Patients' Use of Self-Monitored Readings for Managing Everyday Life with COPD: A Qualitative Study
| Autor: | Birthe Dinesen, Lotte Huniche, Egon Toft, Ove Grann, Carl Nielsen |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Telemedicine Denmark MEDLINE Monitoring Ambulatory Aged Aged 80 and over Denmark Female Health Services Accessibility Humans Male Middle Aged Monitoring Ambulatory/*methods/psychology Pulmonary Disease Chronic Obstructive/*physiopathology/psychology Qualitative Research Self Care/*methods/psychology Sex Distribution Telemedicine Health Informatics Telehealth Health Services Accessibility Pulmonary Disease Chronic Obstructive Health Information Management Nursing medicine Humans Sex Distribution Everyday life Qualitative Research Aged Aged 80 and over COPD Health management system Critical psychology business.industry General Medicine Middle Aged medicine.disease Self Care Female business Qualitative research |
| Zdroj: | Huniche, L, Dinesen, B, Nielsen, C, Grann, O & Toft, E 2013, ' Patients´ Use of Self-Monitored Readings for Managing Everyday Life with COPD : A Qualitative Study ', Telemedicine and e-Health, vol. 19, no. 5, pp. 396-402 . https://doi.org/10.1089/tmj.2012.0135 Huniche, L, Dinesen, B, Nielsen, C, Grann, O & Toft, E 2013, ' Patients' use of self-monitored readings for managing everyday life with COPD : a qualitative study ', Telemedicine and e-Health, vol. 19, no. 5, pp. 396-402 . https://doi.org/10.1089/tmj.2012.0135 |
| ISSN: | 1556-3669 1530-5627 |
| Popis: | OBJECTIVE: Effects of self-monitoring depend on how patients engage with readings and how this engagement is used for managing chronic disease. This article reports on a study of how chronic obstructive pulmonary disease (COPD) patients made use of readings during 16 weeks of self-monitoring. PATIENTS AND METHODS: Semistructured interviews were conducted with 22 COPD patients three times each: at the beginning, halfway through, and after the monitoring device was collected. Spouses of nine interviewees were present during one or more interviews. The analysis of how patients used self-monitored readings was based on critical psychology. RESULTS: Patients used readings to monitor bodily condition, to judge whether and when to contact health professionals, to communicate with health professionals about health management, to revise planned activities, to engage close relatives, and to motivate exercise and other health behavior. Self-monitoring can produce a sense of security as readings provide grounds for explaining symptoms and widen the scope of possibilities for taking action. Patients experienced readings as encouraging, reassuring, depressing, worrisome, and at times disturbing. A few patients involved themselves with readings in ways that are emotionally challenging and contrary to medical advice. Reasons for not making use of self-monitoring include good health or not regarding monitoring as relevant at the time. CONCLUSIONS: Results can qualify the support health professionals offer in relation to patients' self-monitoring and self-management. |
| Databáze: | OpenAIRE |
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