{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:02:08Z","timestamp":1790859728333,"version":"4.1.0"},"reference-count":52,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T00:00:00Z","timestamp":1783123200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100024075","name":"Region Syddanmark","doi-asserted-by":"publisher","award":["24\/28592"],"award-info":[{"award-number":["24\/28592"]}],"id":[{"id":"10.13039\/501100024075","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To explore how persons with chronic obstructive pulmonary disease (COPD) and partners experience illness\u2010related changes in shared everyday life and intimacy, and how these changes affect well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>An interpretive phenomenological interview study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Individual, in\u2010depth telephone interviews were conducted with persons with moderate to very severe COPD and partners recruited through a survey. Interviews were transcribed verbatim and analyzed using reflexive thematic analysis informed by hermeneutic phenomenology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Ten persons with COPD and five partners were included. One overarching theme was generated:\n                      <jats:italic>Togetherness in light and darkness\u2014transformation of couplehood when living with COPD<\/jats:italic>\n                      , and three interrelated themes: (1)\n                      <jats:italic>Living in sync and out of step<\/jats:italic>\n                      \u2014breathlessness slowed everyday life and limited shared activities and physical intimacy; (2)\n                      <jats:italic>Holding on and holding back<\/jats:italic>\n                      \u2014togetherness was nurtured through emotional presence and challenged by protective restraint; (3)\n                      <jats:italic>Becoming another we<\/jats:italic>\n                      \u2014meaning and continuity were sought amid loss, and shared identity was renewed or faded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>COPD transformed couplehood and intimacy, creating risks of disconnection while also opening possibilities for renewal and strengthened belonging. Breathlessness disrupted shared life, roles and identity; however, aligning pace and emotional presence fostered togetherness and well\u2010being for both partners.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Patient Care<\/jats:title>\n                    <jats:p>The findings may guide nurses to initiate and navigate conversations about how COPD affects shared activities, intimacy and emotional connection, thereby facilitating couple\u2010centred care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>Relationship and intimacy changes in couples living with COPD remain largely overlooked. This study provides new insights into how breathlessness slows and reshapes shared everyday life, connection, and couple identity, highlighting aspects of well\u2010being that may otherwise remain unaddressed in clinical encounters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>SRQR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient and Public Contribution<\/jats:title>\n                    <jats:p>Preliminary interviews with six participants refined the study focus from sexual health toward changes in shared everyday life and intimacy, and informed study design.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.70430","type":"journal-article","created":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:45:27Z","timestamp":1783165527000},"page":"5058-5072","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Togetherness in Couples Living With Chronic Obstructive Pulmonary Disease: An Interpretive Interview Study"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1150-2607","authenticated-orcid":false,"given":"Louise Muxoll","family":"Gronhaug","sequence":"first","affiliation":[{"name":"Department of Medicine Lillebaelt Hospital, University Hospital of Southern Denmark  Vejle Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingeborg","family":"Farver\u2010Vestergaard","sequence":"additional","affiliation":[{"name":"Department of Medicine Lillebaelt Hospital, University Hospital of Southern Denmark  Vejle Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoon","family":"Frederiksen","sequence":"additional","affiliation":[{"name":"The Sexology Unit Aarhus University Hospital Psychiatry  Aarhus Denmark"},{"name":"Department of Clinical Medicine Aarhus University  Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annamaria","family":"Giraldi","sequence":"additional","affiliation":[{"name":"Sexological Clinic, Mental Health Center Copenhagen, Bispebjerg &amp; Frederiksberg Hospital  Copenhagen Denmark"},{"name":"Department of Clinical Medicine, Faculty of Health and Medical Sciences University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"L\u00f8kke","sequence":"additional","affiliation":[{"name":"Department of Medicine Lillebaelt Hospital, University Hospital of Southern Denmark  Vejle Denmark"},{"name":"Department of Regional Health Research University of Southern Denmark  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,4]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rceng.2024.02.007"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1558\/cam.32147"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13843"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapro\/daae049"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/kjm2.12308"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/19317611.2021.1958040"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/famp.12811"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/14034948231159464"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/082585971102700302"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2023.2225937"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2018.08.029"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103566"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.2147\/COPD.S347578"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14900"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2019.1594168"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.13022"},{"key":"e_1_2_12_19_1","volume-title":"Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease: 2025 Report","author":"GOLD","year":"2024"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053251316504"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2024.1434298"},{"key":"e_1_2_12_22_1","first-page":"27","volume-title":"Being and Time. 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