Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial
Recently, health technology systems offering monitoring of the peripheral oxygen saturation level and automated oxygen administration (AOA) have emerged. AOA has been shown to reduce duration of hypoxemia and the length of hospital stay, but the patients’ perspective on AOA has not been investigated...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2022-12-01
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| Series: | COPD |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/15412555.2022.2141620 |
| _version_ | 1827595104157696000 |
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| author | Charlotte Sandau Ingrid Poulsen Vibeke Nørholm Ejvind Frausing Hansen Thomas Jørgen Ringbaek Charlotte Suppli Ulrik Dorthe Gaby Bove |
| author_facet | Charlotte Sandau Ingrid Poulsen Vibeke Nørholm Ejvind Frausing Hansen Thomas Jørgen Ringbaek Charlotte Suppli Ulrik Dorthe Gaby Bove |
| author_sort | Charlotte Sandau |
| collection | DOAJ |
| description | Recently, health technology systems offering monitoring of the peripheral oxygen saturation level and automated oxygen administration (AOA) have emerged. AOA has been shown to reduce duration of hypoxemia and the length of hospital stay, but the patients’ perspective on AOA has not been investigated. This qualitative study, based on the interpretive description methodology, aimed to explore how patients hospitalized with exacerbation of chronic obstructive pulmonary disease (COPD) experience being treated with AOA. Eighteen patients treated with AOA were included in the study. Data was collected during admission or in the patients’ homes using semi-structured interviews focusing on patients’ experiences of AOA using the word “robot” as used by patients. The findings revealed two themes “adaptation of behavior to the robot” and “robots can make patients feel safe but not cared for” and six subthemes. Our findings illustrate how patients were willing to compromise their own therapy and thereby safety by avoiding behavior triggering AOA alarms and disturbing their fellow patients and the health care professionals. Adherence, defined as patients’ consistency in taking their medications as prescribed, becomes an important point of attention for health professionals when applying individualized robotic therapies such as AOA to patients with COPD. To support patients in the process of managing adherence to therapeutic technology, we propose a person-centered care approach that, through education and communication with the patients, generates an understanding of how they can self-manage AOA and its alarms without activating avoiding behavior that threatens their treatment and recovery. |
| first_indexed | 2024-03-09T02:46:58Z |
| format | Article |
| id | doaj.art-11de75a665ef491fadcec04ebf58acda |
| institution | Directory Open Access Journal |
| issn | 1541-2555 1541-2563 |
| language | English |
| last_indexed | 2024-03-09T02:46:58Z |
| publishDate | 2022-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | COPD |
| spelling | doaj.art-11de75a665ef491fadcec04ebf58acda2023-12-05T16:09:50ZengTaylor & Francis GroupCOPD1541-25551541-25632022-12-0119134535210.1080/15412555.2022.21416202141620Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled TrialCharlotte Sandau0Ingrid Poulsen1Vibeke Nørholm2Ejvind Frausing Hansen3Thomas Jørgen Ringbaek4Charlotte Suppli Ulrik5Dorthe Gaby Bove6Department of Respiratory Medicine and Endocrinology, Pulmonary Section, Copenhagen University Hospital - HvidovreDepartment of Clinical Research, Copenhagen University Hospital HvidovreDepartment of Clinical Research, Copenhagen University Hospital HvidovreDepartment of Respiratory Medicine and Endocrinology, Pulmonary Section, Copenhagen University Hospital - HvidovreAllergy and Lung ClinicDepartment of Respiratory Medicine, Copenhagen University Hospital – HvidovreCentre for Nursing, University College AbsalonRecently, health technology systems offering monitoring of the peripheral oxygen saturation level and automated oxygen administration (AOA) have emerged. AOA has been shown to reduce duration of hypoxemia and the length of hospital stay, but the patients’ perspective on AOA has not been investigated. This qualitative study, based on the interpretive description methodology, aimed to explore how patients hospitalized with exacerbation of chronic obstructive pulmonary disease (COPD) experience being treated with AOA. Eighteen patients treated with AOA were included in the study. Data was collected during admission or in the patients’ homes using semi-structured interviews focusing on patients’ experiences of AOA using the word “robot” as used by patients. The findings revealed two themes “adaptation of behavior to the robot” and “robots can make patients feel safe but not cared for” and six subthemes. Our findings illustrate how patients were willing to compromise their own therapy and thereby safety by avoiding behavior triggering AOA alarms and disturbing their fellow patients and the health care professionals. Adherence, defined as patients’ consistency in taking their medications as prescribed, becomes an important point of attention for health professionals when applying individualized robotic therapies such as AOA to patients with COPD. To support patients in the process of managing adherence to therapeutic technology, we propose a person-centered care approach that, through education and communication with the patients, generates an understanding of how they can self-manage AOA and its alarms without activating avoiding behavior that threatens their treatment and recovery.http://dx.doi.org/10.1080/15412555.2022.2141620interpretive descriptionnursingoxygen therapypatients’ perspectivequalitative research |
| spellingShingle | Charlotte Sandau Ingrid Poulsen Vibeke Nørholm Ejvind Frausing Hansen Thomas Jørgen Ringbaek Charlotte Suppli Ulrik Dorthe Gaby Bove Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial COPD interpretive description nursing oxygen therapy patients’ perspective qualitative research |
| title | Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial |
| title_full | Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial |
| title_fullStr | Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial |
| title_full_unstemmed | Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial |
| title_short | Patients’ Perspective on Automated Oxygen Administration during Hospitalization for Acute Exacerbation of Chronic Obstructive Pulmonary Disease: A Qualitative Study Nested in a Randomized Controlled Trial |
| title_sort | patients perspective on automated oxygen administration during hospitalization for acute exacerbation of chronic obstructive pulmonary disease a qualitative study nested in a randomized controlled trial |
| topic | interpretive description nursing oxygen therapy patients’ perspective qualitative research |
| url | http://dx.doi.org/10.1080/15412555.2022.2141620 |
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