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中年和老年慢性髋痛患者如何看待其健康问题及其护理?系统评价和定性证据综合的方案。

How do middle-aged and older adults with chronic hip pain view their health problem and its care? A protocol for a systematic review and qualitative evidence synthesis.

机构信息

Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia.

Physiotherapy, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

BMJ Open. 2021 Nov 11;11(11):e053084. doi: 10.1136/bmjopen-2021-053084.

Abstract

INTRODUCTION

Chronic hip pain in middle-aged and older adults is common and disabling. Patient-centred care of chronic hip pain requires a comprehensive understanding of how people with chronic hip pain view their health problem and its care. This paper outlines a protocol to synthesise qualitative evidence of middle-aged and older adults' views, beliefs, expectations and preferences about their chronic hip pain and its care.

METHODS AND ANALYSIS

We will perform a qualitative evidence synthesis using a framework approach. We will conduct this study in accord with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement and the Enhancing Transparency in Reporting the synthesis of Qualitative research checklist. We will search MEDLINE, CINAHL, The Cochrane Central Register of Controlled Trials, EMBASE and PsycINFO using a comprehensive search strategy. A priori selection criteria include qualitative studies involving samples with a mean age over 45 and where 80% or more have chronic hip pain. Two or more reviewers will independently screen studies for eligibility, assess methodological strengths and limitations using the Critical Appraisal Skills Programme qualitative studies checklist, perform data extraction and synthesis and determine ratings of confidence in each review finding using the Grading of Recommendations Assessment, Development and Evaluation-Confidence in the Evidence from Reviews of Qualitative research approach. Data extraction and synthesis will be guided by the Common-Sense Model of Self-Regulation. All authors will contribute to interpreting, refining and finalising review findings. This protocol is registered on PROSPERO and reported according to the PRISMA Statement for Protocols (PRISMA-P) checklist.

ETHICS AND DISSEMINATION

Ethics approval is not required for this systematic review as primary data will not be collected. The findings of the review will be disseminated through publication in an academic journal and scientific conferences.

PROSPERO REGISTRATION NUMBER

PROSPERO registration number: CRD42021246305.

摘要

简介

中老年人群慢性髋部疼痛较为常见且具有致残性。以患者为中心的慢性髋部疼痛护理需要全面了解慢性髋部疼痛患者如何看待自身的健康问题及其护理。本文概述了一个综合分析中老年患者对慢性髋部疼痛及其护理的观点、信念、期望和偏好的定性证据的方案。

方法和分析

我们将采用框架方法进行定性证据综合。我们将按照系统评价和荟萃分析的首选报告项目(PRISMA)声明和提高定性研究综合报告透明度检查表进行这项研究。我们将使用全面的搜索策略在 MEDLINE、CINAHL、Cochrane 对照试验中心注册库、EMBASE 和 PsycINFO 中进行搜索。预先设定的入选标准包括涉及平均年龄超过 45 岁且 80%以上患者患有慢性髋部疼痛的样本的定性研究。两名或更多评审员将独立筛选研究的合格性,使用关键评估技能计划定性研究检查表评估方法学的优势和局限性,进行数据提取和综合,并使用从定性研究的评价、制定和评估证据的推荐评估、信心等级评估方法确定每个综述发现的信心等级。数据提取和综合将由常识自我调节模型指导。所有作者将共同参与解释、精炼和最终确定综述结果。本方案在 PROSPERO 上注册,并根据系统评价和荟萃分析的首选报告项目(PRISMA)声明和定性研究报告规范(PRISMA-P)清单进行报告。

伦理和传播

由于不会收集原始数据,因此本次系统评价不需要伦理批准。该综述的结果将通过发表在学术期刊和科学会议上进行传播。

PROSPERO 注册号:PROSPERO 注册号:CRD42021246305。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f390/8587503/ee9e89b4d64e/bmjopen-2021-053084f01.jpg

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