Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, Special Administrative Region of China.
Department of Care Science, Faculty of Health and Society, Malmö University, SE-205 06, Malmö, Sweden.
Syst Rev. 2018 May 24;7(1):81. doi: 10.1186/s13643-018-0742-5.
Of various chronic diseases, low back pain (LBP) is the most common and debilitating musculoskeletal condition among older adults aged 65 years or older. While more than 17 million older adults in the USA suffer from at least one episode of LBP annually, approximately six million of them experience chronic LBP that significantly affects their quality of life and physical function. Since many older adults with chronic LBP may also have comorbidities and are more sensitive to pain than younger counterparts, these older individuals may face unique age-related physical and psychosocial problems. While some qualitative research studies have investigated the life experiences of older adults with chronic LBP, no systematic review has integrated and synthesized the scientific knowledge regarding the influence of chronic LBP on the physical, psychological, and social aspects of lives in older adults. Without such information, it may result in unmet care needs and ineffective interventions for this vulnerable group. Therefore, the objective of this systematic review is to synthesize knowledge regarding older adults' experiences of living with chronic LBP and the implications on their daily lives.
METHODS/DESIGN: Candidate publications will be sought from databases: PubMed, CINAHL, and PsycINFO. Qualitative research studies will be included if they are related to the experiences of older adults with chronic LBP. Two independent reviewers will screen the titles, abstracts, and full-text articles for eligibility. The reference lists of the included studies will be checked for additional relevant studies. Forward citation tracking will be conducted. Meta-ethnography will be chosen to synthesize the data from the included studies. Specifically, the second-order concepts that are deemed to be translatable by two independent reviewers will be included and synthesized to capture the core of the idiomatic translations (i.e., a translation focusing on salient categories of meaning rather than the literal translation of words or phrases).
This systematic review of qualitative evidence will enable researchers to identify potential unmet care needs, as well as to facilitate the development of effective, appropriate, person-centered health care interventions targeting this group of individuals.
PROSPERO 2018: CRD42018091292.
在各种慢性疾病中，下背痛（LBP）是 65 岁及以上老年人中最常见和使人衰弱的肌肉骨骼疾病。虽然美国有超过 1700 万老年人每年至少经历一次 LBP，但其中约有 600 万人患有慢性 LBP，这严重影响了他们的生活质量和身体功能。由于许多患有慢性 LBP 的老年人可能还有合并症，并且比年轻患者对疼痛更敏感，因此这些老年人可能面临独特的与年龄相关的身体和心理社会问题。虽然一些定性研究调查了患有慢性 LBP 的老年人的生活经历，但没有系统评价整合和综合了关于慢性 LBP 对老年人身体、心理和社会生活方面影响的科学知识。如果没有这些信息，可能会导致对这一脆弱群体的护理需求得不到满足和干预措施无效。因此，本系统评价的目的是综合了解老年人患有慢性 LBP 的生活体验及其对日常生活的影响。
方法/设计：候选出版物将从数据库中搜索：PubMed、CINAHL 和 PsycINFO。如果定性研究与患有慢性 LBP 的老年人的经历有关，则将其纳入。两名独立的审查员将对标题、摘要和全文文章进行筛选，以确定其是否符合纳入标准。将检查纳入研究的参考文献列表以获取其他相关研究。将进行前瞻性引文追踪。将选择元人种学来综合纳入研究的数据。具体来说，将纳入并综合两个独立审查员认为可翻译的二阶概念，以捕捉翻译的核心（即关注突出意义类别的翻译，而不是单词或短语的字面翻译）。
这项关于定性证据的系统评价将使研究人员能够确定潜在的未满足的护理需求，并促进为这一人群制定有效、适当、以人为本的医疗保健干预措施。
PROSPERO 2018：CRD42018091292。
