Patient perspectives on harmonica playing as an intervention for chronic obstructive pulmonary disease: a qualitative...

Area of Science:

• Respiratory Medicine
• Qualitative Health Research
• Therapeutic Interventions

Background:

• Chronic obstructive pulmonary disease (COPD) significantly impacts patients' quality of life.
• Non-pharmacological interventions are crucial for managing COPD symptoms and improving patient well-being.
• The harmonica is explored as a novel therapeutic tool for COPD management.

Purpose of the Study:

• To qualitatively explore the lived experiences of COPD patients using harmonica playing as a therapeutic intervention.
• To identify perceived facilitators, barriers, and patient needs related to harmonica therapy.

Main Methods:

• A qualitative study design was employed.
• Interviews were conducted with 19 patients with COPD who participated in supervised harmonica playing for at least 12 weeks.
• The study was set in a tertiary hospital in Guangzhou, China.

Main Results:

• Participants reported enhanced physical functioning, including improved breathing control, functional capacity, and sleep quality.
• Psychological well-being improved through increased relaxation, emotional regulation, and mental engagement.
• Social engagement, self-reliance, and personal development were positively impacted, though physical limitations and adherence issues were noted barriers.

Conclusions:

• Harmonica playing shows potential for improving physical health, psychological well-being, social participation, and self-reliance in COPD patients.
• Addressing barriers and tailoring programs are essential for enhancing benefits and adherence.
• Future research should focus on the long-term durability of harmonica therapy within comprehensive COPD care.