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Quality of Life Research
Gepubliceerd in: Quality of Life Research 5/2023

02-01-2023

Lived experience of patients with sleep apnea: a systematic synthesis of qualitative evidence

Auteurs: Ai-Ping Chua, Zhi Yi Soh, Shaffinaz Abd Rahman, Nan Luo, Shefaly Shorey

Gepubliceerd in: Quality of Life Research | Uitgave 5/2023

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Abstract

Background

Sleep apnea (SA) is a prevalent chronic disease with significant morbidity that negatively impacts a patient’s perception of health and quality of life (QoL).

Objective

This review synthesized qualitative evidence on the experiences of patients living with SA to understand the disease’s impacts on QoL.

Methods

We performed a systematic review of qualitative studies and searched eight electronic databases from inception dates to 22 September 2020. We analyzed the data using Sandelowski’s proposed method of meta-synthesis, and applied Critical Appraisal Skills Program (CASP) and GRADE-Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) criteria to appraise the studies’ qualities, and synthesized findings, respectively.

Results

Fourteen qualitative studies met the selection criteria. Four themes and 16 subthemes emerged: (1) sleep-related manifestations (n = 14) with four subthemes (sleep disruptors; sleepiness & napping; fatigue & low energy level; decreased cognition), (2) reduced psychological well-being and functioning (n = 14) with seven subthemes (anxiety & feeling vulnerable; hostility; sadness, sense of hopelessness & depression; embarrassment, shame & diminished self-concept; guilt & self-blame; maladaptive coping; self-stigma, (3) impaired physical and role functioning (n = 13) with three subthemes (reduced activities & routine disruption; reduced sexual activities & desire; reduced job performance & participation), (4) impaired social and relational functioning (n = 13) with two subthemes (strained interpersonal relationships; social isolation & loneliness).

Conclusions

SA patients experienced sleep-disrupting symptoms and daytime sleepiness/fatigue which adversely impacted physical, psycho-cognitive, and social aspects of their lives in complex interactive ways. This understanding can help facilitate patient-centric care and develop comprehensive patient-reported measures to effect good health outcomes.
vorige artikel Fasting during cancer treatment: a systematic review
volgende artikel Evaluating health-related quality of life and subjective wellbeing among infertility patients: a cross-sectional study in mainland China
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Literatuur
1.
Institute of Medicine (US) Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: a new health system for the 21st century. National Academies Press.
2.
Rathert, C., Wyrwich, M. D., & Boren, S. A. (2013). Patient-centered care and outcomes: A systematic review of the literature. Medical Care Research and Review, 70(4), 351–379.PubMedCrossRef
3.
4.
Patrick, D. L., Burke, L. B., Gwaltney, C. J., Leidy, N. K., Martin, M. L., Molsen, E., & Ring, L. (2011). Content validity–establishing and reporting the evidence in newly developed patient-reported outcomes (PRO) instruments for medical product evaluation: ISPOR PRO good research practices task force report: Part 1–eliciting concepts for a new PRO instrument. Value Health, 14(8), 967–977.PubMedCrossRef
5.
Peasgood, T., Mukuria, C., Carlton, J., Connell, J., & Brazier, J. (2021). Criteria for item selection for a preference-based measure for use in economic evaluation. Quality of Life Research, 30(5), 1425–1432.PubMedCrossRef
6.
Boehnke, J. R., & Rutherford, C. (2021). Using feedback tools to enhance the quality and experience of care. Quality of Life Research, 30(11), 3007–3013.PubMedCrossRef
7.
8.
Reeve, B. B., Wyrwich, K. W., Wu, A. W., Velikova, G., Terwee, C. B., Snyder, C. F., et al. (2013). ISOQOL recommends minimum standards for patient-reported outcome measures used in patient-centered outcomes and comparative effectiveness research. Quality of Life Research, 22(8), 1889–1905.PubMedCrossRef
9.
Garvey, J. F., Pengo, M. F., Drakatos, P., & Kent, B. D. (2015). Epidemiological aspects of obstructive sleep apnea. Journal of Thoracic Disease, 7(5), 920–929.PubMedPubMedCentral
10.
Bradley, T. D., & Floras, J. S. (2009). Obstructive sleep apnoea and its cardiovascular consequences. Lancet, 373(9657), 82–93.PubMedCrossRef
11.
Benjafield, A. V., Ayas, N. T., Eastwood, P. R., Heinzer, R., Ip, M. S., Morrell, M. J., Nunez, C. M., Patel, S. R., Penzel, T., Pépin, J. L., & Peppard, P. E. (2019). Estimation of the global prevalence and burden of obstructive sleep apnoea: A literature-based analysis. Lancet Respiratory Medicine, 7(8), 687–98.PubMedCrossRef
12.
13.
14.
Chafe, R. (2017). The Value of qualitative description in health services and policy research. Healthcare Policy, 12(3), 12–18.PubMedPubMedCentral
15.
Cheng, K. K. F., & Clark, A. M. (2017). Qualitative methods and patient-reported outcomes: Measures development and adaptation. International Journal of Qualitative Methods, 16(1), 1609406917702983.CrossRef
16.
Tetzlaff, J., Page, M., & Moher, D. (2020). PNS154 The Prisma 2020 Statement: Development of and key changes in an updated guideline for reporting systematic reviews and meta-analyses. Value in Health, 23, S312–S313.CrossRef
17.
Sandelowski, M., Barroso, J., & Voils, C. I. (2007). Using qualitative metasummary to synthesize qualitative and quantitative descriptive findings. Research in Nursing & Health, 30(1), 99–111.CrossRef
18.
19.
Atkins, S., Lewin, S., Smith, H., Engel, M., Fretheim, A., & Volmink, J. (2008). Conducting a meta-ethnography of qualitative literature: Lessons learnt. BMC Medical Research Methodology, 8, 21.PubMedPubMedCentralCrossRef
20.
Newton, B. J., Rothlingova, Z., Gutteridge, R., LeMarchand, K., & Raphael, J. H. (2012). No room for reflexivity? Critical reflections following a systematic review of qualitative research. Journal of Health Psychology, 17(6), 866–885.PubMedCrossRef
21.
22.
Lewin, S., Booth, A., Glenton, C., Munthe-Kaas, H., Rashidian, A., Wainwright, M., Bohren, M. A., Tunçalp, Ö., Colvin, C. J., Garside, R., & Carlsen, B. (2018). Applying GRADE-CERQual to qualitative evidence synthesis findings: Introduction to the series. Implement Science, 13(Suppl 1), 2.CrossRef
23.
Schünemann, H., Brozek, J., Guyatt, G., Oxman, A. (Eds.). (updated October 2013). Handbook for grading the quality of evidence and the strength of recommendations using the GRADE approach: GRADE Working Group. Retrieved from gdt.guidelinedevelopment.org/app/handbook/handbook.html
24.
Higgins, JP., Altman, D., Sterne, JA. (Eds). (updated June 2017). Chapter 8: Assessing risk of bias in included studies. 2017. Cochrane Handbook for Systematic Reviews of Interventions version 520 [Internet]. Cochrane, 2017. Retrieved from www.​training.​cochrane.​org/​handbook
25.
Lewin, S., Bohren, M., Rashidian, A., Munthe-Kaas, H., Glenton, C., Colvin, C. J., Garside, R., Noyes, J., Booth, A., Tunçalp, Ö., & Wainwright, M. (2018). Applying GRADE-CERQual to qualitative evidence synthesis findings-paper 2: How to make an overall CERQual assessment of confidence and create a Summary of Qualitative Findings table. Implement Sci., 13(Suppl 1), 10.PubMedPubMedCentralCrossRef
26.
Broström, A., Johansson, P., Ass, A. S., Albers, J., Mårtensson, J., & Svanborgb, E. (2006). 1324: Signs and consequences of obstructive sleep apnea before treatment initiation. European Journal of Cardiovascular Nursing, 5, 15.CrossRef
27.
Chu, G., Price, E., Paech, G. M., Choi, P., & McDonald, V. M. (2020). Sleep apnea in maintenance hemodialysis: A mixed-methods study. Kidney Medicine, 2(4), 388–97.PubMedPubMedCentralCrossRef
28.
Gullvåg, M., Gjeilo, K. H., Fålun, N., Norekvål, T. M., Mo, R., & Broström, A. (2019). Sleepless nights and sleepy days: a qualitative study exploring the experiences of patients with chronic heart failure and newly verified sleep-disordered breathing. Scandinavian Journal of Caring Sciences, 33(3), 750–9.PubMedCrossRef
29.
Lee, C. H., Lin, M. H., Chen, N. H., Ho, L. H., Lee, H. F., & Tsao, L. I. (2015). The experiences of obstructive sleep apnea in women. Hu li za zhi The journal of nursing, 62(6), 48–56.PubMed
30.
31.
O’Donoghue, N.-M., & Elizabeth, A. (2012). Exploring the impact of sleep apnoea on daily life and occupational engagement. British Journal of Occupational Therapy, 75(11), 509–516.CrossRef
32.
Reishtein, J. L., Pack, A. I., Maislin, G., Dinges, D. F., Bloxham, T. J., George, C. F., Greenberg, H., Kader, G. A., Mahowald, M. W., Younger, J. B., & Weaver, T. E. (2006). Sleepiness and relationships in obstructive sleep apnea. Issues in Mental Health Nursing, 27(3), 319–30.PubMedCrossRef
33.
Rodgers, B. (2014). Breaking through limbo: Experiences of adults living with obstructive sleep apnea. Behavioral Sleep Medicine, 12(3), 183–197.PubMedCrossRef
34.
Rudolph, M. A., Rotsides, J. M., & Zapanta, P. E. (2018). The patient’s perioperative perspective during the treatment of obstructive sleep apnea: A pilot study. Sleep and Breathing, 22(4), 997–1003.PubMedCrossRef
35.
Sawyer, AM. (2007). Adult perceptions of the diagnosis and treatment of obstructive sleep apnea: Sociocultural and ethnic influences on adherence outcomes. University of Pennsylvania.
36.
Tandeter, H., Hershkovitz, Y., & Kacen, L. (2016). A single qualitative study can show same findings as years of quantitative research: Obstructive sleep apnoea as an example. Australasian Medical Journal, 9(6), 176–84.CrossRef
37.
Veale, D., Poussin, G., Benes, F., Pepin, J. L., & Levy, P. (2002). Identification of quality of life concerns of patients with obstructive sleep apnoea at the time of initiation of continuous positive airway pressure: A discourse analysis. Quality of Life Research, 11(4), 389–99.PubMedCrossRef
38.
Waldman, L. T., Parthasarathy, S., Villa, K. F., Bron, M., Bujanover, S., & Brod, M. (2020). Understanding the burden of illness of excessive daytime sleepiness associated with obstructive sleep apnea: A qualitative study. Health and Quality of Life Outcomes, 18(1), 1.CrossRef
39.
Zarhin, D. (2014). Obstructive sleep apnea as a patient contested disease: Pathways to and away from medicalization. Dissertation Abstracts International Section A: Humanities and Social Sciences. 75(1-A(E)), No-Specified.
40.
Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Jama, 273(1), 59–65.PubMedCrossRef
41.
Swinburn, P., Lloyd, A., Boye, K. S., Edson-Heredia, E., Bowman, L., & Janssen, B. (2013). Development of a disease-specific version of the EQ-5D-5L for use in patients suffering from psoriasis: Lessons learned from a feasibility study in the UK. Value Health, 16(8), 1156–1162.PubMedCrossRef
42.
Flemons, W. W., & Tsai, W. (1997). Quality of life consequences of sleep-disordered breathing. The Journal of Allergy and Clinical Immunology, 99(2), S750–S756.PubMedCrossRef
43.
Moyer, C. A., Sonnad, S. S., Garetz, S. L., Helman, J. I., & Chervin, R. D. (2001). Quality of life in obstructive sleep apnea: A systematic review of the literature. Sleep Medicine, 2(6), 477–491.PubMedCrossRef
44.
Engleman, H. M., & Douglas, N. J. (2004). Sleep 4: Sleepiness, cognitive function, and quality of life in obstructive sleep apnoea/hypopnoea syndrome. Thorax, 59(7), 618–622.PubMedPubMedCentralCrossRef
45.
Ware, J. E., Jr., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30(6), 473–483.PubMedCrossRef
46.
47.
48.
Mezzich, J. E., Cohen, N. L., Ruiperez, M. A., Banzato, C. E., & Zapata-Vega, M. I. (2011). The multicultural quality of life index: Presentation and validation. Journal of Evaluation in Clinical Practice, 17(2), 357–364.PubMedCrossRef
49.
Abma, I. L., van der Wees, P. J., Veer, V., Westert, G. P., & Rovers, M. (2016). Measurement properties of patient-reported outcome measures (PROMs) in adults with obstructive sleep apnea (OSA): A systematic review. Sleep Medicine Reviews, 28, 18–31.PubMedCrossRef
50.
Johns, M. W. (1991). A new method for measuring daytime sleepiness: The Epworth sleepiness scale. Sleep, 14(6), 540–545.PubMedCrossRef
51.
Van Knippenberg, F. C., Passchier, J., Heysteck, D., Shackleton, D., Schmitz, P., Poublon, R. M., & Van der Meche, F. (1995). The Rotterdam Daytime Sleepiness Scale: A new daytime sleepiness scale. Psychological Reports, 76(1), 83–7.PubMedCrossRef
52.
Gliklich, R. E., & Wang, P. C. (2002). Validation of the snore outcomes survey for patients with sleep-disordered breathing. Archives of Otolaryngology—Head and Neck Surgery, 128(7), 819–824.PubMedCrossRef
53.
Dolan, D. C., Taylor, D. J., Okonkwo, R., Becker, P. M., Jamieson, A. O., Schmidt-Nowara, W., & Rosenthal, L. D. (2009). The time of day sleepiness scale to assess differential levels of sleepiness across the day. Journal of Psychosomatic Research, 67(2), 127–133.PubMedCrossRef
54.
Sangal, R. B. (2012). Evaluating sleepiness-related daytime function by querying wakefulness inability and fatigue: Sleepiness-Wakefulness Inability and Fatigue Test (SWIFT). Journal of Clinical Sleep Medicine, 8(6), 701–711.PubMedPubMedCentralCrossRef
55.
Weaver, T. E., Laizner, A. M., Evans, L. K., Maislin, G., Chugh, D. K., Lyon, K., Smith, P. L., Schwartz, A. R., Redline, S., Pack, A. I., & Dinges, D. E. (1997). An instrument to measure functional status outcomes for disorders of excessive sleepiness. Sleep, 20(10), 835–43.PubMed
56.
Flemons, W. W., & Reimer, M. A. (1998). Development of a disease-specific health-related quality of life questionnaire for sleep apnea. American Journal of Respiratory and Critical Care Medicine, 158(2), 494–503.PubMedCrossRef
57.
Piccirillo, J. F., Gates, G. A., White, D. L., & Schectman, K. B. (1998). Obstructive sleep apnea treatment outcomes pilot study. Otolaryngology-Head and Neck Surgery, 118(6), 833–844.PubMedCrossRef
58.
Lacasse, Y., Bureau, M. P., & Sériès, F. (2004). A new standardised and self-administered quality of life questionnaire specific to obstructive sleep apnoea. Thorax, 59(6), 494.PubMedPubMedCentralCrossRef
59.
Moroni, L., Neri, M., Lucioni, A. M., Filipponi, L., & Bertolotti, G. (2011). A new means of assessing the quality of life of patients with obstructive sleep apnea: The MOSAS questionnaire. Sleep Medicine, 12(10), 959–965.PubMedCrossRef
60.
Abma, I. L., Rovers, M., Ijff, M., Hol, B., Westert, G. P., & van der Wees, P. J. (2017). The development of a patient-reported outcome measure for patients with obstructive sleep apnea: The Patient-Reported Apnea Questionnaire (PRAQ). Journal of Patient-Reported Outcomes, 1(1), 14.PubMedPubMedCentralCrossRef
61.
Castellanos Caro, G. L., Matiz Ibarra, T. L., Bastidas Goyes, A. R., Bazurto, M. A., & García Manrique, J. G. (2018). Calidad de vida con el síndrome de apnea-hipoapnea del sueño. Universitas Medica, 59, 11–16.
62.
Engel, G. L. (1977). The need for a new medical model: A challenge for biomedicine. Science, 196(4286), 129–136.PubMedCrossRef
63.
Ojelabi, A. O., Graham, Y., Haighton, C., & Ling, J. (2017). A systematic review of the application of Wilson and Cleary health-related quality of life model in chronic diseases. Health and Quality of Life Outcomes, 15(1), 241.PubMedPubMedCentralCrossRef
64.
American Academy of Sleep Medicine. (2014). International Classification of Sleep Disorders (3rd ed.). Darien, IL: American Academy of Sleep Medicine.
65.
Chotinaiwattarakul, W., O’Brien, L. M., Fan, L., & Chervin, R. D. (2009). Fatigue, tiredness, and lack of energy improve with treatment for OSA. Journal of Clinical Sleep Medicine, 5(3), 222–227.PubMedPubMedCentralCrossRef
66.
Hossain, J. L., Ahmad, P., Reinish, L. W., Kayumov, L., Hossain, N. K., & Shapiro, C. M. (2005). Subjective fatigue and subjective sleepiness: Two independent consequences of sleep disorders? Journal of Sleep Research, 14(3), 245–253.PubMedCrossRef
Metagegevens
Titel
Lived experience of patients with sleep apnea: a systematic synthesis of qualitative evidence
Auteurs
Ai-Ping Chua
Zhi Yi Soh
Shaffinaz Abd Rahman
Nan Luo
Shefaly Shorey
Publicatiedatum
02-01-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 5/2023
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-022-03332-7

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