Meta-synthesis of patient experiences with chronic fatigue syndrome

Objective: This paper systematically reviews and analyzes qualitative studies on the illness experiences of patients with Chronic Fatigue Syndrome (CFS) to provide a basis for healthcare professionals in developing support programs.MethodsA systematic search of multiple databases, including PubMed, Web of Science, and Embase, was conducted, covering relevant literature from database creation to August 2023. The study employed an aggregative synthesis approach, systematically integrating qualitative data to identify common themes and patterns across studies.ResultsA total of 1,885 articles related to CFS were identified through the initial search, with 10 additional articles obtained through reference searching, bringing the total to 1,895. After duplicate checking and initial screening based on titles and abstracts, 123 articles were selected. Following a full-text review, re-screening, and quality assessment, 24 articles were ultimately included, involving 389 CFS patients. These studies identified 84 categories and 4 themes.1. Difficulty in Diagnosing CFS; 2. The Multidimensional and Complex Manifestations of CFS; 3. CFS and Social Challenges;4. CFS Diagnosis and Management Strategies.ConclusionThe study recommends enhancing healthcare professionals' understanding of CFS through specialized training, the development of diagnostic and treatment guidelines, and the promotion of early identification. Raising public and medical awareness is crucial for reducing stigma. Energy management and psychological interventions can alleviate symptoms and improve quality of life, while support groups can provide emotional support and reduce feelings of isolation. Financial support and gender-sensitive approaches are essential to meet the diverse needs of CFS patients.