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与疼痛和帕金森病共存:深入了解其影响、发展轨迹及疼痛管理需求——一项定性访谈研究方案

Living with pain and Parkinson's developing an understanding of the impact, trajectory and pain management needs: a qualitative interview study protocol.

作者信息

Naisby Jenni, Avery Leah, Baker Katherine, Parkinson Mark, Hand Annette, Rochester Lynn, Yarnall Alison, Walker Richard, Flynn Darren, Ryan Cormac, Finch Tracy

机构信息

Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle upon Tyne, UK

School of Health & Life Sciences, Teesside University, Middlesbrough, UK.

出版信息

BMJ Open. 2024 Dec 26;14(12):e078754. doi: 10.1136/bmjopen-2023-078754.

Abstract

INTRODUCTION

Pain is reported as one of the most troubling symptoms for people with Parkinson's (PwP); however, the literature exploring their lived experience of pain and how to manage it is limited. Pain affects PwP at all stages of their condition and can fluctuate and change over time. Therefore, it is pertinent to speak to PwP to understand their experiences of pain to inform the development of tailored behavioural interventions to manage pain. How pain interacts with other Parkinson's symptoms lacks consensus. Gaining a better understanding of this from the perspective of PwP is important to inform interventions. Exploring the behavioural determinants, including the barriers and enablers to pain management from the perspective of PwP, the role of healthcare professionals and impact of other symptoms alongside pain will inform the development of a fit for purpose, pain management toolkit for PwP.

METHODS AND ANALYSIS

A longitudinal qualitative study using semi structured interviews at two time points within an 18-month period will be conducted. PwP living with pain will be purposefully sampled from four NHS sites in the North of England. Data will be thematically analysed with reference to the Theoretical Domains Framework.

ETHICS AND DISSEMINATION

A favourable ethical opinion has been granted by the National Health Service East Midlands-Derby Research Ethics Committee (22/EM/0176) and the NHS Health Research Authority (IRAS ID 316403). Findings will be disseminated via scientific conferences, academic journals, lay summaries and public engagement events.

摘要

引言

疼痛被认为是帕金森病患者(PwP)最困扰的症状之一;然而,探索他们疼痛的生活体验以及如何管理疼痛的文献有限。疼痛在帕金森病患者病情的各个阶段都会影响他们,并且会随着时间波动和变化。因此,与帕金森病患者交谈以了解他们的疼痛经历,从而为制定针对性的行为干预措施来管理疼痛提供信息是很有必要的。疼痛与帕金森病的其他症状如何相互作用尚无定论。从帕金森病患者的角度更好地理解这一点对于指导干预措施很重要。从帕金森病患者的角度探索行为决定因素,包括疼痛管理的障碍和促进因素、医疗保健专业人员的作用以及疼痛与其他症状的影响,将为开发适合帕金森病患者的疼痛管理工具包提供信息。

方法与分析

将进行一项纵向定性研究,在18个月内的两个时间点使用半结构化访谈。有疼痛的帕金森病患者将从英格兰北部的四个国民保健服务(NHS)站点中进行有目的抽样。数据将参照理论领域框架进行主题分析。

伦理与传播

国家卫生服务东米德兰兹 - 德比研究伦理委员会(22/EM/0176)和国民保健服务健康研究局(IRAS ID 316403)已批准了有利的伦理意见。研究结果将通过科学会议、学术期刊、通俗摘要和公众参与活动进行传播。

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