Why Do Patients with COPD Decline Rehabilitation

Helle Mathar, Pernille Fastholm, Ida Rode Hansen, Niels Sandholm

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract


Aim
This paper aimed to suggest possible answers to the question: Why do patients with COPD decline pulmonary rehabilitation (PR)?
Method
The study is a metasynthesis inspired by Noblit of the existing qualitative research on the area. The data were collected during 2014. Six studies were found through a systematic literature search in relevant databases. In these six studies, 65 persons were identified as decliners of PR. Four themes were identified from these studies.
Results
The themes identified were as follows: the referral process, transport problems, perception of health and other obligations or priorities. The problems with the referral of patients relate to different areas: the referring health professional's conviction and commitment, and the patients' understanding of the referral. It seems that various transport problems cause decline, for example long distance to the PR centre or the expenses of getting back and forth. Perceptions of health cause decline. Decliners feel too sick to join PR or do not identify themselves as a sick person, and do not want undertake the ‘patient role’. Other obligations or priorities such as work, family obligations and vacations are prioritised on behalf of PR causing decline.
Conclusion
The studies included show patients' rational accounts and reflections on declining PR. The included studies tend to describe accounts for deselection of PR in relation to the preferences and beliefs of the patients rather than including the social and economic variables framing the behaviour and choices of the patients.
OriginalsprogEngelsk
TidsskriftScandinavian Journal of Caring Sciences
Vol/bind30
Udgave nummer3
Sider (fra-til)432-41
ISSN0283-9318
DOI
StatusUdgivet - sep. 2016

Emneord

  • KOL
  • chronic obstructive pulmonary disease;

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