Living with breathlessness: a systematic literature review and qualitative synthesis

The European Respiratory Journal
Ann HutchinsonMiriam J Johnson

Abstract

What is the experience of people living with breathlessness due to medical conditions, those caring for them and those treating them, with regard to quality of life and the nature of clinical interactions?Electronic databases (Ovid MEDLINE, Embase, CINAHL Plus and PsycINFO) were searched (January 1987 to October 2017; English language), for qualitative studies exploring the experience of chronic breathlessness (patients, carers and clinicians). Two independent reviewers screened titles, abstracts and papers retrieved against inclusion criteria. Disagreements were resolved with a third reviewer. Primary qualitative data were extracted and synthesised using thematic synthesis.Inclusion and synthesis of 101 out of 2303 international papers produced four descriptive themes: 1) widespread effects of breathlessness; 2) coping; 3) help-seeking behaviour; and 4) clinicians' responsiveness to the symptom of breathlessness. The themes were combined to form the concept of "breathing space", to show how engaged coping and appropriate help-seeking (patient) and attention to symptom (clinician) helps maximise the patient's quality of living with breathlessness.Breathlessness has widespread impact on both patient and carer and affects breathi...Continue Reading

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Citations

Jun 22, 2018·Current Opinion in Supportive and Palliative Care·Zainab Ahmadi
Dec 7, 2018·Current Opinion in Supportive and Palliative Care·Helen Walthall, Theresa Floegel
Jan 19, 2019·The European Respiratory Journal·James D Chalmers, Martin Kolb
Sep 17, 2018·The European Respiratory Journal·Miriam J Johnson, Marie Fallon
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Jul 4, 2019·Current Opinion in Supportive and Palliative Care·Hayley LewthwaiteDennis Jensen
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May 7, 2021·NPJ Primary Care Respiratory Medicine·Gillian DoeRachael A Evans

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