脊髓损伤患者神经病理性疼痛体验的Meta整合

Neurological Pain experience of spinal cord injury patients:a Meta-synthesis

目的:系统评价脊髓损伤患者神经病理性疼痛体验的质性研究,为提高该人群心理健康和建立支持体系提供参考。方法:检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网等数据库中收录的关于脊髓损伤患者神经病理性疼痛体验的质性研究,检索时限为建库至2023年12月31日。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准对文献质量进行评价,采用汇集性整合方法对结果进行整合。结果:共纳入10篇文献,提炼出38个原始主题,形成9个新类别并归纳为3个整合结果:神经病理性疼痛的多种体验与影响、采取不同的策略应对神经病理性疼痛、存在未被满足的多维度需求。结论:脊髓损伤患者经历的神经病理性疼痛体验独特,应对方式多样,需要相关支持;医护人员应重视脊髓损伤患者的神经病理性疼痛,提供支持与鼓励,帮助患者更好地应对疼痛,改善其生活质量。

Objective:To systematically evaluate the qualitative studies on Neuropathic Pain(NP)experience of patients with spinal cord injury,in order to provide reference for improving their mental health and establishing a support system.Methods:Qualitative studies on NP experience in patients with spinal cord injury were retrieved from PubMed,Embase,CINAHL,Web of Science,the Cochrane Library,CNKI,WanFang Data,CBM,and VIP from inception to December 31,2023.The quality of literature was evaluated using the quality evaluation standards set by the Evidence-Based Healthcare Center of the Joanna Briggs Institute in Australia,and the results were integrated using a pooled integration method.Results:Ten articles were enrolled with 38 original topics being extracted to form 9 new categories which were integrated into 3 overall results,including:multiple experiences and impacts of NP,adopting different strategies to deal with NP,and having unsatisfied multidimensional needs.Conclusion:Patients with spinal cord injury have gone through unique NP experiences and they have diverse coping styles requiring relevant support.Medical staff should pay attention to the NP of those patients,provide them with support and encouragement to help them better cope with pain and improve their quality of life.