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Thoughts on the end of life in patients with oxygen-dependent chronic obstructive pulmonary disease : A qualitative interview study

Skär, Lisa ; Borg, Christel ; Emtner, Margareta and Ekström, Magnus LU orcid (2023) In Nursing Open 10(4). p.2158-2164
Abstract

Aim: The aim of the study was to deepen the current knowledge of how patients with chronic obstructive pulmonary disease and long-term oxygen treatment think about and expect end-of-life. Design: A qualitative design was used. Methods: A purposeful sample of 19 patients with oxygen-dependent chronic obstructive pulmonary disease was obtained from the Swedish National Registry on Respiratory Failure (Swedevox). Data was collected with semi-structured interviews and analysed using a hermeneutic approach. Results: The analysis revealed three themes: Living in the present without a future; difficulty talking about the uncertainty; and feeling anxious about leaving family behind. Participants indicated that healthcare professionals should... (More)

Aim: The aim of the study was to deepen the current knowledge of how patients with chronic obstructive pulmonary disease and long-term oxygen treatment think about and expect end-of-life. Design: A qualitative design was used. Methods: A purposeful sample of 19 patients with oxygen-dependent chronic obstructive pulmonary disease was obtained from the Swedish National Registry on Respiratory Failure (Swedevox). Data was collected with semi-structured interviews and analysed using a hermeneutic approach. Results: The analysis revealed three themes: Living in the present without a future; difficulty talking about the uncertainty; and feeling anxious about leaving family behind. Participants indicated that healthcare professionals should invite them to mutual discussions as it was easier to reject an invitation if they could not talk right then, than to initiate a discussion themselves. Start of home oxygen or a deteriorating health status may be an important time to clinically address existential and end-of-life issues.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nursing Open
volume
10
issue
4
pages
2158 - 2164
publisher
Wiley-Blackwell
external identifiers
  • pmid:36334046
  • scopus:85141516298
ISSN
2054-1058
DOI
10.1002/nop2.1463
language
English
LU publication?
yes
id
390d5431-3766-47a7-95a0-3e773f33c7e9
date added to LUP
2022-12-20 16:16:45
date last changed
2024-06-28 01:17:06
@article{390d5431-3766-47a7-95a0-3e773f33c7e9,
  abstract     = {{<p>Aim: The aim of the study was to deepen the current knowledge of how patients with chronic obstructive pulmonary disease and long-term oxygen treatment think about and expect end-of-life. Design: A qualitative design was used. Methods: A purposeful sample of 19 patients with oxygen-dependent chronic obstructive pulmonary disease was obtained from the Swedish National Registry on Respiratory Failure (Swedevox). Data was collected with semi-structured interviews and analysed using a hermeneutic approach. Results: The analysis revealed three themes: Living in the present without a future; difficulty talking about the uncertainty; and feeling anxious about leaving family behind. Participants indicated that healthcare professionals should invite them to mutual discussions as it was easier to reject an invitation if they could not talk right then, than to initiate a discussion themselves. Start of home oxygen or a deteriorating health status may be an important time to clinically address existential and end-of-life issues.</p>}},
  author       = {{Skär, Lisa and Borg, Christel and Emtner, Margareta and Ekström, Magnus}},
  issn         = {{2054-1058}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{2158--2164}},
  publisher    = {{Wiley-Blackwell}},
  series       = {{Nursing Open}},
  title        = {{Thoughts on the end of life in patients with oxygen-dependent chronic obstructive pulmonary disease : A qualitative interview study}},
  url          = {{http://dx.doi.org/10.1002/nop2.1463}},
  doi          = {{10.1002/nop2.1463}},
  volume       = {{10}},
  year         = {{2023}},
}