Abstract

Background: Affiliation with a cross-sectorial lung team had been offered to patients with advanced chronic obstructive pulmonary disease (COPD). In case of any worsening of respiratory symptoms, the patients were able to call the lung team day and night. The lung team offered acute home visits and home treatment. A RCT study showed that affiliation with the lung team reduced both hospitalisations and length of hospital stay due to acute exacerbation of COPD. However, no significant differences on health related quality of life were found between the two groups.

Aim: To explore the patients' experiences of affiliation with the cross-sectorial lung team.

Method: In total, 16 patients were interviewed between February 2019 and July 2021. The patients ranged from 61 to 88 years. They had been affiliated with a cross-sectorial lung team for one to three years. Semi-structured interviews were conducted and analysed by inspiration of systematic text condensation by Malterud.

Results: Four themes emerged from the analysis: 1) Feeling safe regarding a) Being familiar with the cross-sectorial lung team and b) Day and night service and prompt assistance; 2) Better living with COPD regarding a) Awareness of symptoms and b) Reducing anxiety and panicking; 3) Preventing hospitalisation and 4) Satisfied with staying at home.

Conclusion: Affiliation with a cross-sectorial lung team gave the patients a peace of mind and also improved their ability to live with advanced COPD. The patients preferred contacting the lung team, because they were able to stay at home and receive treatment, instead of being hospitalised.