Identifying indicators on predominant types of coping with breathlessness may facilitate the possibility for qualified individualised advice on how to live with breathing difficulties. This paper reports the statistical findings on several parameters constituting possible coping-type-specific indicators with the ability to discriminate between four previously identified types of coping with breathlessness. Data were collected from 12 patients with moderate to very severe chronic obstructive pulmonary disease (COPD) in relation to body care during hospital stay and at home. Data consisted of: (a) Bedside forced expiratory volume in 1 s of predicted; (b) scores on the Modified Borg Scale; (c) respiratory rate; (d) peripheral oxygen saturation and (e) use of breaks from activity and break time duration. We found that the following parameters were able to discriminate between the four coping types: COPD severity, intensity of breathlessness, respiratory rate, level of oxygen saturation and the patients’ use of breaks. These findings should be further tested.
Agusti A, Calverley P, Celli B, et al., and the Evaluation of COPD Longitudinally to Identify Predictive Surrogate Endpoints (ECLIPSE) investigators (2010) Characterisation of COPD heterogeneity in the ECLIPSE cohort. Respiratory Research 11(1): 122.
2.
American Thoracic Society/ European Respiratory Society (1996) Skeletal muscle dysfunction in chronic Obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine 159: S1–S40.
3.
BakerCFScholzJA (2002) Coping with symptoms of dyspnea in chronic obstructive pulmonary disease. Rehabilitation Nursing27: 67–74.
4.
BanduraA (1977) Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review84: 191–215.
5.
Borge C, Wahl A and Moum T (2010) Association of breathlessness with multiple symptoms in chronic obstructive pulmonary disease. Journal of Advanced Nursing 66(12): 2688–2700.
6.
Garcia-Aymerich J, Serra Pons I, Mannino D, et al. (2011) Lung function impairment, COPD hospitalisations and subsequent mortality. Thorax 66(7): 585–590.
7.
GlaserBG (1978) Advances in the Methodology of Grounded Theory: Theoretical Sensitivity, Mill Valley, CA: Sociology Press.
8.
GlaserBGStraussA (1967) The Discovery of Grounded Theory: Strategies for Qualitative Research, New York: Aldine De Gruyter.
9.
Glaser B (2008) Qualitative and quantitative research. The Grounded Theory Review. An international journal 7(2): 1–17.
HesselinkAEPenninxBWJHSchlösserMAG (2004) The role of coping resources and coping style in quality of life of patients with asthma or COPD. Quality of Life Research13: 509–518.
12.
JakewaysNMckeeverTLewisSA (2003) Relationship between FEV1 reduction and respiratory symptoms in the general population. European Respiratory Journal21: 658–663.
13.
JalowiecAMurphySPowersM (1984) Psychometric assessment of the Jalowiec Coping Scale. Nursing Research33: 157–161.
14.
JensenLAOnyskiwJEPrasadNGN (1998) Meta-analysis of arterial oxygen saturation monitoring by pulse oximetry in adults. Heart & Lung27: 387–408.
15.
JørgensenLBDahlRPedersenPU (2013a) Evaluation of a multi-modal grounded theory approach to explore patients’ daily coping with breathlessness due to chronic obstructive pulmonary disease. Journal of Research in Nursing18(5): 423–440.
16.
JørgensenLBDahlRPedersenPU (2013b) Four types of coping with COPD induced breathlessness in daily living: A grounded theory study. Journal of Research in Nursing18(6): 520–541.
17.
KendrickKRBaxiSCSmithRM (2000) Usefulness of the modified 0-10 Borg scale in assessing the degree of dyspnea in patients with COPD and asthma. Journal of Emergency Nursing26: 216–222.
18.
Kobayashi S, Nishimura M, Yamomoto M, et al. (1996) Relationship between breathlessness and hypoxic and hypercapnic ventilatory response in patients with COPD. European Respiratory Journal 9: 2340–2345.
19.
LazarusRFolkmanS (1984) Stress, Appraisal and Coping, New York: Springer.
20.
LeidyNKHasseJE (1999) Functional status from the patient's perspective: The challenge of preserving personal integrity. Research in Nursing & Health22: 67–77.
21.
LomborgKKirkevoldM (2003) Truth and validity in grounded theory - a reconsidered realist interpretation of the criteria: Fit, work, relevance and modifiability. Nursing Philosophy4: 189–200.
22.
LomborgKKirkevoldM (2005) Curtailing: Handling the complexity of body care in people hospitalized with severe COPD. Scandinavian Journal of Caring Science19: 148–156.
23.
LomborgKBjørnADahlR (2005) Body care experienced by people hospitalized with severe respiratory disease. Journal of Advanced Nursing50(3): 262–271.
24.
Masuda A, Ohyabu Y, Kobayashi T, et al. Honda Y (2001) Lack of positive interaction between CO2 and hypoxic stimulation for PCO2-VAS response slope in humans. Respiration Physiology 126: 173–181.
25.
MengelkochLJMartinDLawlerJ (1994) A review of the principles of pulse oximetry and accuracy of pulse oximeter estimates during exercise. Physical Therapy74: 40–49.
26.
Miller MR, Hankinson J, Brusasco V, et al. and ATS/ERS Task force (2005) Standardisation of spirometry. European Respiratory Journal 26: 319--338.
27.
NiciLDonnerCWoutersE (2006) American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. American Journal of Respiratory and Critical Care Medicine173: 1390–1413.
28.
NONIN (2005) NONIN Brugervejledning 2500 PalmSAT Pulsoximeter, Plymouth, MN: NONIN Medical Inc.
29.
NonoyamaMLBrooksDLacasseY (2007) Oxygen therapy during exercise training in chronic obstructive pulmonary disease. Cochrane Database Systematic Review2: CD005372–CD005372.
30.
O'DonnellDE (2006) Hyperinflation, dyspnea, and exercise intolerance in chronic obstructive pulmonary disease. Proceedings of the American Thoracic Society3: 180–184.
31.
PittaFTroostersTSpruitMA (2005) Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine171: 972–977.
RiisAL (2006) Impact of chronic obstructive pulmonary disease on quality of life: The role of dyspnea. The American Journal of Medicine119(Suppl 1): 12–20.
34.
SkinnerEEdgeKAltmanJ (2003) Searching for structure of coping: A review and critique of category systems for classifying ways of coping. Psychological Bulletin129: 216–269.
35.
StanojevicSWadeAStocksJ (2010) Reference values for lung function: Past, present and future. European Respiratory Journal36: 12–19.
36.
TelfordKKralikDKochT (2006) Acceptance and denial: Implications for people adapting to chronic illness: Literature review. Journal of Advanced Nursing55: 457–464.
37.
The American Thoracic Society (1999) Dyspnea. Mechanisms, assessment, and management: A consensus statement. American Journal of Respiratory and Critical Care Medicine159: 321–340.
38.
West N and Popkess-Vawter S (1994) The subjective and psychosocial nature of breathlessness. Journal of Advanced Nursing 20(4): 622–626.
39.
World Medical Association Declaration of Helsinki (2000) Ethical principles for medical research involving human subjects. Amended by 52nd World Medical Association General Assembly, Edinburgh, Scotland.
40.
WuCLeeYYBaigK (2001) Coping behaviours of individuals with chronic obstructive pulmonary disease. Medsurg Nursing10: 315–320.
41.
ZuWallack R (2007) How are you doing? What are you doing? Different perspectives in the assessment of individuals with COPD. COPD 4(3): 293–297.
