Long-term oxygen therapy: review from the patients' perspective

Area of Science:

• Respiratory Medicine
• Qualitative Health Research
• Patient Experience

Background:

• Increasing prevalence of chronic respiratory conditions necessitates long-term oxygen therapy (LTOT).
• Suboptimal adherence to prescribed LTOT impacts clinical outcomes.
• Patient psychosocial experiences with LTOT are critical for effective management.

Purpose of the Study:

• To synthesize qualitative research on the psychosocial experiences of patients prescribed LTOT.
• To identify themes and challenges faced by individuals using oxygen therapy.
• To inform clinical practice and intervention development for LTOT patients.

Main Methods:

• A meta-synthesis of qualitative research studies was conducted.
• Studies focused on the psychosocial nature and experience of patients prescribed LTOT.
• The Joanna Briggs Institute's meta-synthesis protocol was rigorously applied.

Main Results:

• Four major themes emerged: adapting oxygen use, living with restrictions, self-management, and dependency.
• Patients rationalize oxygen use amidst lifestyle interference and physical limitations.
• The drive for self-care is conflicted, leading to challenges in adherence.

Conclusions:

• LTOT users experience significant physical, psychological, and emotional challenges.
• Oxygen dependency and adherence barriers are often under-addressed.
• Incorporating patient perspectives is vital for improving LTOT management and interventions.