青少年特发性脊柱侧弯患者支具治疗体验的Meta整合

doi:10.3761/j.issn.0254-1769.2026.19.016

中华护理杂志 ›› 2026, Vol. 61 ›› Issue (19): 2701-2707.DOI: 10.3761/j.issn.0254-1769.2026.19.016

青少年特发性脊柱侧弯患者支具治疗体验的Meta整合

管颖慧¹(), 谢鑑辉²^,^*(), 王方圆³, 欧阳雅琦³, 田佳琦³, 郭慧聪³, 姚璐璐³

¹ 湖南中医药大学护理学院长沙市 410208
² 中南大学湘雅医学院附属湖南省儿童医院院办公室长沙市 410007
³ 中南大学湘雅医学院附属湖南省儿童医院骨科长沙市 410007

收稿日期:2026-02-24 出版日期:2026-10-10 发布日期:2026-09-28
*通讯作者: 谢鑑辉，E-mail：907139834@qq.com
作者简介:管颖慧：女，本科（硕士在读），E-mail：2764944175@qq.com
第一联系人：作者贡献声明
管颖慧：选题设计、文献检索与筛选、论文撰写；谢鑑辉：选题设计、研究指导、论文修改、基金支持；王方圆、欧阳雅琦：文献检索与筛选、资料提取、论文修改；田佳琦、郭慧聪、姚璐璐：资料提取、质量评价

Experiences of brace treatment in adolescents with idiopathic scoliosis：a Meta synthesis

GUAN Yinghui¹(), XIE Jianhui²^,^*(), WANG Fangyuan³, OUYANG Yaqi³, TIAN Jiaqi³, GUO Huicong³, YAO Lulu³

¹ School of Nursing， Hunan University of Chinese Medicine， Changsha， 410208， China
² Director’s Office Studio， the Affiliated Children’s Hospital of Xiangya School of Medicine，Central South University， Changsha 410007， China
³ Orthopedics， the Affiliated Children’s Hospital of Xiangya School of Medicine，Central South University， Changsha 410007， China

Received:2026-02-24 Online:2026-10-10 Published:2026-09-28
* Corresponding author: XIE Jianhui，E-mail：907139834@qq.com

摘要/Abstract

摘要：

目的系统评价和整合青少年特发性脊柱侧弯患者支具治疗体验，为改善患者支具治疗依从性提供参考。方法计算机检索PubMed、Web of Science、Embase、CINAHL、Cochrane Library、中国知网、万方数据库、维普数据库及中国生物医学文献数据库，检索时限为建库至2026年1月10日。采用2016年版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评价标准对纳入的文献进行评价和整合。结果共纳入11篇文献，提炼47个研究结果，归纳出10个类别，最终形成3个整合结果，即感知支具治疗的益处、感知支具治疗的阻碍、对支具治疗的支持需求与期望。结论青少年特发性脊柱侧弯患者支具治疗具有诸多益处和挑战。医护人员应强化患者对支具治疗获益的认知，重视身心症状的综合评估与管理，并整合家庭、学校、同伴及医疗系统等多方支持资源，以提升患者支具治疗的依从性。

关键词: 青少年, 特发性脊柱侧弯, 支具治疗, 质性研究, Meta整合, 循证护理学

Abstract:

Objective To systematically evaluate and integrate the brace treatment experiences of adolescents with idiopathic scoliosis，and to provide evidence for clinical interventions to improve brace compliance in adolescents with idiopathic scoliosis patients. Methods Computerized searches were conducted in PubMed，Web of Science，Embase，CINAHL，Cochrane Library，China National Knowledge Infrastructure（CNKI），Wanfang Database，VIP Database，and China Biomedical Literature Database from inception to January 10，2026. Included studies were evaluated and synthesized using the 2016 Joanna Briggs Institute Centre for Evidence-Based Healthcare Qualitative Research Evaluation Criteria. Results A total of 11 studies were included，yielding 47 findings，categorized into 10 themes and finally synthesized into 3 integrated results：perceived benefits of brace treatment，perceived barriers to brace treatment，and support needs and expectations for brace treatment. Conclusion Adolescents with idiopathic scoliosis experience both benefits and challenges during brace treatment. Healthcare providers should strengthen patients’ awareness of treatment benefits，emphasize the comprehensive assessment and management of physical and psychological symptoms，and integrate multiple support resources from family，school，peers，and the healthcare system to improve patients’ compliance with brace treatment.

Key words: Adolescent, Idiopathic Scoliosis, Braces Treatment, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

管颖慧, 谢鑑辉, 王方圆, 欧阳雅琦, 田佳琦, 郭慧聪, 姚璐璐. 青少年特发性脊柱侧弯患者支具治疗体验的Meta整合[J]. 中华护理杂志, 2026, 61(19): 2701-2707.

GUAN Yinghui, XIE Jianhui, WANG Fangyuan, OUYANG Yaqi, TIAN Jiaqi, GUO Huicong, YAO Lulu. Experiences of brace treatment in adolescents with idiopathic scoliosis：a Meta synthesis[J]. Chinese Journal of Nursing, 2026, 61(19): 2701-2707.

图/表 2

参考文献 28

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青少年特发性脊柱侧弯患者支具治疗体验的Meta整合

Experiences of brace treatment in adolescents with idiopathic scoliosis：a Meta synthesis

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