Patient Perspectives on Mindfulness-Based Interventions During Hospitalization for Acute Exacerbations of Chronic Obstructive Pulmonary Disease

Autor(en)

Hannah Tschenett, Georg-Christian Funk, Florian Vafai-Tabrizi, Urs Markus Nater

Abstrakt

Purpose: Patients with acute exacerbations of chronic obstructive pulmonary disease (AECOPD) suffer not only from somatic symptoms but also from symptoms of anxiety, depression, and stress. Mindfulness-based interventions (MBIs) have been shown to effectively reduce these symptoms in other conditions. In patients with AECOPD, MBIs are under-researched. The present study explored whether patients hospitalized for AECOPD perceive MBIs as appropriate and feasible, and how MBIs might be implemented and adapted for this patient group. Method: In an exploratory qualitative study, one-time semi-structured interviews were conducted with 20 patients hospitalized for AECOPD (65% women; M

_age=70.85 years, SD=7.53). Data were analyzed using reflexive thematic analysis and a codebook approach. Results: Most patients were interested in add-on treatment options such as MBIs and considered them as potentially beneficial (65%). Patients’ understanding of mindfulness varied and was difficult to separate from other mind-body practices (e.g., autogenic training). Previous experiences with mind-body practices and expectations regarding the effectiveness of MBIs influenced patients’ interest in MBIs. Context factors (e.g., short exercises) were more important than content factors (e.g., type of exercise). General barriers (e.g., scheduling issues) and COPD-related limitations (e.g., decreased mobility) hindered the self-administration of MBIs. Conclusions: Most patients hospitalized for AECOPD interviewed in this study were interested in MBIs and rated them as potentially helpful and feasible to incorporate in health care settings and everyday life. Future studies investigating MBIs in COPD are needed and should carefully consider patients’ perspectives, addressing context factors (e.g., timing, exercise length), patients’ needs, and COPD-related limitations. Preregistration: This study is not preregistered.

Organisation(en)

Institut für Klinische und Gesundheitspsychologie, Forschungsplattform The Stress of Life - Processes and Mechanisms underlying Everyday Life Stress

Externe Organisation(en)

Karl Landsteiner - Gesellschaft, Klinik Ottakring

Journal

Mindfulness

Band

Seiten

1638-1649

Anzahl der Seiten

ISSN

1868-8527

DOI

https://doi.org/10.1007/s12671-024-02387-6

Publikationsdatum

2024

Peer-reviewed

ÖFOS 2012

501010 Klinische Psychologie

Schlagwörter

ASJC Scopus Sachgebiete

Health(social science), Experimental and Cognitive Psychology, Developmental and Educational Psychology, Social Psychology, Applied Psychology

Link zum Portal

https://ucrisportal.univie.ac.at/de/publications/fdb787a5-bcd4-48bf-a228-70a2e36bc07f