Treatment and care experiences of elderly patients with comorbid chronic diseases: a Meta-synthesis of qualitative research
10.3760/cma.j.cn115682-20240812-04480
- VernacularTitle:老年慢病共病患者治疗与照护体验质性研究的Meta整合
- Author:
Min ZHU
1
;
Yating HAN
;
Min JIAO
;
Yiran WU
;
Xiubin TAO
Author Information
1. 皖南医学院研究生学院，芜湖 241000
- Publication Type:Journal Article
- Keywords:
Aged;
Chronic disease;
Comorbidity;
Experience;
Qualitative research;
Meta-integration
- From:
Chinese Journal of Modern Nursing
2025;31(9):1133-1141
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically review the treatment and care experiences of elderly patients with comorbid chronic diseases, providing insights to meet patient healthcare needs and improve their treatment and care experiences.Methods:A computer-based search was conducted in the Cochrane Library, PubMed, Embase, Scopus, CINAHL, Medline, China National Knowledge Infrastructure, Wanfang Data, and VIP for qualitative studies on the treatment and care experiences of elderly patients with comorbid chronic diseases published from January 2019 to January 2024. The quality of the included studies was evaluated using the qualitative research quality assessment criteria developed by the Joanna Briggs Institute of Evidence-Based Health Care in Australia. A cumulative integration method was used to synthesize the results.Results:A total of 17 studies were included, extracting 42 results, which were categorized into 10 themes and integrated into four main findings: patients' varying levels of understanding about chronic comorbid conditions (some patients lack awareness of their current health condition, while others have a clear understanding of their disease status) ; treatment and care experiences across different comorbidity patterns (treatment and care experiences of cancer comorbidity patients, cardiovascular-metabolic comorbidity patients, respiratory system comorbidity patients, sensory-mental comorbidity patients, and visceral arthritis comorbidity patients) ; negative psychological emotions in patients with chronic comorbidity (special psychological experiences in cancer comorbid patients, emotional vulnerability in comorbid chronic disease patients leading to complex emotions) ; urgent needs of comorbid chronic disease patients (differing needs based on comorbidity patterns) .Conclusions:There are differences in the treatment and care experiences of elderly patients with chronic comorbidities, and they require multi-faceted support. Healthcare providers should offer personalized care to patients with different comorbid conditions to help them control their health conditions, optimize comorbidity management, and improve their quality of life.
