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Self-Care of People with Chronic Obstructive Pulmonary Disease: A Meta-Synthesis

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Abstract

Background

Self-care in people with chronic obstructive pulmonary disease (COPD) can improve health-related quality of life, reduce hospital admissions and decrease dyspnoea.

Objective

This review aimed to systematically identify, evaluate and synthesise the qualitative literature on the self-care behaviours and strategies used by people with COPD.

Methods

The Joanna Briggs Institute (JBI) meta-aggregative method was followed. An electronic search of six relevant databases was conducted. The search was limited to articles published from January 1996 to January 2016. Reference lists of all identified articles were searched to find additional literature. Two independent reviewers analysed the studies against the inclusion criteria, extracted the data and assessed the methodological quality of the 14 identified papers using the JBI qualitative assessment and review critical appraisal instrument. Findings were synthesised using a meta-aggregation process.

Results

Four synthesised findings emerged from the aggregation of 114 findings: self-care is directed towards the prevention, control and management of the physical consequences of COPD; self-care focuses on the management of the psychological effects of COPD; self-care is aimed at reducing the impact of COPD on social life; and self-care is influenced by contact with healthcare services and requires the acquisition of knowledge and skills.

Conclusions

This meta-synthesis provides evidence on the self-care behaviours and strategies that people with COPD perform to prevent, control and manage the physical, psychological and social consequences of the disease. The findings of this meta-synthesis could help healthcare professionals to tailor self-care educational programmes to the experiences, preferences and priorities of people with COPD.

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Author contributions

MC and MM were responsible for the conception and design of the study, the acquisition, analysis and interpretation of data, and drafted the manuscript. DI contributed to data acquisition and analysis. MGM critically reviewed the manuscript for important intellectual content. All the authors approved the final version of the manuscript.

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Authors and Affiliations

  1. Department of Biomedicine and Prevention, University of Rome ‘Tor Vergata’, Rome, Italy

    Marco Clari & Dhurata Ivziku

  2. Unit of Nursing Science, Faculty of Medicine, Campus Bio-Medico University of Rome, Rome, Italy

    Maria Matarese & Maria Grazia De Marinis

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  1. Marco Clari
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  2. Maria Matarese
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Correspondence to Marco Clari.

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This study received no grant from any funding agency in the public, commercial or not-for-profit sectors.

Conflict of interest

M. Clari, M. Matarese, D. Ivziku and M. G. De Marinis declare that they have no conflict of interest.

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Clari, M., Matarese, M., Ivziku, D. et al. Self-Care of People with Chronic Obstructive Pulmonary Disease: A Meta-Synthesis. Patient 10, 407–427 (2017). https://doi.org/10.1007/s40271-017-0218-z

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