A meta-synthesis of experiences of caregivers of people with COPD.

Introduction: Chronic obstructive pulmonary disease (COPD) is a chronic disease that involves patients and caregivers. Various qualitative studies have described the experiences of caregivers. Aims To identify and synthesize the qualitative literature on the experiences of caregivers of persons with COPD. Methods: A qualitative meta-synthesis according to the Joanna Briggs Institute (JBI) method was carried out. Databases explored were PubMed, CINHAL, Scopus, EMBASE, Web of Knowledge, and PsycINFO, from January 1995 to August 2016, searching for articles in English. The JBI critical appraisal tool was used to assess the study methodological quality. Results: Seventeen qualitative studies were included. Three synthesized findings were identified: Caregiving is a dynamic and evolving process that involves the assumption of new roles and responsibilities, and requires a continuous adaptation to the disease changes; The support provided by the social and the healthcare services influences the caregiving process; Caregiving is an all-absorbing experience that affects the physical and psychological health of the caregivers, their social relationships, and the relation with the care recipient. Conclusions: Understanding the experiences of caregivers of COPD patients is of pivotal importance for nurses as it can improve the care of the people with COPD and prevent physical and emotional problems in caregivers. Nurses should consider as subjects of care people with COPD as well as their caregivers.