El Chamaa Alaa, Kowalski Katie, Parikh Pulak, Rushton Alison
Faculty of Health Sciences, Western University, London, Ontario, Canada.
PLoS One. 2024 Aug 8;19(8):e0306993. doi: 10.1371/journal.pone.0306993. eCollection 2024.
Musculoskeletal (MSK) spinal pain encapsulates various conditions including lumbar (low back), cervical (neck), and thoracic pain that significantly impact individual and global health. While clinical aspects of spinal pain have been well-studied, understanding patients' personal narratives and lived experiences remains essential for enhancing patient-centered care, improving treatment adherence, and informing healthcare policies. It provides deep insights into the impacts of spinal pain, guiding more effective and empathetic treatment approaches. This systematic review aims to synthesize qualitative evidence on patients' experiences with MSK spinal pain, providing insight into the challenges faced, coping strategies, daily life impacts, and healthcare interactions. The objective of this review is to synthesize the qualitative evidence regarding the lived experiences of patients with MSK spinal pain.
This systematic review will use a meta-aggregation approach to synthesize data from qualitative studies, that will be identified through a comprehensive search of electronic databases and supplemented by grey literature searches. Two independent reviewers will screen, identify, and extract data from eligible studies. In cases of disagreement, conflicts will be resolved by consulting a third reviewer. These same reviewers will then use the Joanna Briggs Institute (JBI) qualitative quality assessment tool to evaluate the methodological quality of the identified studies, with the derived scores informing the synthesis process, that will involve extracting each study's findings along with their supporting illustrations, then grouped into categories based on similarity in meaning. These categories will then be aggregated to form synthesized findings.
Synthesized findings on patients' lived experiences with MSK spinal pain including key themes, patterns, and insights will be presented. By emphasizing patient narratives, the results of the review can contribute to the optimization of outcomes, and to enhance patient-provider relations and improve quality of care in MSK spinal health.
肌肉骨骼（MSK）脊柱疼痛涵盖多种病症，包括腰椎（下背部）、颈椎（颈部）和胸椎疼痛，这些疼痛对个人和全球健康都有重大影响。虽然脊柱疼痛的临床方面已经得到了充分研究，但了解患者的个人叙述和生活经历对于加强以患者为中心的护理、提高治疗依从性以及为医疗政策提供信息仍然至关重要。它能深入洞察脊柱疼痛的影响，指导更有效且富有同理心的治疗方法。本系统评价旨在综合关于MSK脊柱疼痛患者经历的定性证据，深入了解他们所面临的挑战、应对策略、对日常生活的影响以及医疗互动情况。本评价的目的是综合关于MSK脊柱疼痛患者生活经历的定性证据。
本系统评价将采用元聚合方法来综合定性研究的数据，这些数据将通过对电子数据库的全面检索来确定，并辅以灰色文献检索。两名独立的评审员将对符合条件的研究进行筛选、识别和数据提取。如有分歧，将通过咨询第三位评审员来解决冲突。然后，这些评审员将使用乔安娜·布里格斯研究所（JBI）的定性质量评估工具来评估所确定研究的方法学质量，所得分数将为综合过程提供参考，该过程将包括提取每项研究的结果及其支持性例证，然后根据意义的相似性进行分类。然后将这些类别进行汇总以形成综合结果。
将呈现关于MSK脊柱疼痛患者生活经历的综合结果，包括关键主题、模式和见解。通过强调患者的叙述，本评价的结果有助于优化治疗效果，加强医患关系，并提高MSK脊柱健康方面的护理质量。
