Explanatory Model Based on Perceptive of Patient with Chronic Obstructive Pulmonary Disease
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Abstract
Introduction: The model explaining the illness was a model created by the view of the patient's illness occurred. Which involved by faiths, cultures, and experiences. This study aimed to describe and determine the difference between models explaining the illness of patients with COPD. Methods: This study was a qualitative study. Data from 18 informants were collected by in-depth interviews that including 10 controlled and 8 uncontrolled were recruited from COPD clinic at Kabinburi hospital during April to September 2015. Results: Both groups of informants created models to explain the illness similarly by faiths and experiences of their illness. For example, naming were mostly followed by medical personnels. The first call of the disease was emphysema. However, details of perception of illness were different between controlled and uncontrolled patients. Furthermore, they understand the causes of the illness that mainly derived from their past behaviors. The main symptoms of the disease include coughing, suffocation, wheezing, and dyspnea. So, they recognized the severity of the disease varies according to their experiences. In a group of patients who can control the symptoms. They believed that the disease was not serious. Unlike other patient groups who realized the importance of taking medicines and behavior modification to control the risk factors. Also seeking alternative treatments such as herbs. Both groups of informants have a different assessment of the disease from medical personnels. They evaluated by a focus on feelings such as relief breath and ability to do activities in daily life. Conclusion: Both groups of informants created models to explain the illness similarly. In some difference explanations were caused by the influence of faiths and experiences. Therefore, healthcare providers have an important role in understanding the model. To bring development to the treatment of patients. The results were further improved.
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