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Patients' perspectives on the impact of a new COPD diagnosis in the face of multimorbidity: a qualitative study.

Ansari S, Hosseinzadeh H, Dennis S, Zwar N - NPJ Prim Care Respir Med (2014)

Bottom Line: Data was collected via semi-structured interviews from nine male and eight female participants.Thematic analysis was performed and the data interpreted from a constructivist perspective.It highlights the need for tailored education and personalised management incorporating patients' perspectives in primary care.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.

ABSTRACT

Background: Chronic obstructive pulmonary disease (COPD), a major cause of morbidity and mortality worldwide, often occurs in the presence of comorbidities, which may influence experience and management of the disease. No prior research seems to have gained perspectives of newly diagnosed primary care COPD patients in the context of multimorbidity.

Aims: This qualitative study aimed to explore the impact of a new diagnosis of COPD in the context of multimorbidity and also sought to gain a better understanding of how patients react to the diagnosis and incorporate it into their lives.

Methods: Participants were identified from a cohort of primary care patients with multimorbidity recently diagnosed with COPD. Data was collected via semi-structured interviews from nine male and eight female participants. Thematic analysis was performed and the data interpreted from a constructivist perspective.

Results: Five core themes regarding COPD were induced: (i) reaction to diagnosis, (ii) impact on function and health behaviour, (iii) factors influencing self-management capacity, (iv) healthcare utilisation and (v) interplay of comorbidities. Most participants had difficulty recognising the importance of COPD and its long-term implications. For many, the salience of another chronic condition outweighed COPD. Self-management capacity and utilisation of healthcare services were challenged by low prioritisation of COPD among other comorbidities.

Conclusions: This study provides an insight into how primary care patients feel about being diagnosed with COPD, as well as their prioritisation of the disease in the context of multimorbidity. It highlights the need for tailored education and personalised management incorporating patients' perspectives in primary care.

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Related in: MedlinePlus

Various comorbidities experienced by the participants. X axis: types of comorbidities, Y axis: number of participants.
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fig2: Various comorbidities experienced by the participants. X axis: types of comorbidities, Y axis: number of participants.

Mentions: Comorbidity count of the participants ranged from 1 to 7, with most taking medication for all their health conditions. Of a total 32 comorbidities, as shown in Figure 2, hypercholesterolaemia was the most prevalent (31%), followed by hypertension and arthritis (25%), depression (12%) and diabetes (9%).


Patients' perspectives on the impact of a new COPD diagnosis in the face of multimorbidity: a qualitative study.

Ansari S, Hosseinzadeh H, Dennis S, Zwar N - NPJ Prim Care Respir Med (2014)

Various comorbidities experienced by the participants. X axis: types of comorbidities, Y axis: number of participants.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4373407&req=5

fig2: Various comorbidities experienced by the participants. X axis: types of comorbidities, Y axis: number of participants.
Mentions: Comorbidity count of the participants ranged from 1 to 7, with most taking medication for all their health conditions. Of a total 32 comorbidities, as shown in Figure 2, hypercholesterolaemia was the most prevalent (31%), followed by hypertension and arthritis (25%), depression (12%) and diabetes (9%).

Bottom Line: Data was collected via semi-structured interviews from nine male and eight female participants.Thematic analysis was performed and the data interpreted from a constructivist perspective.It highlights the need for tailored education and personalised management incorporating patients' perspectives in primary care.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health and Community Medicine, UNSW Medicine, UNSW Australia, Sydney, NSW, Australia.

ABSTRACT

Background: Chronic obstructive pulmonary disease (COPD), a major cause of morbidity and mortality worldwide, often occurs in the presence of comorbidities, which may influence experience and management of the disease. No prior research seems to have gained perspectives of newly diagnosed primary care COPD patients in the context of multimorbidity.

Aims: This qualitative study aimed to explore the impact of a new diagnosis of COPD in the context of multimorbidity and also sought to gain a better understanding of how patients react to the diagnosis and incorporate it into their lives.

Methods: Participants were identified from a cohort of primary care patients with multimorbidity recently diagnosed with COPD. Data was collected via semi-structured interviews from nine male and eight female participants. Thematic analysis was performed and the data interpreted from a constructivist perspective.

Results: Five core themes regarding COPD were induced: (i) reaction to diagnosis, (ii) impact on function and health behaviour, (iii) factors influencing self-management capacity, (iv) healthcare utilisation and (v) interplay of comorbidities. Most participants had difficulty recognising the importance of COPD and its long-term implications. For many, the salience of another chronic condition outweighed COPD. Self-management capacity and utilisation of healthcare services were challenged by low prioritisation of COPD among other comorbidities.

Conclusions: This study provides an insight into how primary care patients feel about being diagnosed with COPD, as well as their prioritisation of the disease in the context of multimorbidity. It highlights the need for tailored education and personalised management incorporating patients' perspectives in primary care.

Show MeSH
Related in: MedlinePlus