Bronchiectasis cough during the COVID-19 pandemic: a qualitative study

Area of Science:

• Respiratory Medicine
• Public Health
• Qualitative Research

Background:

• Bronchiectasis is a chronic respiratory condition characterized by persistent cough and airway secretions.
• The COVID-19 pandemic exacerbated existing challenges for individuals with bronchiectasis, particularly concerning cough-related stigma.
• Understanding the lived experiences of this population during health crises is crucial for holistic care.

Purpose of the Study:

• To explore the experiences and perceptions of adults with bronchiectasis during the COVID-19 pandemic.
• To understand the multifaceted impact of chronic cough on daily life.
• To identify coping strategies and support needs.

Main Methods:

• A qualitative, interpretive descriptive study design.
• Semi-structured interviews were conducted with 15 adults diagnosed with bronchiectasis.
• Participants were residents of Counties Manukau, Aotearoa New Zealand.

Main Results:

• Four key themes emerged: "feeling vulnerable but keeping safe," "being treated differently," "becoming a virtual patient," and prioritizing "self-care and supportive communities."
• Participants reported significant impacts on multiple levels due to their condition and the pandemic.
• Effective communication with health teams was vital for respiratory support, medication access, and emotional reassurance.

Conclusions:

• Health professionals are pivotal in raising awareness and reducing the stigma associated with bronchiectasis and chronic cough.
• The stigma surrounding cough persists beyond the pandemic and requires ongoing attention and understanding.
• Further research is needed to address the enduring social and psychological impacts of chronic cough.