在中风中接受残疾:系统性审查
Mervyn Jun Rui Lim1, Jaclyn Tan2, Arturo Yong Yao Neo3
1Division of Neurosurgery, University Surgical Centre, National University Health System, 1E Kent Ridge Rd, Singapore 119228 Singapore; Ministry of Health Holdings, Singapore, 1 Maritime Square 099253, Singapore.
接受残疾 (AOD) 与更好的中风康复有关. ADS-R和ICQ是最可靠的AOD措施,而社会支持和理解中风等因素改善了结果.
科学领域:
- 康复医学 康复医学 康复医学
- 心理学 心理学 心理学
- 关于残疾人的研究.
背景情况:
- 越来越多的证据将接受残疾 (AOD) 与积极的中风康复结果联系在一起.
- 现有的AOD测量工具不一致,需要对其使用和相关因素进行审查.
研究的目的:
- 在中风幸存者中系统审查AOD的测量工具.
- 为了在中风患者群体中呈现当前的AOD分数.
- 为了确定促进或阻碍个人中风后AOD的因素.
主要方法:
- 在PROSPERO注册的系统审查 (CRD42017077063).
- 搜索了5个数据库 (PubMed,EMBASE,CINAHL Plus,PsycInfo,Cochrane图书馆) 在2008-2020年发表的研究中.
- 包括对中风患者 (≥16岁) 测量AOD的同行评审的英语文章;不包括评论.
主要成果:
- 确定了五种AOD测量工具;ADS-R和ICQ接受次量表现出最高的内部一致性.
- 报告的AOD得分在各个尺度上有所不同 (例如,ADS-R: 71.774.2,ICQ: 16.918.3).
- 较差的功能状态和抑郁症状与较低的AOD相关,而宗教信仰,社会支持和中风理解与较高的AOD相关.
结论:
- 建议使用ADS-R和ICQ分级来测量中风幸存者的AOD.
- 需要进一步验证AOD工具,以确定需要额外支持的个人.
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