Clari Marco, Ivziku Dhurata, Casciaro Riccardo, Matarese Maria
a Department of Biomedicine and Prevention , University of Rome 'Tor Vergata', Rome , Italy.
b Candiolo Cancer Institute , Candiolo , Italy.
COPD. 2018 Feb;15(1):79-88. doi: 10.1080/15412555.2017.1417373. Epub 2018 Jan 8.
The complexity of chronic obstructive pulmonary disease (COPD) can negatively impact the lives of people with the condition and compromise their capacity to take care of their needs. Unmet needs can then lead to significant morbidity, unpleasant emotional experiences and a poor quality of life; thus this systematic review aimed to identify, evaluate and synthesise the qualitative literature on the unmet needs of people with COPD. A qualitative meta-synthesis was performed according to the Joanna Briggs Institute method. A systematic search of five databases was conducted, searching for articles published from January 1995 to May 2017. Eight papers were identified. Two researchers extracted the data and independently assessed their quality. The total sample of people with COPD included was 108. Nine categories were derived from 49 findings, and aggregated into three synthesised findings: (1) people with COPD have unmet needs regarding information about the disease; (2) people with COPD have unmet physical, emotional and social needs, due to the disease symptoms and treatments; and (3) people with COPD have unmet care needs. This review showed qualitative evidence regarding the dimensions in which people with COPD express their unmet needs. The needs that are mainly unsatisfied include physical, psychosocial, informational and practical aspects, as well as the need for healthcare professional care. A global approach, which includes the areas identified by our findings, could lead to an improvement in the care of people with COPD and could improve the self-care management of those individuals who do not correctly identify their needs.
慢性阻塞性肺疾病（COPD）的复杂性会对患者的生活产生负面影响，并损害他们满足自身需求的能力。未得到满足的需求可能会导致严重的发病率、不愉快的情绪体验和较差的生活质量；因此，本系统综述旨在识别、评估和综合关于COPD患者未满足需求的定性文献。根据乔安娜·布里格斯研究所的方法进行了定性元分析。对五个数据库进行了系统检索，搜索1995年1月至2017年5月发表的文章。共识别出八篇论文。两名研究人员提取数据并独立评估其质量。纳入的COPD患者总样本为108例。从49项研究结果中得出九个类别，并汇总为三个综合研究结果：（1）COPD患者在疾病信息方面存在未满足的需求；（2）由于疾病症状和治疗，COPD患者在身体、情感和社会方面存在未满足的需求；（3）COPD患者在护理方面存在未满足的需求。本综述显示了关于COPD患者表达其未满足需求维度的定性证据。主要未得到满足的需求包括身体、心理社会、信息和实际方面，以及对医疗保健专业护理的需求。一种涵盖我们研究结果所确定领域的整体方法，可能会改善对COPD患者的护理，并改善那些未正确识别自身需求的患者的自我护理管理。
