Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
Department of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
BMJ Open Respir Res. 2023 Mar;10(1). doi: 10.1136/bmjresp-2022-001514.
People living with chronic obstructive pulmonary disease (COPD) are a group who may be particularly vulnerable to COVID-19. This vulnerability has been associated with increased anxiety or fear about exposure to the virus, which may also impact upon experience in healthcare settings.
AIM/OBJECTIVES: The aim of this narrative mixed-methods review was to systematically scope, identify and synthesise findings from peer-reviewed qualitative, quantitative and mixed-methods studies published in academic journals describing the healthcare experiences of adults living with COPD independently in the community, following the emergence of COVID-19 in December 2019-June 2022.
Databases including Ovid MEDLINE, PsychINFO, Ovid Emcare and CINAHL Plus were searched. Studies were uploaded to Covidence to support selection and appraisal of studies. Studies were appraised for quality using the Mixed Methods Appraisal Tool. A narrative synthesis of these themes was provided, and qualitative and quantitative findings are interpreted together in the discussion.
The quality and experience of care for patients with COPD was impacted through the COVID-19 pandemic. Innovations and adoption of technologies such as telehealth and telerehabilitation were well received and mitigated the potential implications of severe disruption to care access to some extent. Patients feared feeling forgotten and experienced isolation and anxiety; however, telerehabilitation and exercise through modalities such as Zoom classes help support social connection and physical activity.
These innovations are likely to be useful to be offered to patients on an ongoing basis, and education and standardised protocols around their use will benefit healthcare providers and patients alike.
CRD42022341168.
患有慢性阻塞性肺疾病（COPD）的人可能特别容易感染 COVID-19。这种脆弱性与对接触病毒的焦虑或恐惧增加有关，这也可能影响他们在医疗保健环境中的体验。
目的/目标：本叙事混合方法综述的目的是系统地概括、识别和综合 2019 年 12 月至 2022 年 6 月 COVID-19 出现后，在社区中独立生活的 COPD 成年人的学术期刊中发表的同行评审定性、定量和混合方法研究的研究结果，描述他们的医疗保健体验。
搜索包括 Ovid MEDLINE、PsychINFO、Ovid Emcare 和 CINAHL Plus 的数据库。研究被上传到 Covidence 以支持研究的选择和评估。使用混合方法评估工具评估研究的质量。对这些主题进行了叙述性综合，并在讨论中一起解释定性和定量发现。
COVID-19 大流行影响了 COPD 患者的护理质量和体验。远程医疗和远程康复等技术的创新和采用受到了广泛欢迎，并在一定程度上减轻了严重中断护理获取的潜在影响。患者担心被遗忘，感到孤立和焦虑；然而，通过 Zoom 课程等方式进行的远程康复和锻炼有助于支持社交联系和身体活动。
这些创新很可能会持续为患者提供有用的服务，围绕其使用的教育和标准化协议将使医疗保健提供者和患者受益。
CRD42022341168。
