自主管理干预措施,以促进功能衰竭患者参与生活:系统性审查
Timothy Moreels1,2, Dominique Van de Velde2, Justine Goethals2
1Department of Nephrology, Ghent University Hospital, Ghent, Belgium.
Clinical journal of the American Society of Nephrology : CJASN
|November 9, 2023
概括
对于功能衰竭患者的自我管理干预措施可以通过支持日常功能来改善生活参与. 然而,研究是有限的,通常质量低,缺乏概括性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 康复 康复 康复 康复
- 医疗保健服务研究 医疗服务研究
背景情况:
- 参与生活对功能衰竭患者至关重要,影响生活质量和死亡率.
- 自主管理支持通常侧重于医疗和情感方面,不太重视日常生活 (角色) 管理.
- 对于专门针对角色管理以增强生活参与的干预措施的研究有限.
研究的目的:
- 系统地审查和质量综合现有的功能衰竭患者的自我管理干预措施.
- 探索支持日常生活的干预措施,超出医疗管理范围.
- 确定策略并评估促进生活参与的干预措施的有效性.
主要方法:
- 干预研究的系统审查和定性元合成.
- 在多个数据库 (MEDLINE,Embase,CINAHL,PsycINFO,Web of Science,CENTRAL) 进行了搜索,截至 2022 年 4 月.
- 使用桑德洛夫斯基和巴罗索指南分析和综合结果;使用Cochrane偏差风险工具评估研究质量.
主要成果:
- 包括53项研究,大多数干预措施都集中在医疗管理上,而不是日常生活.
- 干预支持了八个领域:日常活动,工作/学校,职业,休,流动性,人际关系,角色功能和社会参与.
- 报告对生活质量,抑郁症和自我效能的有效性;研究集中在地理位置,质量中等到低.
结论:
- 对改善功能衰竭生活参与的干预措施的研究主要是低质量的试点/可行性研究.
- 对干预措施的异质报告妨碍了可比性.
- 干预措施受到区域和文化限制的限制,影响了普遍性.
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