老年人慢性腰痛的生活经历及其对日常生活的影响：一项定性研究的综合分析

IF 1.9 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2025-06-01 DOI:10.1016/j.arrct.2025.100456

Chelsia K.C. Cheung MSc , Esther T.C. Cheung BSc , Veronika Schoeb PhD , Emmanuelle Opsommer PhD , Doris Y.K. Chong PhD , Janet L.C. Lee PhD , Christine Kumlien PhD , Arnold Y.L. Wong PhD

{"title":"老年人慢性腰痛的生活经历及其对日常生活的影响：一项定性研究的综合分析","authors":"Chelsia K.C. Cheung MSc , Esther T.C. Cheung BSc , Veronika Schoeb PhD , Emmanuelle Opsommer PhD , Doris Y.K. Chong PhD , Janet L.C. Lee PhD , Christine Kumlien PhD , Arnold Y.L. Wong PhD","doi":"10.1016/j.arrct.2025.100456","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize and conceptualize the lived experiences of older adults with chronic low back pain (CLBP) by systematically reviewing qualitative studies.</div></div><div><h3>Data Sources</h3><div>CINAHL, PsycINFO, and PubMed were searched from their inception years (1961, 1967, and 1996, respectively) to September 2023 to identify qualitative studies on the lived experiences of older adults with CLBP.</div></div><div><h3>Study Selection</h3><div>Eligible qualitative studies included published journal article with qualitative design and analysis, and participants aged ≥65 years with chronic nonspecific low back pain (LBP) that lasted for over 3 months. Of 3669 citations screened, 17 studies met the inclusion criteria.</div></div><div><h3>Data Extraction</h3><div>Findings were analyzed using metasynthesis. Two reviewers independently conducted study selection and data extraction, and the methodological quality of each included study was assessed using the Consolidated Criteria for Reporting Qualitative Research framework.</div></div><div><h3>Data Synthesis</h3><div>Six themes emerged from the analysis: (1) perceived causes of CLBP; (2) interference with daily living; (3) family dynamics; (4) social life; (5) emotional responses to CLBP; and (6) coping strategies. Collectively, CLBP negatively affected older adults’ personal, family, and social life to varying extents. Suboptimal LBP management could lead to negative emotions (eg, depression) and avoidance behaviors. Accepting and adapting to the presence of CLBP, along with a clear diagnosis of LBP, might promote self-management. Conversely, comorbidities and rumination might hinder self-management efforts.</div></div><div><h3>Conclusions</h3><div>Given that the acceptance (acknowledging and adapting to the pain) of CLBP improves self-management of pain in older adults, clinicians should pay attention to the concerns of older adults with CLBP, understand the negative effects of CLBP on them, and provide personalized education and management strategies to enhance their self-management and engagement in value-driven actions.</div></div>","PeriodicalId":72291,"journal":{"name":"Archives of rehabilitation research and clinical translation","volume":"7 2","pages":"Article 100456"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Lived Experiences of Older Adults With Chronic Low Back Pain and Implications on Their Daily Life: A Metasynthesis of Qualitative Research\",\"authors\":\"Chelsia K.C. Cheung MSc , Esther T.C. Cheung BSc , Veronika Schoeb PhD , Emmanuelle Opsommer PhD , Doris Y.K. Chong PhD , Janet L.C. Lee PhD , Christine Kumlien PhD , Arnold Y.L. Wong PhD\",\"doi\":\"10.1016/j.arrct.2025.100456\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To synthesize and conceptualize the lived experiences of older adults with chronic low back pain (CLBP) by systematically reviewing qualitative studies.</div></div><div><h3>Data Sources</h3><div>CINAHL, PsycINFO, and PubMed were searched from their inception years (1961, 1967, and 1996, respectively) to September 2023 to identify qualitative studies on the lived experiences of older adults with CLBP.</div></div><div><h3>Study Selection</h3><div>Eligible qualitative studies included published journal article with qualitative design and analysis, and participants aged ≥65 years with chronic nonspecific low back pain (LBP) that lasted for over 3 months. Of 3669 citations screened, 17 studies met the inclusion criteria.</div></div><div><h3>Data Extraction</h3><div>Findings were analyzed using metasynthesis. Two reviewers independently conducted study selection and data extraction, and the methodological quality of each included study was assessed using the Consolidated Criteria for Reporting Qualitative Research framework.</div></div><div><h3>Data Synthesis</h3><div>Six themes emerged from the analysis: (1) perceived causes of CLBP; (2) interference with daily living; (3) family dynamics; (4) social life; (5) emotional responses to CLBP; and (6) coping strategies. Collectively, CLBP negatively affected older adults’ personal, family, and social life to varying extents. Suboptimal LBP management could lead to negative emotions (eg, depression) and avoidance behaviors. Accepting and adapting to the presence of CLBP, along with a clear diagnosis of LBP, might promote self-management. Conversely, comorbidities and rumination might hinder self-management efforts.</div></div><div><h3>Conclusions</h3><div>Given that the acceptance (acknowledging and adapting to the pain) of CLBP improves self-management of pain in older adults, clinicians should pay attention to the concerns of older adults with CLBP, understand the negative effects of CLBP on them, and provide personalized education and management strategies to enhance their self-management and engagement in value-driven actions.</div></div>\",\"PeriodicalId\":72291,\"journal\":{\"name\":\"Archives of rehabilitation research and clinical translation\",\"volume\":\"7 2\",\"pages\":\"Article 100456\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Archives of rehabilitation research and clinical translation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S259010952500031X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Archives of rehabilitation research and clinical translation","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S259010952500031X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

摘要

目的通过系统回顾定性研究，对老年人慢性腰痛（CLBP）患者的生活经历进行综合和概念化。数据来源检索cinahl、PsycINFO和PubMed从其成立年份（分别为1961年、1967年和1996年）到2023年9月，以确定老年CLBP患者生活经历的定性研究。研究选择：合格的定性研究包括已发表的具有定性设计和分析的期刊文章，以及年龄≥65岁、慢性非特异性腰痛（LBP）持续3个月以上的参与者。在筛选的3669篇引文中，有17篇研究符合纳入标准。数据提取结果采用元合成法进行分析。两名审稿人独立进行研究选择和数据提取，每个纳入研究的方法学质量使用报告定性研究框架的统一标准进行评估。从分析中得出六个主题：(1)CLBP的感知原因；(2)干扰日常生活的；(3)家庭动态；(4)社会生活；(5)对CLBP的情绪反应；(6)应对策略。总体而言，CLBP不同程度地对老年人的个人、家庭和社会生活产生负面影响。次优的LBP管理可能导致负面情绪（如抑郁）和回避行为。接受和适应CLBP的存在，以及明确的LBP诊断，可能会促进自我管理。相反，合并症和沉思可能会阻碍自我管理的努力。结论接受（承认和适应疼痛）CLBP可提高老年人疼痛自我管理水平，临床医生应关注老年CLBP患者关注的问题，了解CLBP对老年人的负面影响，并提供个性化的教育和管理策略，以增强老年人自我管理和参与价值驱动行动。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Lived Experiences of Older Adults With Chronic Low Back Pain and Implications on Their Daily Life: A Metasynthesis of Qualitative Research

Objective

To synthesize and conceptualize the lived experiences of older adults with chronic low back pain (CLBP) by systematically reviewing qualitative studies.

Data Sources

CINAHL, PsycINFO, and PubMed were searched from their inception years (1961, 1967, and 1996, respectively) to September 2023 to identify qualitative studies on the lived experiences of older adults with CLBP.

Study Selection

Eligible qualitative studies included published journal article with qualitative design and analysis, and participants aged ≥65 years with chronic nonspecific low back pain (LBP) that lasted for over 3 months. Of 3669 citations screened, 17 studies met the inclusion criteria.

Data Extraction

Findings were analyzed using metasynthesis. Two reviewers independently conducted study selection and data extraction, and the methodological quality of each included study was assessed using the Consolidated Criteria for Reporting Qualitative Research framework.

Data Synthesis

Six themes emerged from the analysis: (1) perceived causes of CLBP; (2) interference with daily living; (3) family dynamics; (4) social life; (5) emotional responses to CLBP; and (6) coping strategies. Collectively, CLBP negatively affected older adults’ personal, family, and social life to varying extents. Suboptimal LBP management could lead to negative emotions (eg, depression) and avoidance behaviors. Accepting and adapting to the presence of CLBP, along with a clear diagnosis of LBP, might promote self-management. Conversely, comorbidities and rumination might hinder self-management efforts.

Conclusions

Given that the acceptance (acknowledging and adapting to the pain) of CLBP improves self-management of pain in older adults, clinicians should pay attention to the concerns of older adults with CLBP, understand the negative effects of CLBP on them, and provide personalized education and management strategies to enhance their self-management and engagement in value-driven actions.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Archives of rehabilitation research and clinical translation Medicine and Dentistry (General)

CiteScore

3.00

自引率

0.00%

发文量

审稿时长

8 weeks