The experiences of daily activities within two weeks after hospital discharge among elderly patients with chronic obstructive pulmonary disease

• Main Authors: ho chiung hua, 何瓊華
• Other Authors: jeng chii
• Format: Others
• Language: zh-TW
• Published: 2001
• Online Access: http://ndltd.ncl.edu.tw/handle/88021356048347830652

碩士 === 台北醫學院 === 護理學研究所 === 89 === Abstract Title of thesis: The Experiences of Daily Activities Among Elderly patients With Chronic Obstructive Pulmonary Disease-Within Two Weeks After Hospital Discharge Author:Chiung-Hua Ho Thesis directed by:Chii Jeng, DNS, Associate Professor, Graduate Institute of Nursing, Taipei Medical University The purpose of this study is to explore the experiences of daily activities among elderly patients with chronic obstructive pulmonary disease within two weeks after hospital discharge. Data were collected by using in depth interviews based on the principles of theoretical sampling, according to New York Heart Association Activity Restriction degree 3 to 4 ,7 males and 2 females aged 65-80 were interviewed from March to June 2001, and each interview lasted at least 1 hour. Interviewed were tape recorded, and then transcribed verbatim within 48 hours. The constant comparison method and content analysis were applied to data analysis and generated seven themes. They were (1) Expectation beyond strength (2) Fear of being reattacked (3) Slowing and simplifying (4) Not overestimating (5) Self protection (6) Elaborating to maintain independent living and (7) Pursuing the continuity of life. According to the data analysis results, the elderly patients with chronic obstructive pulmonary disease within two weeks after hospital discharge will go through a process of " Expectation beyond strength "and "Fear of being reattacked ", they must overcome all kinds of affected factors, including uncontrollable environments, fear of increasing inconvenience to their families, poor physical condition, aging,… etc.; they will be aware of their actual physical conditions, identify their physical differences, and react by underlying “slowing and simplifying”, not overestimating” their physical strength to select their daily activities from which they can gain benefits, paying more attention to their “self protection”, “elaborating to maintain independent living” in order to keep everything under control, but also “pursuing the continuity of life” in the future. The findings of this research can help nurses in Taiwan understand the experiences and recognize the needs of daily activities sensitively and precisely among elderly patients with chronic obstructive pulmonary disease within two weeks after hospital discharge. Nurses who take these results as reference should be able to assist other elderly patients and share the same experiences with the patients and their families to achieve mutual understanding and provide suitable nursing interventions during the discharge transition and to facilitate a higher quality life in elderly patients .