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Updated: Jun 8, 2026

Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
Hope: a construct central to living with chronic obstructive pulmonary disease
Linda Milne1, Wendy Moyle, Marie Cooke
1Sessional Tutor, School of Nursing and Midwifery, Griffith University, Nathan, Brisbane, Qld, AustraliaDeputy Director, Research Centre for Clinical and Community Practice Innovation Griffith University, Nathan Campus, Brisbane, Qld, AustraliaDeputy Head of School of Nursing and Midwifery, Griffith University, Nathan Campus, Brisbane, Qld, Australia.
Hope persists for individuals with chronic obstructive pulmonary disease (COPD), even amidst challenges. A home-based pulmonary maintenance program significantly boosted exercise capacity, hope, and overall well-being for participants.
Area of Science:
- Pulmonary Medicine
- Psychology of Health
Background:
- Hope is crucial for managing chronic illness, particularly chronic obstructive pulmonary disease (COPD).
- COPD requires continuous adaptation from patients, highlighting the need for coping mechanisms like hope.
Purpose of the Study:
- To explore the meaning of hope in individuals living with COPD.
- To understand participants' lived experiences of hope within a home-based pulmonary maintenance program.
Main Methods:
- Interpretive phenomenological approach used for data collection.
- Purposive sampling of seven participants living with COPD.
- Semi-structured interviews conducted to gather in-depth experiences.
Main Results:
- Hope was found to endure despite the chronic nature and unpredictable challenges of COPD.
- Participation in a home-based pulmonary maintenance program enhanced exercise capacity, hope, and well-being.
- Participants demonstrated a strong determination to maintain a normal life despite illness limitations.
Conclusions:
- Home-based pulmonary maintenance programs are pivotal in improving exercise capacity, hope, and well-being in COPD patients.
- Nurses can play a vital role in supporting individuals with COPD to sustain or regain hope.
- Despite COPD's limitations, individuals strive for normalcy, supported by targeted interventions.
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