MacNeela Padraig, Doyle Catherine, O'Gorman David, Ruane Nancy, McGuire Brian E
a School of Psychology , National University of Ireland , Galway , Galway , Ireland.
Health Psychol Rev. 2015;9(1):63-82. doi: 10.1080/17437199.2013.840951. Epub 2013 Nov 6.
Chronic low back pain (CLBP) is associated with a number of costly disability-related outcomes. It has received increasing attention from qualitative researchers studying its consequences for personal, social, and health care experiences. As research questions and methods diversify, there is a growing need to integrate findings emerging from these studies. A meta-ethnography was carried out to synthesise the findings of 38 separate qualitative articles published on the subjective experience of CLBP between 1994 and 2011. Studies were identified following a literature search and quality appraisal. Four themes were proposed after a process of translating the meaning of text extracts from the findings sections across all the articles. The themes referred to the undermining influence of pain, its disempowering impact on all levels, unsatisfying relationships with health care professionals, and learning to live with the pain. The findings are dominated by wide-ranging distress and loss but also acknowledge self-determination and resilience. Implications of the meta-ethnography for clinicians and future qualitative research are outlined, including the need to study relatively unexamined facets of subjective experience such as illness trajectory and social identity.
慢性下腰痛（CLBP）与许多代价高昂的与残疾相关的后果有关。它越来越受到定性研究人员的关注，这些研究人员研究其对个人、社会和医疗保健体验的影响。随着研究问题和方法的多样化，整合这些研究中出现的结果的需求日益增长。开展了一项元民族志研究，以综合1994年至2011年间发表的38篇关于CLBP主观体验的独立定性文章的研究结果。通过文献检索和质量评估确定了研究。在对所有文章结果部分的文本摘录含义进行翻译的过程之后，提出了四个主题。这些主题涉及疼痛的破坏作用、其在各个层面上的使能作用丧失、与医疗保健专业人员的不满意关系以及学会与疼痛共存。研究结果主要是广泛的痛苦和损失，但也承认自我决定和恢复力。概述了元民族志对临床医生和未来定性研究的影响，包括需要研究主观体验中相对未被审视的方面，如疾病轨迹和社会身份。
