Upplevelsen av att inte kunna sluta röka vid kronisk obstruktiv lungsjukdom
Chronic obstructive pulmonary diseaseExperiencesSupportSmoking cessationQualitative content analysisInterview study
COPD (Chronic Obstructive Pulmonary Disease) is one of the most widespread lung diseases today and is a growing cause for suffering and mortality worldwide. It is considered to be the third leading cause of death in the near future. Smoking is the most important risk factor for this disease and about 50% of smokers develop COPD. The purpose of this study was to mediate the experience of not being able to stop smoking described by persons diagnosed with mild or moderate COPD. The study involved five women and five men. Data was collected by semi-structured interviews and analyzed using qualitative latent content analysis. The analysis resulted in two themes: Life is governed by a long smoking history that is difficult to break and To be aware of and enlightened, but lacking ability to make a decision, and in five categories: That it is the wrong time in life to stop; To break a lifelong pattern is almost impossible; That plans to stop does not lead to results; Being aware of the consequences of continued smoking and to have received help and support but not liking to be patronized. Participants' lives were governed by a lifelong smoking habit which was difficult to break, although they had knowledge about the harmful effects of smoking. Individuals life situation is very important if the cessation of smoking can be successfully implemented and with lasting results. To have plans to stop smoking is not enough it is also necessary to get motivation and support from the environment and at the right time. Participants that where reluctant to smoking cessation where also critical to the information and support that was given to them. This indicates that health professionals should be more sensitive and provide an individually tailored support when an individual decides to stop smoking.