基于职业的干预措施,以改善职业绩效和参与医院环境:系统审查
Gemma Wall1,2, Stephen Isbel1, Louise Gustafsson3
1Discipline of Occupational Therapy, Faculty of Health, University of Canberra, Canberra, Australia.
基于职业的干预措施显示了改善职业表现和参与住院康复的良好证据. 需要对急性和心理健康环境进行更多的研究,才能充分了解它们的好处.
科学领域:
- 康复科学 康复科学 康复科学
- 职业疗法 职业疗法 职业疗法
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于职业的干预措施在医疗保健环境中至关重要.
- 需要综合证据来评估它们在医院中的有效性.
- 患者的结果和经验是关键考虑因素.
研究的目的:
- 批判性地审查医院环境中基于职业的干预现有证据.
- 评估它们对职业表现和参与结果的影响.
- 确定不同医院环境的研究缺口.
主要方法:
- 在五个数据库 (2000-2022) 中进行了全面的文献搜索.
- 包括任何设计的同行评审研究.
- 在数据提取和质量评估之后,采用了叙事综合方法.
主要成果:
- 分析了33项涉及1646名参与者的研究.
- 良好的证据支持这些干预措施的住院康复结果.
- 对于急性和精神健康设置的证据是有限的;定性数据强调了改善的独立性,信心和动机.
结论:
- 基于职业的干预措施对职业表现和参与住院康复有益.
- 方法上的弱点和异质性限制了目前的结论.
- 建议进一步进行严格的研究,并改进报告,特别是在急性和心理健康环境中.
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