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要旨:本研究の目的は,慢性閉塞性肺疾患(COPD)の急性増悪で入院した患者が呼吸の状態に配慮した作業遂行の習得に関してどのような経験をしているかを明らかにすることである.研究参加者は,COPDの急性増悪で入院した11名である.方法は,再帰的テーマティック分析による質的研究とした.結果,COPD患者は【損なわれていく健康状態と喪失体験】や【病態によって生じる感情・思考】から【呼吸の状態に配慮した作業遂行の価値】を見出し,【自身の試行錯誤に基づいた問題解決行動】を実践していた.また,【医療従事者による学習の支援に関する経験】【学習機会へのアクセスの困難さ】に関しても語られた.
This study aimed to elucidate the experiences of patients with acute exacerbations of chronic obstructive pulmonary disease (COPD) when acquiring occupational performance while considering their respiratory status. The study participants consisted of 11 patients who were hospitalized due to acute exacerbations of COPD. Qualitative research utilizing recursive thematic analysis was carried out. As a result, patients with COPD valued performing tasks while considering their breathing condition. Furthermore, the patients practiced problem-solving behaviors based on both trial-and-error from their deteriorating health condition, and their feelings and thoughts caused by the COPD condition, including experiences of loss. The results also point to experiences related to support for learning by healthcare professionals and the challenges in accessing learning opportunities.
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