Facilitators and barriers to the self-management of COPD: a qualitative study from rural Nepal.

BMJ Open
Uday Narayan YadavMark Fort Harris

Abstract

To understand the facilitators and barriers to the self-management of chronic obstructive pulmonary disease (COPD) in rural Nepal. Community and primary care centres in rural Nepal. A total of 14 participants (10 people with COPD and 4 health care providers) were interviewed. People with COPD and healthcare provider's experience of COPD self-management in rural Nepal. Facilitators and barriers affecting COPD self-management in Nepal operated at the patient-family, community and service provider levels. People with COPD were found to have a limited understanding of COPD and medications. Some participants reported receiving inadequate family support and described poor emotional health. At the community level, widespread use of complementary and alternative treatment was found to be driven by social networks and was used instead of western medicine. There were limited quality controls in place to monitor the safe use of alternative treatment. While a number of service level factors were identified by all participants, the pertinent concerns were the levels of trust and respect between doctors and their patients. Service level factors included patients' demands for doctor time and attention, limited confidence of people with COPD i...Continue Reading

References

Oct 26, 2002·BMJ : British Medical Journal·Edward H Wagner, Trish Groves
May 17, 2005·Patient Education and Counseling·Anthony F JerantMonique Moore
Jul 16, 2005·European Journal of Oncology Nursing : the Official Journal of European Oncology Nursing Society·Alison RichardsonAnn Richardson
Nov 29, 2007·Medical Education·Malcolm Moore
Oct 13, 2009·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Matthew J BairTeresa M Damush
Jan 20, 2012·International Journal of Chronic Obstructive Pulmonary Disease·Kylie N JohnstonPeter A Frith
Feb 7, 2012·Chronic Respiratory Disease·Tanja W EffingJob van der Palen
Apr 28, 2012·Diabetes Care·Lindsay S Mayberry, Chandra Y Osborn
Nov 10, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Kathryn WortzDavid Coultas
Jan 29, 2013·International Journal of Clinical Pharmacy·Anna MygindLotte Stig Nørgaard
Jul 3, 2013·ClinicoEconomics and Outcomes Research : CEOR·Anthony J GuarascioTimothy H Self
Feb 7, 2014·The New England Journal of Medicine·Anne Mills
Mar 19, 2014·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Melanie WassermanJoseph R Betancourt
Sep 13, 2014·International Journal of Chronic Obstructive Pulmonary Disease·Ad A KapteinMargreet Scharloo
Jan 13, 2016·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·H E BrownE M F van Sluijs
Oct 4, 2016·Patient Preference and Adherence·Sujata SapkotaParisa Aslani
Dec 22, 2016·Ethnicity & Health·Hadi A AlmansourBandana Saini
Feb 16, 2018·Health Policy and Planning·Nicole IdeBiraj Karmacharya
Jul 18, 2018·International Journal of Chronic Obstructive Pulmonary Disease·Anne-Grethe HaldingEllen Karine Grov

❮ Previous
Next ❯

Methods Mentioned

BETA
X-ray

Software Mentioned

NVivo

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.