{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T13:29:55Z","timestamp":1765891795215,"version":"3.48.0"},"reference-count":25,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T00:00:00Z","timestamp":1701993600000},"content-version":"unspecified","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2023,11,20]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Non-invasive ventilation (NIV) treatment combined with pronation in patients with COVID-19 respiratory failure has been shown to be effective in improving respiratory function and better patient outcomes. These patients may experience discomfort or anxiety that may reduce adherence to treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this study was to explore and describe the subjective experiences of patients undergoing helmet NIV and pronation during hospitalisation for COVID-19 respiratory failure, with a focus on the elements of care and strategies adopted by patients that enabled good adaptation to treatments.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A qualitative descriptive study, using face-to-face interviews, was carried out with a purposeful sample of 20 participants discharged from a pulmonary intensive care unit who underwent helmet continuous positive airway pressure and pronation during hospitalisation for COVID-19.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Content analysis of the transcripts revealed feelings and experiences related to illness and treatments, strategies for managing one\u2019s own negative thoughts, and practical strategies of one\u2019s own and healthcare workers to facilitate adaptation to pronation and helmet. Experience was reflected in five major topics related to specific time points and settings: feelings and experiences, helmet and pronation: heavy but beneficial, positive thinking strategies, patients\u2019 practical strategies, support of healthcare professionals (HCPs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study may be useful to HCPs to improve the quality and appropriateness of care they provide.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2023-077417","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T13:22:45Z","timestamp":1702128165000},"page":"e077417","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Qualitative study of COVID-19 patient experiences with non-invasive ventilation and pronation: strategies to enhance treatment adherence"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7502-4563","authenticated-orcid":false,"given":"Anna","family":"Brugnolli","sequence":"first","affiliation":[{"name":"Campus of health sciences, Azienda Provinciale per i Servizi Sanitari, Trento, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8306-4485","authenticated-orcid":false,"given":"Gabriele","family":"Chini","sequence":"additional","affiliation":[{"name":"Risorse Umane - Polo universitario delle Professioni Sanitarie di Trento, Trento Provincial Authority for Health Services, Trento, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo","family":"Scartezzini","sequence":"additional","affiliation":[{"name":"Pneumology department, Trento Provincial Authority for Health Services, Trento, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa","family":"Ambrosi","sequence":"additional","affiliation":[{"name":"Dipartimento di Diagnostica e Sanit\u00e0 Pubblica, Universit\u00e0 degli Studi di Verona, Verona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,9]]},"reference":[{"key":"2025121605254739000_13.12.e077417.1","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.04220"},{"key":"2025121605254739000_13.12.e077417.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.9524"},{"key":"2025121605254739000_13.12.e077417.3","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201606-1306OC"},{"key":"2025121605254739000_13.12.e077417.4","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.pulmoe.2020.04.013","article-title":"COVID-19 pandemic and non invasive respiratory management: every Goliath needs a David. 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