Health Deviation Self-care among Patients with Chronic Obstructive Pulmonary Disease Experienced Acute Exacerbations

Abstract

The objective of this qualitative research was to study health deviation Self-care among patients with chronic obstructive pulmonary disease who experienced acute exacerbation. Tools that were used to collect data were in-depth interviews, non-participatory observation, and field notes. All the data were analyzed using Colaizzi’s method.

The results of this study can be explained in detail of six features: 1) avoiding factors that stimulate symptoms of dyspnea and are sub-divided into three categories including: stop smoking and avoid cigarette smoke, avoid dust, and avoid crowded places. 2) follow the health team instructions and are sub-divided into four categories including: breathing exercises, exercise, use of medication as directed, and attending an appointment. 3) prepare for emergencies and are sub-divided into two categories including: carry an inhaler, and prepare the inhaler. 4) There are ways to self-care for dyspnea and are sub-divided into three categories including: stop doing activities to reduce tiredness, use the inhaler when you have an exacerbation, and go to the hospital when you have breathlessness. 5) asking for help when you have more dyspnea and are sub-divided into three categories including: asking for help from close people, asking a friend for help, seeking help from government officials. 6) notice learn and prevent repetitive panting and are sub-divided into three categories including: seek help from government officials, and protect yourself from stimuli. And the contributing factors affecting self-care were hope for good health, living for loved ones as a driving force to continue living. And another factor is family, close people who help care for and provide support in self-care. The factors that hinder self-care include occupation and the surrounding environment.

The results of this study can be applied to the knowledge gained about self-care when deviating in the health of COPD patients who have experienced acute exacerbations and the results of the study were used as information for the development of the model caring for patients with chronic obstructive pulmonary disease who have experienced acute exacerbations.