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Prolonged Ventilator Dependence

Perspective of the Chronic Obstructive Pulmonary Disease Patient

Adelphi University, Garden City, New York

The purpose of this qualitative inquiry was to examine the meaning of prolonged mechanical ventilation from the perspective of the patient with a diagnosis of chronic obstructive pulmonary disease (COPD). Interviews were conducted with four individuals with a diagnosis of COPD who had experienced long-term ventilator dependence. Participants were asked to reflect on their experiences while they were ventilator dependent, and their narratives were utilized as text for hermeneutical analysis. The study's findings describe three distinct phases experienced by the participants, beginning with intubation and lasting until well after discharge from the hospital. The support of nurses was an important aspect of maintaining hope for the participants. The study revealed that prolonged mechanical ventilation had a profound impact on COPD patients and their sense of self. Postdischarge psychological support and follow-up with survivors of this experience is warranted.

Key Words: chronic obstructive pulmonary disease • COPD • mechanical ventilation • critical care • hermeneutics • qualitative research • ventilator weaning • chronic critical illness

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