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Quality of Life Research
Gepubliceerd in:

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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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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