{
  "abstract": "Objectives To 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.Design A 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.Results 15 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.Conclusions Patients 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.",
  "authors": [
    {
      "affiliations": [
        "The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China",
        "School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Yue Chen"
    },
    {
      "affiliations": [
        "The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Hui Zeng"
    },
    {
      "affiliations": [
        "School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Ran Hongmin"
    },
    {
      "affiliations": [
        "Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Na Na Yang"
    },
    {
      "affiliations": [
        "Nursing Department, Zhejiang Provincial Cancer Hospital, Hang Zhou, China"
      ],
      "name": "Chuan Li Cheng"
    },
    {
      "affiliations": [
        "The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Rong Liu"
    },
    {
      "affiliations": [
        "The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Lu Wen Luo"
    },
    {
      "affiliations": [
        "The Second Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China",
        "School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Luo Jimei"
    },
    {
      "affiliations": [
        "School of Nursing, Zunyi Medical University, Zunyi, Guizhou, China"
      ],
      "name": "Ma Lina"
    }
  ],
  "title": "Self-management experiences and needs in patients with chronic obstructive pulmonary disease: a meta-synthesis of qualitative studies",
  "uid": "b1fc0867-0ad5-5566-8719-00f91e189181"
}