Pain management nursing : official journal of the American Society of Pain Management Nurses · 2025
Neuropathic Pain Experience and Self-Management Strategies of Spinal Cord Injury Patients: A Meta-Synthesis of Qualitative Studies.
СтатьяОбзорПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Luo Lan, Liu Yanhui, Huang Lifang, Ming Zhenhua, Cao Jiawei
Аннотация
BACKGROUND: Neuropathic pain (NP), characterized by variable symptoms, treatment resistance, and substantial physical/psychological burdens, impacts 40%-60% of spinal cord injury (SCI) patients. Due to the unpredictable onset and pervasive nature of NP, timely intervention cannot be made, so self-management strategies become necessary. However, limitations are present in these strategies. Therefore, we conducted a meta-synthesis of qualitative studies to explore how the complexity of NP (physical, emotional, and social challenges) interferes with self-management effectiveness, thereby guiding tailored, evidence-based management for NP.
OBJECTIVE: A meta-synthesis of qualitative studies was conducted on the SCI patients' NP experience and self-management strategies.
METHODS: PubMed, Medline, Embase, Scopus, CINAHL, PsycINFO, and Web of Science were searched for qualitative studies on NP in SCI patients from inception to May 30, 2024. The quality of the included studies was evaluated based on the JBI Center for Evidence-Based Health Care Quality Assessment Standards for Qualitative Research, and the results were synthesized using a thematic synthesis approach.
RESULTS: Twelve studies were included, and 49 codes were extracted, which were synthesized into three major themes (real experiences and feelings; treatment and management of pain; desires and requirements) and 10 subthemes (the characteristics of pain; the impact on life; the impact on psychology; balancing between pain and side effects is difficult; nonpharmacological alternative therapies are inadequate; self-management strategies are necessary; access to information and expertise; understanding and respect from physicians; improved structures in pain management; and strengthen social support).
CONCLUSIONS: NP seriously affects the physical and psychological health of patients, but few self-management strategies can be used currently. Therefore, more self-management strategies should be provided for patients with NP, and healthcare providers including nurses should enrich their knowledge of NP management to give patients more help and support. NURSING PRACTICE IMPLICATIONS: (1) Implementing comprehensive pain assessments encompassing physical, functional, and psychological impacts; (2) Providing tailored education and training on diverse personalized self-management strategies; (3) Prioritizing psychosocial support and counseling, and facilitating access to resources; (4) Enhancing nurses' knowledge on NP and strengthening multidisciplinary care coordination.
OBJECTIVE: A meta-synthesis of qualitative studies was conducted on the SCI patients' NP experience and self-management strategies.
METHODS: PubMed, Medline, Embase, Scopus, CINAHL, PsycINFO, and Web of Science were searched for qualitative studies on NP in SCI patients from inception to May 30, 2024. The quality of the included studies was evaluated based on the JBI Center for Evidence-Based Health Care Quality Assessment Standards for Qualitative Research, and the results were synthesized using a thematic synthesis approach.
RESULTS: Twelve studies were included, and 49 codes were extracted, which were synthesized into three major themes (real experiences and feelings; treatment and management of pain; desires and requirements) and 10 subthemes (the characteristics of pain; the impact on life; the impact on psychology; balancing between pain and side effects is difficult; nonpharmacological alternative therapies are inadequate; self-management strategies are necessary; access to information and expertise; understanding and respect from physicians; improved structures in pain management; and strengthen social support).
CONCLUSIONS: NP seriously affects the physical and psychological health of patients, but few self-management strategies can be used currently. Therefore, more self-management strategies should be provided for patients with NP, and healthcare providers including nurses should enrich their knowledge of NP management to give patients more help and support. NURSING PRACTICE IMPLICATIONS: (1) Implementing comprehensive pain assessments encompassing physical, functional, and psychological impacts; (2) Providing tailored education and training on diverse personalized self-management strategies; (3) Prioritizing psychosocial support and counseling, and facilitating access to resources; (4) Enhancing nurses' knowledge on NP and strengthening multidisciplinary care coordination.