Cargando…

Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies

AIM: To identify, analyze and synthesize qualitative studies on caregivers’ experiences of contributions to the self‐care of patients with Chronic Obstructive Pulmonary Disease (COPD). BACKGROUND: COPD patients perform daily self‐care behaviours to manage the disease. With aging and disease progress...

Descripción completa

Detalles Bibliográficos
Autores principales: Matarese, Maria, Pendoni, Roberta, Piredda, Michela, De Marinis, Maria Grazia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518034/
https://www.ncbi.nlm.nih.gov/pubmed/34245173
http://dx.doi.org/10.1111/jan.14942
_version_ 1784584136032256000
author Matarese, Maria
Pendoni, Roberta
Piredda, Michela
De Marinis, Maria Grazia
author_facet Matarese, Maria
Pendoni, Roberta
Piredda, Michela
De Marinis, Maria Grazia
author_sort Matarese, Maria
collection PubMed
description AIM: To identify, analyze and synthesize qualitative studies on caregivers’ experiences of contributions to the self‐care of patients with Chronic Obstructive Pulmonary Disease (COPD). BACKGROUND: COPD patients perform daily self‐care behaviours to manage the disease. With aging and disease progression, patients need to rely on the contributions of informal caregivers, usually family members, for disease management. Caregivers’ normal or habitual contributions to patients’ self‐care have not yet been completely investigated. DESIGN: Thematic synthesis of qualitative studies. DATA SOURCES: CINAHL, EMBASE, PubMed, PsycINFO, Web of Science, Scopus, Emcare and OpenGrey databases were searched from inception to September 2020. The search was restricted to English‐language papers. REVIEW METHODS: Studies were critically appraised using the Critical Appraisal Skills Programme checklist. The initial line‐by‐line codes were aggregated into descriptive themes from which analytical themes were derived. RESULTS: Fifteen papers from nine countries, published 2009–2020, were included. Six analytical themes encompassing 22 descriptive themes were identified and grouped in two overarching themes describing caregivers’ experiences of contributions to patients’ self‐care during the stable and exacerbation phases of COPD. In the stable phases, caregivers contribute through maintaining disease stability, promoting healthy behaviours, fostering normal life and helping perform daily activities. During exacerbations, caregivers contribute through assessing, monitoring and managing symptoms in collaboration with patients or autonomously. They contribute by performing actions, motivating patients, organizing care, sensing variations in symptoms, acquiring knowledge and educating patients, making decisions, communicating and collaborating with healthcare providers and patients and advocating for patients. CONCLUSION: This thematic synthesis enlarges knowledge of caregivers’ contributions to patients’ self‐care in COPD, detailing the ways by which caregivers provide care to patients. IMPACT: Contributing daily to the self‐care of a family member with COPD is a complex experience. Nurses need to acknowledge the importance of caregivers’ contributions to patient disease management and develop effective educational interventions to support them.
format Online
Article
Text
id pubmed-8518034
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-85180342021-10-21 Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies Matarese, Maria Pendoni, Roberta Piredda, Michela De Marinis, Maria Grazia J Adv Nurs Reviews AIM: To identify, analyze and synthesize qualitative studies on caregivers’ experiences of contributions to the self‐care of patients with Chronic Obstructive Pulmonary Disease (COPD). BACKGROUND: COPD patients perform daily self‐care behaviours to manage the disease. With aging and disease progression, patients need to rely on the contributions of informal caregivers, usually family members, for disease management. Caregivers’ normal or habitual contributions to patients’ self‐care have not yet been completely investigated. DESIGN: Thematic synthesis of qualitative studies. DATA SOURCES: CINAHL, EMBASE, PubMed, PsycINFO, Web of Science, Scopus, Emcare and OpenGrey databases were searched from inception to September 2020. The search was restricted to English‐language papers. REVIEW METHODS: Studies were critically appraised using the Critical Appraisal Skills Programme checklist. The initial line‐by‐line codes were aggregated into descriptive themes from which analytical themes were derived. RESULTS: Fifteen papers from nine countries, published 2009–2020, were included. Six analytical themes encompassing 22 descriptive themes were identified and grouped in two overarching themes describing caregivers’ experiences of contributions to patients’ self‐care during the stable and exacerbation phases of COPD. In the stable phases, caregivers contribute through maintaining disease stability, promoting healthy behaviours, fostering normal life and helping perform daily activities. During exacerbations, caregivers contribute through assessing, monitoring and managing symptoms in collaboration with patients or autonomously. They contribute by performing actions, motivating patients, organizing care, sensing variations in symptoms, acquiring knowledge and educating patients, making decisions, communicating and collaborating with healthcare providers and patients and advocating for patients. CONCLUSION: This thematic synthesis enlarges knowledge of caregivers’ contributions to patients’ self‐care in COPD, detailing the ways by which caregivers provide care to patients. IMPACT: Contributing daily to the self‐care of a family member with COPD is a complex experience. Nurses need to acknowledge the importance of caregivers’ contributions to patient disease management and develop effective educational interventions to support them. John Wiley and Sons Inc. 2021-07-10 2021-10 /pmc/articles/PMC8518034/ /pubmed/34245173 http://dx.doi.org/10.1111/jan.14942 Text en © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Reviews
Matarese, Maria
Pendoni, Roberta
Piredda, Michela
De Marinis, Maria Grazia
Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies
title Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies
title_full Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies
title_fullStr Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies
title_full_unstemmed Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies
title_short Caregivers’ experiences of contributing to patients’ self‐care in Chronic Obstructive Pulmonary Disease: A thematic synthesis of qualitative studies
title_sort caregivers’ experiences of contributing to patients’ self‐care in chronic obstructive pulmonary disease: a thematic synthesis of qualitative studies
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8518034/
https://www.ncbi.nlm.nih.gov/pubmed/34245173
http://dx.doi.org/10.1111/jan.14942
work_keys_str_mv AT mataresemaria caregiversexperiencesofcontributingtopatientsselfcareinchronicobstructivepulmonarydiseaseathematicsynthesisofqualitativestudies
AT pendoniroberta caregiversexperiencesofcontributingtopatientsselfcareinchronicobstructivepulmonarydiseaseathematicsynthesisofqualitativestudies
AT pireddamichela caregiversexperiencesofcontributingtopatientsselfcareinchronicobstructivepulmonarydiseaseathematicsynthesisofqualitativestudies
AT demarinismariagrazia caregiversexperiencesofcontributingtopatientsselfcareinchronicobstructivepulmonarydiseaseathematicsynthesisofqualitativestudies