OTSystematic ReviewFrontiers in rehabilitation sciences2026

The long-term domiciliary oxygen therapy experience and needs in patients with chronic obstructive pulmonary disease: a qualitative meta-synthesis.

Guannan Ma, Shiyan Yao, Huajuan Shen and 5 others

PMID 41822792

WHAT IT FOUND

Patients using home oxygen for COPD described easier breathing, sleep and daily tasks, but also dry nose, nosebleeds, dizziness, noisy heavy equipment, cost worries and fear.

They wanted practical fixes and clear support.

Key findings

01Some patients described home oxygen therapy as helping breathing, sleep, endurance and daily activities, while others reported dry nose, nosebleeds, dizziness and feeling it did not help.

02Equipment burden limited daily life through noise, weight, size, limited oxygen supply and cost, and it made home tasks and going out harder.

03Patients and families needed practical adaptations and support, such as oxygen backups, longer tubing, lighter devices, caregiver help and clear instructions.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

The synthesis included only 9 studies, so it may not capture the full range of patient experiences. The studies were from 2002 to 2022, and there was a scarcity of literature from the last 3 years, so newer oxygen devices and current care practices may be missing. None of the included studies explicitly examined cultural or value differences, so these results may not apply equally across cultures. All included studies were rated B for quality, which means some risk of bias remained. The search excluded grey literature and dissertations, so relevant unpublished experiences may be missing. Two included studies did not report ethics review, so participant protection details are unclear.

The easy way to misread this

Do not read these patient-reported themes as evidence that long-term oxygen therapy works or does not work. The synthesis reports experiences, not measured treatment effects, and the suggested supports were not tested here.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →