Evidence map›Paper›PMID 41710333›Full record

ReviewPatient preference and adherence2026

Illness Experience and Unmet Needs of Pulmonary Tuberculosis Patients: A Meta-Synthesis Guided by the Symptom Experience Model.

Yulan Yang, Qiaolin Yu, Xia Zhao, Rong Yao, Jing Shen, Shasha Jiang, Xiaoyi Yang, Bin Wan

Abstract readReview
In one paragraph

Review in Patient preference and adherence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yulan Yang *The Department of Nursing, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, People's Republic of China.
Qiaolin Yu *The Department of Tuberculosis, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, People's Republic of China.
Xia ZhaoThe Department of Nursing, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, People's Republic of China.
Rong YaoThe Department of Tuberculosis, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, People's Republic of China.
Jing ShenCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.
Shasha JiangCollege of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, People's Republic of China.
Xiaoyi YangThe Department of Tuberculosis, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, People's Republic of China.
Bin WanThe Department of Nursing, Public Health Clinical Center of Chengdu, Chengdu, Sichuan, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Patients' illness experiences and needs are central to pulmonary tuberculosis management and have important implications for treatment engagement and health outcomes. This study addresses this gap by systematically synthesizing qualitative evidence to provide a comprehensive understanding of pulmonary tuberculosis patients' illness experiences and unmet needs, guided by the Symptom Experience Model. Methods: PubMed, Web of Science, Embase, PsycINFO, CINAHL, ProQuest, the Cochrane Library, CNKI, VIP, Wanfang, and SinoMed were searched from inception to December 2024 for qualitative or mixed-methods studies on the illness experience of pulmonary tuberculosis patients. Studies were screened and appraised using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Meta-integration techniques were used for synthesis. The Symptom Experience Model provided the interpretive framework for analysis. This review followed PRISMA 2020 guidelines for reporting systematic reviews. The PROSPERO registration was dated July 24, 2024 (Registration Number: CRD42024572729). Results: Twenty-one studies were included, comprising a total of 469 participants. A total of 36 themes were identified, grouped into nine descriptive categories and synthesized into two overarching findings. First, patients experience complex illness-related challenges, including physical symptoms, psychological distress, disrupted social roles, uncertainty about the future, and, in some cases, post-traumatic growth. Second, multiple unmet needs were identified, including inadequate health education, insufficient emotional support, stigma, barriers to healthcare access, and lack of socioeconomic support. While the Symptom Experience Model helped explain symptom perception and coping behaviors, it was less effective in addressing structural determinants such as poverty and systemic stigma. Conclusion: Pulmonary tuberculosis causes profound suffering shaped by both individual responses and wider social contexts. Interventions should address emotional and cognitive processes, strengthen social support, and consider patients' lived realities. The Symptom Experience Model could be expanded to better reflect socioecological influences.

Indexed as

health services needs and demandnarrative medicinequalitative researchtuberculosis

Identifiers

PMID41710333
PMCPMC12911972

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.