手骨关节炎患者的经验和临床医生和护理人员对生活质量和治疗服务的看法:定性综合

IF 0.9 Q4 REHABILITATION
Cynthia Srikesavan, Benjamin Dean, Francine Toye, Alex Bolt, Neal Thurley
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引用次数: 0

摘要

我们的目的是综合患有手骨关节炎(HOA)的人的经历,以及临床医生和护理人员对生活质量和治疗服务的看法。方法系统检索MEDLINE、Embase和CINAHL电子数据库,对HOA进行定性研究。我们使用关键评估技能计划(CASP)检查表来评估方法学质量并对研究结果进行主题综合。我们使用GRADE-CERQual(推荐评估、发展和评价分级-对定性研究综述证据的信心)来评估证据的质量。结果我们确定了13项涉及HOA患者(288名女性和39名男性,平均年龄61.4岁)和临床医生的研究。从涉及HOA患者的研究中确定了五个主题:i)我的手每次使用时都很痛;ii)它阻止我做日常活动;它阻止我做我重视的事情;4)这在心理上是具有挑战性的,5)我找到了做事的方法。除疼痛外,证据质量一般,证据质量较低。大多数研究在欧洲和英国进行,参与者主要从医院招募。我们无法综合涉及临床医生的三项研究,因为每项研究都探讨了不同的HOA主题。没有涉及护理人员的研究。结论:我们的研究结果突出了HOA在生活各个领域的影响,以及在实践中需要个性化的心理支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Experiences of people with hand osteoarthritis and perceptions of clinicians and carers on quality of life and treatment services: A qualitative synthesis
Introduction We aimed to synthesise the experiences of people living with hand osteoarthritis (HOA) and the perceptions of clinicians and carers relating to the quality of life and treatment services. Methods We undertook a systematic search on MEDLINE, Embase, and CINAHL electronic databases for qualitative studies in HOA. We used the Critical Appraisal Skills Programme (CASP) checklist to assess methodological quality and thematically-synthesise the findings. We used GRADE-CERQual (Grading of Recommendations Assessment, Development, and Evaluation- Confidence in the Evidence from Reviews of Qualitative Research) to assess the quality of the evidence. Results We identified 13 studies involving people with HOA (288 women and 39 men, average age 61.4 years) and clinicians. Five themes were identified from studies involving people with HOA: i) My hands are painful whenever I use them; ii) It stops me doing everyday activities; iii) It stops me doing things I value; iv) It’s psychologically challenging and v) I find ways of doing things. The quality of evidence was moderate except for pain with low quality of evidence. Most studies were conducted in Europe and the United Kingdom with participants recruited predominantly from hospital settings. We were not able to synthesise the three studies that involved clinicians as each explored different topics of HOA. There were no studies that involved carers. Conclusions Our findings highlighted the impact of HOA in various areas of life and the need for personalised psychological support in practice.
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来源期刊
Hand Therapy
Hand Therapy REHABILITATION-
CiteScore
1.60
自引率
10.00%
发文量
13
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