Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study
Abstract Background The complexity of chronic obstructive pulmonary disease (COPD) and its different physical, mental, familial, occupational, and social complications highlight the necessity of pulmonary rehabilitation (PR) for afflicted patients. However, PR for patients with COPD usually faces so...
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | BMC Health Services Research |
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| Online Access: | https://doi.org/10.1186/s12913-021-06814-5 |
| _version_ | 1818435365405458432 |
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| author | Ramin Sami Kobra Salehi Marzieh Hashemi Vajihe Atashi |
| author_facet | Ramin Sami Kobra Salehi Marzieh Hashemi Vajihe Atashi |
| author_sort | Ramin Sami |
| collection | DOAJ |
| description | Abstract Background The complexity of chronic obstructive pulmonary disease (COPD) and its different physical, mental, familial, occupational, and social complications highlight the necessity of pulmonary rehabilitation (PR) for afflicted patients. However, PR for patients with COPD usually faces some barriers. The aim of this study was to explore the barriers to PR for patients with COPD. Methods This qualitative descriptive study was conducted in January 2019 to October 2020. Participants were 19 patients with COPD, 11 family caregivers of patients with COPD, and 12 healthcare providers, who all were recruited purposively from two teaching hospitals in Isfahan, Iran. Data were collected through semi-structured interviews and were analyzed through conventional content analysis. Results The barriers to PR for patients with COPD fell into three main categories, namely barriers related to patients and their families, inefficiency of PR services, and inappropriate organizational context for PR. Each category had four subcategories, namely patients’ and families’ lack of knowledge, complexity and chronicity of COPD, heavy financial burden of COPD, patients’ frustration and discontinuation of PR, lack of patient-centeredness, lack of coordination in PR team, inadequate professional competence of PR staff, lack of a holistic approach to PR, limited access to PR services, inadequate insurance for PR services, ineffective PR planning, and discontinuity of care. Conclusion PR for patients with COPD is a complex process which faces different personal, familial, social, financial, organizational, and governmental barriers. Strategies for managing these barriers are needed in order to improve the effectiveness and the quality of PR services for patients with COPD. |
| first_indexed | 2024-12-14T16:51:44Z |
| format | Article |
| id | doaj.art-8894caaa77cc469daa9baa7ffa09bfa6 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-12-14T16:51:44Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-8894caaa77cc469daa9baa7ffa09bfa62022-12-21T22:54:03ZengBMCBMC Health Services Research1472-69632021-08-0121111010.1186/s12913-021-06814-5Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative studyRamin Sami0Kobra Salehi1Marzieh Hashemi2Vajihe Atashi3Department of Internal Medicine, School of Medicine, Isfahan University of Medical ScienceDepartment of Midwifery and Reproductive Health, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical ScienceDepartment of Internal Medicine, School of Medicine, Isfahan University of Medical ScienceAdult Health Nursing Department, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical ScienceAbstract Background The complexity of chronic obstructive pulmonary disease (COPD) and its different physical, mental, familial, occupational, and social complications highlight the necessity of pulmonary rehabilitation (PR) for afflicted patients. However, PR for patients with COPD usually faces some barriers. The aim of this study was to explore the barriers to PR for patients with COPD. Methods This qualitative descriptive study was conducted in January 2019 to October 2020. Participants were 19 patients with COPD, 11 family caregivers of patients with COPD, and 12 healthcare providers, who all were recruited purposively from two teaching hospitals in Isfahan, Iran. Data were collected through semi-structured interviews and were analyzed through conventional content analysis. Results The barriers to PR for patients with COPD fell into three main categories, namely barriers related to patients and their families, inefficiency of PR services, and inappropriate organizational context for PR. Each category had four subcategories, namely patients’ and families’ lack of knowledge, complexity and chronicity of COPD, heavy financial burden of COPD, patients’ frustration and discontinuation of PR, lack of patient-centeredness, lack of coordination in PR team, inadequate professional competence of PR staff, lack of a holistic approach to PR, limited access to PR services, inadequate insurance for PR services, ineffective PR planning, and discontinuity of care. Conclusion PR for patients with COPD is a complex process which faces different personal, familial, social, financial, organizational, and governmental barriers. Strategies for managing these barriers are needed in order to improve the effectiveness and the quality of PR services for patients with COPD.https://doi.org/10.1186/s12913-021-06814-5Pulmonary rehabilitationBarriersChronic obstructive pulmonary diseaseQualitative study |
| spellingShingle | Ramin Sami Kobra Salehi Marzieh Hashemi Vajihe Atashi Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study BMC Health Services Research Pulmonary rehabilitation Barriers Chronic obstructive pulmonary disease Qualitative study |
| title | Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study |
| title_full | Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study |
| title_fullStr | Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study |
| title_full_unstemmed | Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study |
| title_short | Exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease: a qualitative study |
| title_sort | exploring the barriers to pulmonary rehabilitation for patients with chronic obstructive pulmonary disease a qualitative study |
| topic | Pulmonary rehabilitation Barriers Chronic obstructive pulmonary disease Qualitative study |
| url | https://doi.org/10.1186/s12913-021-06814-5 |
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