The process of trying to quit smoking from the perspective of patients with chronic obstructive pulmonary disease.

Scand J Caring Sci; 2012; 26; 485-493 The process of trying to quit smoking from the perspective of patients with chronic obstructive pulmonary disease Aim: To investigate why some patients with chronic obstructive pulmonary disease (COPD) have difficulty quitting smoking and to develop a theoretica...

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Published in:Scandinavian Journal of Caring Sciences Vol. 26; no. 3; pp. 485 - 494
Main Authors: Lundh, Lena, Hylander, Ingrid, Törnkvist, Lena
Format: algorithm research tables/charts Journal Article
Published: Wiley-Blackwell Sep2012
Online Access:View this record in EBSCOhost
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      pub: Wiley-Blackwell
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        atl: The process of trying to quit smoking from the perspective of patients with chronic obstructive pulmonary disease.
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          Lundh, Lena
          Hylander, Ingrid
          Törnkvist, Lena
        affil: Center for Family and Community Medicine, Huddinge, Sweden
      sug:
        subj:
          Smoking Cessation
          Pulmonary Disease, Chronic Obstructive
          Patient Attitudes
          Models, Theoretical
          Grounded Theory
          Human
          Semi-Structured Interview
          Sweden
          Forced Expiratory Volume
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Decision Making, Patient
          Behavioral Changes
          Nicotine Replacement Therapy
          Nicotine Therapeutic Use
          Goal-Setting
          Goal Attainment
          Stress, Psychological
          Stress Management
          Motivation
          Self Concept
          Descriptive Statistics
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Scand J Caring Sci; 2012; 26; 485-493 The process of trying to quit smoking from the perspective of patients with chronic obstructive pulmonary disease Aim: To investigate why some patients with chronic obstructive pulmonary disease (COPD) have difficulty quitting smoking and to develop a theoretical model that describes their perspectives on these difficulties. Methods: Grounded theory method was used from the selection of participants to the analyses of semi-structured interviews with 14 patients with COPD. Four additional interviews were conducted to ensure relevance. Results: The analysis resulted in a theoretical model that illustrates the process of 'Patients with COPD trying to quit smoking'. The model illuminates factors related to the decision to try to quit smoking, including pressure-filled mental states and constructive or destructive pressure-relief strategies. The constructive strategies lead either to success in quitting or to continuing to try to quit. The destructive strategies can lead to losing hope and becoming resigned to continuing to smoke. Conclusion: The theoretical model 'Patients trying to quit smoking' contributes to a better understanding of the pressure-filled mental states and destructive strategies experienced by some patients with COPD in the process of trying to quit. This better understanding can help nurses individualise counselling. Moreover, patients' own awareness of these states and strategies may facilitate their efforts to quit. The information in the model can also be used as a supplement to methods such as motivational interviewing (MI).
      pubtype: Academic Journal
      doctype:
        algorithm
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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