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Living with Multimorbidity through Time: A Meta-Synthesis of Qualitative Longitudinal Evidence
Cheng Cheng1,2,3, Martin Christensen1,2
1School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China.
Healthcare (Basel, Switzerland)
|February 23, 2024
Summary
Living with multiple chronic conditions (multimorbidity) presents unique challenges. This study synthesizes qualitative research, revealing key themes in patient experiences and highlighting the need for patient-centered, collaborative care.
Area of Science:
- Primary Care
- Qualitative Health Research
- Patient Experience
Background:
- Rising global prevalence of multimorbidity strains healthcare systems.
- Understanding patient lived experiences is crucial for effective management.
- Longitudinal qualitative data offers deep insights into coping mechanisms.
Purpose of the Study:
- To synthesize qualitative longitudinal research on living with multimorbidity.
- To identify key themes in individuals' experiences over time.
- To inform patient-centered care strategies.
Main Methods:
- Systematic search of MEDLINE, CINAHL, and Google Scholar.
- Thematic synthesis of 10 qualitative reports.
- Analysis focused on lived experiences of multimorbidity.
Main Results:
- Five emergent themes: perceiving multimorbidity, managing conditions, emotional struggles, healthcare interactions, and family support.
- Diverse patient perceptions and coping strategies identified.
- Significant impact of emotional well-being and social support.
Conclusions:
- Patient-centered care is essential for addressing multifaceted needs.
- Integrating psychological support within interprofessional care is recommended.
- Findings advocate for a holistic approach to multimorbidity management.
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