# A patient journey map based on the experience of temporomandibular disorders patients: a qualitative systematic review and meta-synthesis

**Authors:** Min Huang, ShiNi Huang, Hui Ma

PMC · DOI: 10.3389/fpubh.2026.1769781 · Frontiers in Public Health · 2026-02-12

## TL;DR

This study creates a patient journey map for temporomandibular disorders to better understand and address patients' evolving healthcare needs.

## Contribution

The novel contribution is a meta-synthesized patient journey map based on qualitative evidence for temporomandibular disorders.

## Key findings

- The patient journey is divided into four stages with 34 sub-themes across tasks, emotions, and pain points.
- Themes highlight the multidimensional and evolving needs of temporomandibular disorders patients.
- The journey map can guide caregivers in providing tailored psychological and informational support.

## Abstract

The traditional nursing model struggles to meet the needs of patients with complex diseases such as temporomandibular disorders. Clinically, nurses should provide comprehensive and evidence-based services tailored to patient’s unique characteristics.

By integrating qualitative evidence from patients with temporomandibular disorders, the journey map identifies needs and serves as a reference for optimizing care.

The search scope covers the period from the inception of each database to March 2025, and 11 databases were systematically searched. Focused on collecting qualitative research literature concerning the experience of temporomandibular disorders patients. We integrated the research results by employing the Joanna Briggs’ meta-aggregation approach.

A total of 19 studies were included and categorized into four stages of the patient journey, resulting in four main themes that reflect the multidimensional healthcare needs of TMD patients. These themes are further broken down into 34 sub-themes across three dimensions: tasks, emotions, and pain points. The resulting patient journey map visualizes these stages and highlights specific needs at each point in the journey.

The journey for TMD patients is long and complex, with evolving, multidimensional needs. Caregivers should help patients adjust psychologically and manage challenges by offering targeted information and support throughout their disease journey.

https://www.crd.york.ac.uk/PROSPERO/view/CRD420251010686, identifier PROSPERO (CRD420251010686).

## Full-text entities

- **Diseases:** chronic pain (MESH:D059350), PJM (MESH:C535477), depression (MESH:D003866), laxity (MESH:D007593), loss of appetite (MESH:D001068), confusion (MESH:D003221), functional disorders (MESH:D003291), paralysis (MESH:D010243), fatigue (MESH:D005221), orofacial pain (MESH:D005157), instability of (MESH:D043171), joint dislocation (MESH:D004204), IA- (MESH:C536041), TMD (MESH:D013705), Bruxism (MESH:D002012), muscle tension (MESH:D018781), trauma (MESH:D014947), disease (MESH:D004194), jaw dysfunction (MESH:D007571), inflammatory (MESH:D007249), Pain (MESH:D010146), reduced sleep quality (MESH:D012893), cancer (MESH:D009369), TMD (MESH:D049310), Anxiety (MESH:D001007), clicking in TMJ (MESH:D013706)
- **Chemicals:** Utopian (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

60 references — full list in the complete paper: https://tomesphere.com/paper/PMC12935881/full.md

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Source: https://tomesphere.com/paper/PMC12935881