School of Health, Leeds Beckett University, Leeds, UK
Centre for Pain Research, Leeds Beckett University, Leeds, UK.
BMJ Open. 2022 Jan 11;12(1):e046363. doi: 10.1136/bmjopen-2020-046363.
Pain is a complex, global and multidimensional phenomena that impacts the lives of millions of people. Chronic pain (lasting more than 3 months) is particularly burdensome for individuals, health and social care systems. Physiotherapists have a fundamental role in supporting people who are experiencing pain. However, the appropriateness of pain education in pre-registration physiotherapy training programmes has been questioned.Recent research reports identify the need to integrate the voice of patients to inform the development of the pre-registration curriculum. The aim of this meta-ethnography was to develop new conceptual understanding of patients' needs when accessing physiotherapy for pain management. The concepts were viewed through an educational lens to create a patient needs-based model to inform physiotherapy training.
Noblit and Hare's seven-stage meta-ethnography was used to conduct this qualitative systematic review. Five databases (MEDLINE, CINAHL Complete, ERIC, PsycINFO and AMED) were searched with eligibility criteria: qualitative methodology, reports patient experience of physiotherapy, adult participants with musculoskeletal pain, reported in English. Databases were searched to January 2018. Emerge reporting guidelines guided the preparation of this manuscript.
A total of 366 citations were screened, 43 full texts retrieved and 18 studies included in the final synthesis. Interpretive qualitative synthesis resulted in six distinct categories that represent patients' needs when in pain. Analysing categories through an education lens resulted in three overall lines of argument to inform physiotherapy training. The categories and lines of argument are represented in a 'needs-based' model to inform pre-registration physiotherapy training.
The findings provide new and novel interpretations of qualitative data in an area of research that lacks patient input. This is a valuable addition to pain education research. Findings support the work of others relative to patient centredness in physiotherapy.
疼痛是一种复杂、全球性和多维的现象，影响着数百万人的生活。慢性疼痛（持续超过 3 个月）对个人、健康和社会保健系统来说尤其沉重。物理治疗师在支持疼痛患者方面发挥着重要作用。然而，注册前物理治疗培训课程中的疼痛教育的适当性一直受到质疑。最近的研究报告指出，需要整合患者的声音来为预注册课程的发展提供信息。本次荟萃元分析的目的是从教育的角度出发，发展对患者在接受物理治疗以进行疼痛管理时的需求的新概念理解，创建一个基于患者需求的模型，为物理治疗培训提供信息。
采用 Noblit 和 Hare 的七阶段荟萃元分析方法对这项定性系统综述进行研究。使用以下 5 个数据库（MEDLINE、CINAHL Complete、ERIC、PsycINFO 和 AMED）进行检索，纳入标准为：定性方法、报告物理治疗患者体验、有肌肉骨骼疼痛的成年参与者、用英语报告。数据库检索截至 2018 年 1 月。使用 Emerge 报告指南指导本报告的准备。
共筛选出 366 条引文，获取 43 篇全文，并纳入最终综合分析的 18 项研究。解释性定性综合分析得出了 6 个不同的类别，代表了疼痛患者的需求。通过教育视角分析这些类别，得出了 3 条总体论点线，为物理治疗培训提供信息。这些类别和论点线以“基于需求”的模型呈现，为注册前物理治疗培训提供信息。
这些发现为缺乏患者投入的研究领域的定性数据提供了新的和新颖的解释。这是对疼痛教育研究的宝贵补充。研究结果支持其他人在物理治疗中以患者为中心的工作。
