脑卒中康复适应性方法:以理论为重点的范围审查
Mary Egan1, Dorothy Kessler2, Nalia Gurgel-Juarez1
1School of Rehabilitation Sciences, University of Ottawa, Ottawa, ON, Canada.
Scandinavian journal of occupational therapy
|November 17, 2023
概括
这项研究根据三个核心理论驱动因素对自适应性中风康复干预进行了分类:学习,动机和应对. 这一框架有助于理解和评估中风恢复的有效适应方法.
科学领域:
- 神经康复疗法 神经康复疗法
- 康复科学 康复科学 康复科学
- 临床心理学 临床心理学
背景情况:
- 脑卒中康复包括修复性和适应性策略.
- 许多适应性干预措施可用于中风后恢复.
- 了解这些干预措施的理论基础对于优化患者的治疗结果至关重要.
研究的目的:
- 开发一个理论框架来分类自适应性中风康复干预措施.
- 确定各种适应性方法的基本理论驱动因素.
- 加强对中风康复策略的评估和应用.
主要方法:
- 进行了系统的文献搜索,直到2020年4月.
- 包括专注于改善参与有价值活动的干预措施的研究.
- 干预名称,理论,元素和结果被提取并分析,以通过理论驱动器将干预组合起来.
主要成果:
- 在77项研究中确定了29种适应性干预措施.
- 确定的主要理论驱动因素包括学习,动机和应对能力.
- 支持干预的理论包括认知学习理论,自决理论,社会认知理论,成人学习理论以及心理压力和应对理论.
结论:
- 适应性中风康复干预措施虽然众多,但基于三个主要理论驱动因素之一.
- 通过分析干预措施的理论基础,可以阐明它们的作用机制和基本组成部分.
- 拟议的框架为理解和评估中风康复中的适应性干预提供了一种新的方法.
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