National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Chang Gung Children's Hospital, Taoyuan District, Taiwan.
Eur Child Adolesc Psychiatry. 2024 Nov;33(11):3787-3802. doi: 10.1007/s00787-023-02339-w. Epub 2023 Dec 21.
Suffering from Tourette syndrome (TS) disrupts the daily lives and interpersonal relationships of patients. The psychosocial experiences of young people with TS are not yet clear. The aim of the systematic review is to identify and synthesize the psychosocial experiences of young people with TS. A meta-synthesis was conducted. PubMed, EMBASE, Cumulative Index to Nursing and Allied Health Literature, Web of Science, and Chinese Electronic Periodical Services databases were searched for articles published from their inception to February 2023. This review followed the Joanna Briggs Institute's Guidelines for Systematic Reviews according to a previously developed protocol. We used the confidence of synthesized qualitative findings (ConQual) approach to evaluate the credibility and dependability of the synthesized findings. This review included 12 qualitative studies from Western and Asian countries published between 2005 and 2019, representing 190 young people with TS. We identified five synthesized findings: affliction by intractable TS, TS was negatively perceived in the social and cultural context, self-adjustment in response to social interaction, response to receiving various interventions, and positivity in promoting self-acceptance. The ConQual grade for each generated synthesized finding ranged from low to moderate. The psychosocial experiences of youths living with TS are unique and are influenced by their interpersonal relationships, social context, and cultural framework. The findings recommend that healthcare providers assist young people in developing personalized symptom management strategies and provide guidance and care that meets the needs of each individual.
患有妥瑞氏症(TS)会扰乱患者的日常生活和人际关系。年轻人患 TS 的心理社会体验尚不清楚。本系统评价的目的是确定并综合年轻人患 TS 的心理社会体验。进行了元综合。从数据库成立到 2023 年 2 月,检索了 PubMed、EMBASE、护理和联合健康文献累积索引、Web of Science 和中国电子期刊服务数据库中的文章。本综述遵循 Joanna Briggs 研究所根据先前制定的方案制定的系统评价指南。我们使用综合定性研究结果的可信度(ConQual)方法来评估综合结果的可信度和可靠性。本综述纳入了 2005 年至 2019 年期间来自西方国家和亚洲国家的 12 项定性研究,代表了 190 名患有 TS 的年轻人。我们确定了五个综合结果:难以控制的 TS 带来的折磨,社会和文化背景对 TS 的负面看法,针对社会互动的自我调整,对接受各种干预的反应,以及促进自我接纳的积极性。每个生成的综合结果的 ConQual 等级从低到中等不等。患有 TS 的年轻人的心理社会体验是独特的,受他们的人际关系、社会背景和文化框架的影响。研究结果建议医疗保健提供者帮助年轻人制定个性化的症状管理策略,并提供满足每个人需求的指导和护理。