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

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 c...

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Main Authors: Lisa Skär, Christel Borg, Margareta Emtner, Magnus Ekström
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:Nursing Open
Online Access:https://doi.org/10.1002/nop2.1463
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author Lisa Skär
Christel Borg
Margareta Emtner
Magnus Ekström
author_facet Lisa Skär
Christel Borg
Margareta Emtner
Magnus Ekström
author_sort Lisa Skär
collection DOAJ
description 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 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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spelling doaj.art-5a090706f5d4401fb8d58b995ded22cc2023-03-11T07:18:37ZengWileyNursing Open2054-10582023-04-011042158216410.1002/nop2.1463Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview studyLisa Skär0Christel Borg1Margareta Emtner2Magnus Ekström3Department of Health Blekinge Institute of Technology Karlskrona SwedenDepartment of Health Blekinge Institute of Technology Karlskrona SwedenDepartment of Medical Sciences, Respiratory‐, allergy‐ and sleep research Uppsala University Uppsala SwedenFaculty of Medicine, Department of Clinical Sciences Lund, Respiratory Medicine and Allergology Lund University Lund SwedenAbstract 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.https://doi.org/10.1002/nop2.1463
spellingShingle Lisa Skär
Christel Borg
Margareta Emtner
Magnus Ekström
Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview study
Nursing Open
title Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview study
title_full Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview study
title_fullStr Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview study
title_full_unstemmed Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview study
title_short Thoughts on the end of life in patients with oxygen‐dependent chronic obstructive pulmonary disease: A qualitative interview study
title_sort thoughts on the end of life in patients with oxygen dependent chronic obstructive pulmonary disease a qualitative interview study
url https://doi.org/10.1002/nop2.1463
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