed to help patients with COPD feel less breathless through flow resistive respiratory muscle training and fixed rate oscillations. Previous work has demonstrated that this device can improve inspiratory muscle strength over and above a sham device. Both groups improved their breathlessness and preserved clinical benefits though there were no statistically significant differences seen over and above the sham device. It is important to understand patient perceptions of using a device and how this may influence their treatment and therefore a qualitative analysis was conducted to understand participant experiences of a HFAO device.
UNASSIGNED: This was an exploratory qualitative analysis involving participants recruited to the Training to Improve Dyspnoea (TIDe) study. Participants completed a satisfaction survey and were invited to take part in a focus group. Focus groups were conducted by a researcher independent to the randomised controlled trial. Data was analysed independently by two researchers using inductive thematic analysis, and themes/sub-themes were agreed jointly. Data is presented in themes and sub themes and triangulated with survey response data.
UNASSIGNED: Fourteen participants were recruited to two focus groups (71% male, mean [SD] age 64[9] years). The key themes were patient selection, device use, and investment. Patient selection explores the disease characteristics, emotional impact and management of care. Device use explores the device prescription and usage, routine and lifestyle and effectiveness. Investment covers accessibility, understanding, benefits vs participation and overall perceptions of the device.
UNASSIGNED: This research demonstrates the complexity of device interventions and that key considerations should be given to patient selection, the device use itself and, the time and cost investment required for participants to successfully implement the device into daily life.
摘要:
开发了高频气道振荡装置(HFAO),旨在通过流动阻力性呼吸肌训练和固定速率振荡来帮助COPD患者减少呼吸困难。先前的工作已经证明,该装置可以在假装置之上提高吸气肌肉强度。尽管在假装置上方和上方没有观察到统计学上的显着差异,但两组均改善了呼吸困难并保留了临床益处。重要的是了解患者对使用设备的看法以及这可能如何影响他们的治疗,因此进行了定性分析以了解HFAO设备的参与者体验。
这是一项探索性定性分析,涉及招募到改善呼吸困难训练(TIDe)研究的参与者。参与者完成了满意度调查,并被邀请参加焦点小组。焦点小组由独立于随机对照试验的研究人员进行。数据由两名研究人员使用归纳主题分析独立分析,和主题/次主题是共同商定的。数据按主题和子主题显示,并与调查响应数据进行三角测量。
14名参与者被招募到两个焦点小组(71%为男性,平均[SD]年龄64[9]岁)。关键主题是患者选择,设备使用,和投资。患者选择探索疾病特征,情绪影响和护理管理。设备使用探索设备处方和使用情况,常规和生活方式和有效性。投资涵盖无障碍环境,理解,利益与参与和设备的整体感知。
这项研究证明了设备干预的复杂性,并且应考虑患者的选择,设备使用本身,参与者成功将设备应用于日常生活所需的时间和成本投入。
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