Patient experiences of systemic lupus erythematosus: Findings from a systematic review, meta‐summary and meta‐synthesis

Racial Differences in Contraception Encounters and Dispensing Among Female Medicaid Beneficiaries With Systemic Lupus Erythematosus

Objective

To explore the experience of patients with systemic lupus erythematosus (SLE).

Methods

A systematic review of qualitative studies published in English in the past 10 years and identified through the PubMed, CINAHL, Scopus and Web of Science databases was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The methodological quality of each included study was assessed using the Critical Appraisal Screening Programme tool. Study findings were then subjected to a meta-summary and meta-synthesis.

Results

Twenty-six studies with a good overall methodological quality have been included, documenting the experience of 565 adult patients (95% women). A total of 17 codes emerged, summarising the life experience of SLE patients; the most and least frequent codes in the meta-summary were ‘Feeling not as I usually do’ (69.2%) and ‘Having wishes’ (7.7%), respectively. The codes were then categorised into five main themes, summarising the experience of living with SLE: (1) ‘Experiencing waves of emotions due to the unpredictable nature of the disease’; (2) ‘Trying to live an ordinary life’; (3) ‘Listening to and obeying the body’s limitations’; (4) ‘Reviewing my life projects’; and (5) ‘Dealing with future uncertainties’.

Conclusions

Several qualitative studies have been published to date using good methodological approaches. According to the findings, SLE negatively impacts patient experiences by affecting multiple dimensions of their daily lives, with fatigue and pain as the most frequent symptoms.

Source: Online Library, Wiley

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