Evidence map›Paper›PMID 42203282›Full record

SynthesisBMJ open2026

Self-management experiences and needs in patients with chronic obstructive pulmonary disease: a meta-synthesis of qualitative studies.

Yue Chen, Hui Zeng, Ran Hongmin, Na Na Yang, Chuan Li Cheng, Rong Liu, Lu Wen Luo, Luo Jimei, Ma Lina

Abstract readSystematic Review
In one paragraph

Synthesis in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Yue Chen *The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID http://orcid.org/0009-0009-2948-9704
Hui ZengThe Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China zenghui.1221@163.com.
Ran Hongmin *School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China.
Na Na YangAffiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Chuan Li ChengNursing Department, Zhejiang Provincial Cancer Hospital, Hang Zhou, China.
Rong LiuThe Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Lu Wen LuoThe Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID http://orcid.org/0009-0008-6602-9638
Luo JimeiThe Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Ma LinaSchool of Nursing, Zunyi Medical University, Zunyi, Guizhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo systematically review qualitative studies on the self-management experiences and needs of patients with chronic obstructive pulmonary disease (COPD) and to provide evidence for developing needs-based self-management intervention strategies.

designA systematic review and meta-aggregation of qualitative studies conducted in accordance with the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement. DATA SOURCES: PubMed, Cochrane Library, Web of Science, Scopus, CINAHL, Embase, CNKI, Wanfang Database, VIP Database and CBM were searched from database inception to March 2025 for qualitative studies on COPD self-management experiences and needs. ELIGIBILITY CRITERIA: Qualitative studies involving adults (≥18 years) with a confirmed diagnosis of COPD that reported patients' real feelings, experiences and needs during the self-management process in any setting (hospital, community or home). Studies were excluded if the full text could not be obtained or data were incomplete, if they were duplicate publications or if they were not published in Chinese or English. DATA EXTRACTION AND SYNTHESIS: Two reviewers independently screened titles, abstracts and full texts, extracted data using a standardised form and assessed methodological quality using the 2016 Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research. Findings (participants' quotations and authors' interpretive statements) were synthesised using a JBI meta-aggregation approach to develop categories and overarching synthesised findings.

results15 qualitative studies were included, comprising 251 patients with COPD. A total of 52 findings were identified, grouped into 13 categories and synthesised into 4 overarching findings: (1) physical symptom burden strongly shapes psychological well-being during COPD self-management; (2) patients face multiple and interrelated barriers to effective self-management; (3) some patients develop active coping strategies and self-management resources; and (4) patients express multidimensional and continuing support needs.

conclusionsPatients with COPD experience substantial physical and psychological distress and face multiple challenges in the self-management process. Healthcare professionals should prioritise patients' lived experiences, establish comprehensive and coordinated support systems and develop diversified, needs-based intervention strategies to address patients' multidimensional needs, thereby enhancing self-management capacity and improving quality of life. PROSPERO REGISTRATION NUMBER: CRD42024607051.

Indexed as

Pulmonary Disease, Chronic ObstructiveSelf-ManagementAdaptation, PsychologicalHumansQualitative ResearchQuality of LifeChronic DiseasePulmonary DiseaseQuality in health careRehabilitation medicineSelf-Management

Identifiers

PMID42203282
PMCPMC13218145

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.