School of Physiotherapy, University of Verona, Verona, Italy.
Department of Physical Medicine and Rehabilitation, AULSS9 Scaligera, G. Fracastoro Hospital, San Bonifacio, Verona, Italy.
Phys Ther. 2022 Aug 4;102(8). doi: 10.1093/ptj/pzac080.
This study aimed at exploring the perspectives and experiences of individuals with neck pain by synthesizing all available qualitative studies.
A systematic, qualitative meta-summary and meta-synthesis was conducted following the 5-step methodology proposed by Sandelowski and Barroso. A systematic search of 9 electronic databases was conducted in May 2021. Methodological quality was assessed using the Critical Appraisal Skills Programme tool.
Nine studies were included in the meta-synthesis for a total of 103 participants (73 women). Eleven categories were identified as belonging to 3 main themes: physical ("My neck has gone wrong"); psychological ("I am worried about my recovery"); and social ("Pain limits my life"). In the physical theme, the categories with the highest frequency were symptoms (67%) followed by body perception (44%). The psychological theme frequencies from highest to lowest were psychological consequences (100%), coping strategies (100%), mindset (67%), expectations from health care professionals (44%), and gender influence (22%). In the social theme, frequencies from highest to lowest were social relationships (56%), work, and activities of daily living and physical activity (44%, respectively).
An individual's experience with neck pain is a multidimensional phenomenon in which physical, psychological, and social dimensions influence each other. These findings suggested that health care professionals should be aware of recognizing and evaluating all of the individual's experiences to offer a truly patient-centered care pathway.
This qualitative meta-synthesis responded to a call to action to explore perspectives and experiences of individuals with neck pain. These findings can provide crucial guidance for clinicians as they plan and implement evidence-based recommendations for neck pain.
本研究旨在通过综合所有可用的定性研究，探讨颈痛患者的观点和体验。
采用 Sandelowski 和 Barroso 提出的 5 步方法进行系统的定性综合和综合。2021 年 5 月，对 9 个电子数据库进行了系统检索。使用批判性评价技能计划工具评估方法学质量。
元综合共纳入 9 项研究，共纳入 103 名参与者（73 名女性）。确定了 11 个类别，分为 3 个主题：身体（“我的脖子出问题了”）；心理（“我担心我的恢复”）；和社会（“疼痛限制了我的生活”）。在身体主题中，出现频率最高的类别是症状（67%），其次是身体感知（44%）。心理主题的出现频率从高到低依次为心理后果（100%）、应对策略（100%）、心态（67%）、对医疗保健专业人员的期望（44%）和性别影响（22%）。在社会主题中，出现频率从高到低依次为社会关系（56%）、工作和日常生活及体育活动（44%）。
个体的颈痛体验是一个多维度的现象，其中身体、心理和社会维度相互影响。这些发现表明，医疗保健专业人员应意识到识别和评估个体的所有体验，以提供真正以患者为中心的护理途径。
本定性元综合响应了探索颈痛患者观点和体验的行动呼吁。这些发现可以为临床医生提供重要指导，帮助他们为颈痛制定和实施基于证据的建议。
