“We are not worthy” – understanding why patients decline pulmonary rehabilitation following an acute exacerbation of COPD

S. L. Harrison, N. Robertson, L. Apps, M. C. Steiner, M. D. L. Morgan, Sally J. Singh

    Research output: Contribution to journalArticle

    29 Citations (Scopus)

    Abstract

    Purpose: To explore how patients who refuse referral to Pulmonary Rehabilitation (PR) appraise acute exacerbations of Chronic Obstructive Pulmonary Disease (COPD), in the context of having considered and declined PR. Method: Six participants recently hospitalized with an acute exacerbation COPD who refused a referral to PR subsequent to hospital discharge participated in in-depth interviews. Transcripts were subjected to Interpretative Phenomenological Analysis (IPA). Results: Three conceptual themes emerged comprising: “Construction of the self”, reflecting the impact of the acute exacerbation on personal identity; “Relinquishing control”, describing participants” struggle to maintain agency following an acute event; and “Engagement with others”, embodying participants’ sensitivity and responsiveness to interactions with others. Conclusions: Prominent in theses participants’ narratives are self-conscious cognitions which appear founded in shame and stigmatization. These cognitions seem to reflect challenges to self-worth and appear associated with reduced help-seeking and isolation. Perceived personal culpability for COPD appears to sensitize participants’ towards their interactions with health care professionals, construed as critical and judgmental which may increase avoidant behaviors, such as refusal of PR. When introducing PR, professionals should be aware of such sensitivities and facilitate open discussion which offers, time, compassion and understanding as a means of facilitating uptake.
    Original languageEnglish
    JournalDisability and Rehabilitation
    Volume37
    Issue number9
    DOIs
    Publication statusPublished - 10 Jul 2014

      Fingerprint

    Bibliographical note

    The full text is not available on the repository.

    Keywords

    • Acute exacerbation
    • COPD
    • interpretative phenomenological analysis
    • pulmonary rehabilitation

    Cite this