{"id":"https://openalex.org/W3211982154","doi":"https://doi.org/10.1016/j.apnr.2021.151522","title":"Early symptom recognition and symptom management among exacerbation COPD patients: A qualitative study","display_name":"Early symptom recognition and symptom management among exacerbation COPD patients: A qualitative study","publication_year":2021,"publication_date":"2021-11-05","ids":{"openalex":"https://openalex.org/W3211982154","doi":"https://doi.org/10.1016/j.apnr.2021.151522","mag":"3211982154","pmid":"https://pubmed.ncbi.nlm.nih.gov/35034709"},"language":"en","primary_location":{"id":"doi:10.1016/j.apnr.2021.151522","doi":"https://doi.org/10.1016/j.apnr.2021.151522","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.apnr.2021.151522","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0897189721001294/pdf","source":{"id":"https://openalex.org/S144851420","display_name":"Applied Nursing Research","issn_l":"0897-1897","issn":["0897-1897","1532-8201"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Nursing Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.sciencedirect.com/science/article/pii/S0897189721001294/pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5079025619","display_name":"Buntarika Chatreewatanakul","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I108108428","display_name":"Thammasat University","ror":"https://ror.org/002yp7f20","country_code":"TH","type":"education","lineage":["https://openalex.org/I108108428"]}],"countries":["TH"],"is_corresponding":true,"raw_author_name":"Buntarika Chatreewatanakul","raw_affiliation_strings":["Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand. Electronic address: buntarika0029@gmail.com","Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand. Electronic address: buntarika0029@gmail.com","institution_ids":["https://openalex.org/I108108428"]},{"raw_affiliation_string":"Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand","institution_ids":["https://openalex.org/I108108428"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019171964","display_name":"Pranom Othaganont","orcid":"https://orcid.org/0000-0002-5472-5395","observed_orcids":["https://orcid.org/0000-0002-5472-5395"]},"institutions":[{"id":"https://openalex.org/I108108428","display_name":"Thammasat University","ror":"https://ror.org/002yp7f20","country_code":"TH","type":"education","lineage":["https://openalex.org/I108108428"]}],"countries":["TH"],"is_corresponding":true,"raw_author_name":"Pranom Othaganont","raw_affiliation_strings":["Department of Adult Nursing and the Aged, Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand. Electronic address: otpranom@gmail.com","Department of Adult Nursing and the Aged, Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Adult Nursing and the Aged, Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand. Electronic address: otpranom@gmail.com","institution_ids":["https://openalex.org/I108108428"]},{"raw_affiliation_string":"Department of Adult Nursing and the Aged, Faculty of Nursing, Thammasat University, 99 Khlong 1, Khlong Luang, Pathum Thani 12121, Thailand","institution_ids":["https://openalex.org/I108108428"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040902180","display_name":"Ronald L. Hickman","orcid":"https://orcid.org/0000-0002-3720-2955","observed_orcids":["https://orcid.org/0000-0002-3720-2955"]},"institutions":[{"id":"https://openalex.org/I58956616","display_name":"Case Western Reserve University","ror":"https://ror.org/051fd9666","country_code":"US","type":"education","lineage":["https://openalex.org/I58956616"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Ronald L. Hickman","raw_affiliation_strings":["Frances Payne Bolton School of Nursing, Case Western Reserve University, 9501 Euclid Ave., Cleveland, OH 44106, USA. Electronic address: rlh4@case.edu","Frances Payne Bolton School of Nursing, Case Western Reserve University, 9501 Euclid Ave., Cleveland, OH 44106, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Frances Payne Bolton School of Nursing, Case Western Reserve University, 9501 Euclid Ave., Cleveland, OH 44106, USA. Electronic address: rlh4@case.edu","institution_ids":["https://openalex.org/I58956616"]},{"raw_affiliation_string":"Frances Payne Bolton School of Nursing, Case Western Reserve University, 9501 Euclid Ave., Cleveland, OH 44106, USA","institution_ids":["https://openalex.org/I58956616"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5019171964","https://openalex.org/A5040902180","https://openalex.org/A5079025619"],"corresponding_institution_ids":["https://openalex.org/I108108428","https://openalex.org/I58956616"],"apc_list":{"value":3260,"currency":"USD","value_usd":3260},"apc_paid":{"value":3260,"currency":"USD","value_usd":3260},"fwci":1.2719,"has_fulltext":true,"cited_by_count":16,"citation_normalized_percentile":{"value":0.80836044,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":93,"max":98},"biblio":{"volume":"63","issue":null,"first_page":"151522","last_page":"151522"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10143","display_name":"Chronic Obstructive Pulmonary Disease (COPD) Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13111","display_name":"Nursing care and research","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-exacerbation-of-copd","display_name":"COPD exacerbations","score":0.8920000195503235},{"id":"https://openalex.org/keywords/chronic-obstructive-pulmonary-disease","display_name":"chronic obstructive pulmonary disease","score":0.949999988079071},{"id":"https://openalex.org/keywords/symptom-recognition","display_name":"symptom recognition","score":0.9869999885559082},{"id":"https://openalex.org/keywords/symptom-management","display_name":"symptom management","score":0.9980000257492065},{"id":"https://openalex.org/keywords/lived-experience","display_name":"lived experience","score":0.9039999842643738},{"id":"https://openalex.org/keywords/warning-signs","display_name":"warning signs","score":0.7459999918937683},{"id":"https://openalex.org/keywords/prodromal-symptoms","display_name":"prodromal symptoms","score":0.9879999756813049},{"id":"https://openalex.org/keywords/risk-factors","display_name":"risk factors","score":0.9150000214576721},{"id":"https://openalex.org/keywords/knowledge-sources","display_name":"knowledge sources","score":0.5910000205039978},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.7139999866485596}],"concepts":[{"id":"https://openalex.org/C2776780178","wikidata":"https://www.wikidata.org/wiki/Q199804","display_name":"COPD","level":2,"score":0.7196165323257446},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.6417616009712219},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5755705237388611},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5617311596870422},{"id":"https://openalex.org/C100363876","wikidata":"https://www.wikidata.org/wiki/Q690661","display_name":"Nonprobability sampling","level":3,"score":0.5560754537582397},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.354560524225235},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3495512008666992},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.30021458864212036},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.09905722737312317},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.0},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010166","descriptor_name":"Palliative Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D029424","descriptor_name":"Pulmonary Disease, Chronic Obstructive","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D029424","descriptor_name":"Pulmonary Disease, Chronic Obstructive","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D029424","descriptor_name":"Pulmonary Disease, Chronic Obstructive","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.apnr.2021.151522","doi":"https://doi.org/10.1016/j.apnr.2021.151522","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.apnr.2021.151522","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0897189721001294/pdf","source":{"id":"https://openalex.org/S144851420","display_name":"Applied Nursing Research","issn_l":"0897-1897","issn":["0897-1897","1532-8201"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Nursing Research","raw_type":"journal-article"},{"id":"pmid:35034709","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35034709","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied nursing research : ANR","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.apnr.2021.151522","doi":"https://doi.org/10.1016/j.apnr.2021.151522","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.apnr.2021.151522","pdf_url":"https://www.sciencedirect.com/science/article/pii/S0897189721001294/pdf","source":{"id":"https://openalex.org/S144851420","display_name":"Applied Nursing Research","issn_l":"0897-1897","issn":["0897-1897","1532-8201"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Applied Nursing Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320323439","display_name":"Thammasat University","ror":"https://ror.org/002yp7f20"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3211982154.pdf","grobid_xml":"https://content.openalex.org/works/W3211982154.grobid-xml"},"referenced_works_count":18,"referenced_works":["https://openalex.org/W1557459633","https://openalex.org/W1987789700","https://openalex.org/W2035360715","https://openalex.org/W2045613548","https://openalex.org/W2064058982","https://openalex.org/W2092395721","https://openalex.org/W2107894914","https://openalex.org/W2292089056","https://openalex.org/W2334589464","https://openalex.org/W2403339270","https://openalex.org/W2559565893","https://openalex.org/W2580646838","https://openalex.org/W2598409577","https://openalex.org/W2744550698","https://openalex.org/W2746143638","https://openalex.org/W2752764986","https://openalex.org/W2945376594","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W3111736898","https://openalex.org/W4386731186","https://openalex.org/W2624812451","https://openalex.org/W3146691973","https://openalex.org/W2077427688","https://openalex.org/W2460301894","https://openalex.org/W2319967452","https://openalex.org/W2239306219","https://openalex.org/W3021010435","https://openalex.org/W2951336120"],"abstract_inverted_index":{"BACKGROUND:":[0],"An":[1],"acute":[2],"exacerbation":[3,52],"of":[4,14,39,47,119,123,126,136,142,146,153,168,182,194,230],"chronic":[5],"obstructive":[6],"pulmonary":[7],"disease":[8],"(AECOPD)":[9],"is":[10],"the":[11,36,45,192,206,213,219,227],"most":[12,214],"cause":[13],"deaths":[15],"in":[16,25,66,232],"COPD":[17,21,53,158,233],"patient.":[18],"It":[19,197],"induces":[20],"patients":[22],"often":[23],"end":[24],"unexpected":[26],"or":[27,72,208],"unpredictable":[28],"death.":[29],"OBJECTIVES:":[30],"The":[31,62,88,180],"purposes":[32],"were":[33,79,113],"to":[34,43,93,162,202,216],"explore":[35],"lived":[37],"experiences":[38,96],"symptom":[40,48,116,139,147,154,169,174,177],"recognition":[41,175],"and":[42,130,133,171,176,204],"explain":[44],"pattern":[46,125],"management":[49,148,155],"successfully":[50],"among":[51],"patients.":[54,234],"DESIGN:":[55],"A":[56],"Heideggerian":[57,184],"hermeneutic":[58,185],"phenomenology":[59,186],"approach.":[60],"SETTING:":[61],"interviews":[63],"took":[64],"place":[65],"participants'":[67],"home":[68],"by":[69,83,222],"using":[70],"android":[71],"iOS":[73],"(iPhone)":[74],"phone.":[75],"PARTICIPANTS:":[76],"Twenty":[77],"participants":[78],"recruited":[80],"until":[81],"saturation":[82],"purposive":[84],"sampling":[85],"technique.":[86],"METHODS:":[87],"semi-structured":[89],"interview":[90],"was":[91],"used":[92],"capture":[94],"detailed":[95],"verbatim.":[97],"Data":[98],"analysis":[99],"based":[100],"on":[101],"a":[102,183,188],"seven-stage":[103],"hermeneutical":[104],"process.":[105],"RESULTS:":[106],"Two":[107],"constitutive":[108],"patterns":[109],"with":[110],"relational":[111],"themes":[112],"identified.":[114],"First,":[115],"recognition,":[117],"consisted":[118,141],"four":[120,143],"themes:":[121,144],"meaning":[122],"AECOPD,":[124,127],"warning":[128],"signs":[129],"prodromal":[131],"symptoms,":[132],"risk":[134],"factors":[135,172],"AECOPD.":[137],"Second,":[138],"management,":[140,170],"methods":[145,152,209],"(during":[149,156],"AECOPD":[150,164],"state),":[151,165],"stable":[157],"state":[159],"for":[160,225],"helping":[161],"prevent":[163],"knowledge":[166],"source":[167],"influencing":[173],"management.":[178],"CONCLUSIONS:":[179],"use":[181],"as":[187],"research":[189],"methodology":[190],"fulfilled":[191],"aims":[193],"this":[195],"study.":[196],"will":[198,211],"enable":[199],"healthcare":[200],"professionals":[201],"select":[203],"advise":[205],"strategies":[207],"that":[210],"be":[212],"likely":[215],"appropriate":[217],"within":[218],"limits":[220],"set":[221],"individual":[223],"capabilities":[224],"promoting":[226],"best":[228],"quality":[229],"life":[231]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":2},{"year":2022,"cited_by_count":4}],"updated_date":"2026-10-16T09:59:22.235173","created_date":"2025-10-10T00:00:00"}
