Narrative medicine educational project to improve the care of patients with chronic obstructive pulmonary disease. Issue 2 (4th May 2018)

• Record Type: Journal Article
• Authors: Cappuccio, Antonietta; Sanduzzi Zamparelli, Alessandro; Verga, Massimo; Nardini, Stefano; Policreti, Alessandro; Porpiglia, Pasquale Alberto; Napolitano, Silvia; Marini, Maria Giulia
• Other Names: Annunziata Anna author non-byline.; Arondi Sabrina author non-byline.; Balestracci Sara author non-byline.; Bargagli Elena author non-byline.; Bastianelli Angelo author non-byline.; Battilana Michele author non-byline.; Boi Maria Grazia author non-byline.; Boulos Bassal author non-byline.; Brussino Luisa author non-byline.; Bussoli Guglielmo author non-byline.; Campana Biagio author non-byline.; Capato Silvia author non-byline.; Carraro Chiara author non-byline.; Carrozzi Francesco author non-byline.; Ceccon Maria Antonietta author non-byline.; Chiaravalloti Franco author non-byline.; Christian Mongiardi author non-byline.; Ciamarra Ida author non-byline.; Colangeli Antonello author non-byline.; Coli Claudia author non-byline.; Contini Paola author non-byline.; Cosentino Eugenio author non-byline.; Costanzo Nicola author non-byline.; De Angelis Emilio author non-byline.; De Filippis Francesca author non-byline.; De Rosa Nicola author non-byline.; Del Giudice Ginevra author non-byline.; Di Perna Felice author non-byline.; Elezi Bledar author non-byline.; Eslami Varzaneh ShoKoofoe author non-byline.; Ferraro Giorgio author non-byline.; Giofrè Maria Concetta author non-byline.; Giovannelli Francesca author non-byline.; Guerra Simona author non-byline.; La Fauci Giuseppe author non-byline.; Madaschi Claudia author non-byline.; Mantellini Ennio author non-byline.; Marani Silvia author non-byline.; Marchi Rita author non-byline.; Masoudì Ali Asghar author non-byline.; Mastruzzo Claudio author non-byline.; Melica Emilio author non-byline.; Minicozzi Filomena author non-byline.; Miraglia Aldo author non-byline.; Molino Antonio author non-byline.; Moschella Maria Adelaide author non-byline.; Napolitano Massimiliano author non-byline.; Palmulli Patrizia author non-byline.; Pavan Alberto author non-byline.; Pelucchi Andrea author non-byline.; Perciaccante Antonio author non-byline.; Pezzella Vincenzo author non-byline.; Pietrangeli Vittorio author non-byline.; Polla Biagio author non-byline.; Rizzi Maurizio author non-byline.; Rosada Javier author non-byline.; Rossi Sandro author non-byline.; Russo Maurizio author non-byline.; Santanocto Giancarlo author non-byline.; Scarmagnan Giorgio author non-byline.; Scotto Fabio author non-byline.; Serpe Ernesto author non-byline.; Serpilli Manuela author non-byline.; Serra Maria author non-byline.; Serravillo Maria author non-byline.; Taccaliti Danilo author non-byline.; Ticozzi Chiara author non-byline.; Tinto Aniello author non-byline.; Tobia Nello author non-byline.; Tourchenko Victoria author non-byline.; Turati Andrea author non-byline.; Vivoli Paolo author non-byline.; Zanardi Erika author non-byline.;
• Is Part Of: ERJ open research. Volume 4:Issue 2(2018)
• Publication Date: 2018-05-04
• Subjects: Respiratory organs -- Diseases -- Periodicals; Respiration -- Periodicals; Respiration; Respiratory organs -- Diseases; Respiratory organs -- Diseases -- Treatment; Respiratory Tract Diseases; Electronic journals; Fulltext; Internet Resources; Periodicals; Periodical; 616.2005
• DOI: 10.1183/23120541.00155-2017
• Languages: English
• ISSNs: 2312-0541

Abstract

Chronic obstructive pulmonary disease (COPD) is characterised by a progressive loss of pulmonary function. Often patients do not adhere to inhaled therapies and this leads clinicians to switch treatments in order to improve control of the symptoms. Narrative medicine is a useful approach that helps healthcare professionals to think over the doctor–patient relationship and how patients live with their disease. The aim of this training project was to teach pulmonologists the basics of narrative medicine: to carefully listen to patients and to practice reflective writing in their relationship with them. Training on narrative medicine and parallel charts was provided through a webinar and a weekly newsletter. Across 362 narratives, written by 74 Italian pulmonologists, 92% of patients had activity limitations at their first visit. The main factor influencing the effectiveness and adherence to therapy was a positive doctor–patient relationship; indeed, if such relationship is difficult, only 21% of patients are able to resume all their activities. After learning the narrative approach, clinicians became aware of the need to spend more time listening to patients, to reflect through writing and to understand more deeply the motivations that lead people towards adherence to new therapies. The experience of 79 Italian pulmonologists using the narrative medicine approach in COPD http://ow.ly/NfnY30jdEpS