成年肌病患者的行为改变和康复坚持:一个范围审查
Rebecca Phillips1, Catherine Hilton2, Luis Fernando Sousa Filho1
1Physiotherapy Department, Monash University, Melbourne, Australia.
Disability and rehabilitation
|February 29, 2024
概括
识别行为改变策略是改善成年肌病患者康复坚持治疗的关键. 专注于心理和社会因素,以及实际的机会,可以提高患者的结果.
科学领域:
- 肌肉骨康复 肌肉骨康复
- 行为科学 行为科学
- 健康心理学 心理健康心理学
背景情况:
- 肌病是一种常见的肌肉骨疾病,其特点是长时间的康复期.
- 缺乏对康复计划的坚持是一个重大挑战,导致患者的结果变化.
研究的目的:
- 确定影响成年人被诊断为肌病变的康复坚持行为的行为改变策略.
- 将已识别的战略映射到能力,机会,动机和行为 (COM-B) 模型中.
主要方法:
- 根据乔安娜·布里格斯研究所 (JBI) 的方法进行了范围审查.
- 截至2023年4月,搜索了七个数据库,包括审查,干预和定性研究.
- 行为改变策略被演编码并映射到COM-B模型中.
主要成果:
- 审查中包括了86篇文章.
- 关键策略涉及心理能力 (教育,自我监测),社会机会 (示范,监测) 和身体机会 (时间效率高的计划,获取资源).
- 障碍包括反射动机 (负面信念,恐惧),身体机会 (时间限制) 和身体能力 (疼痛,并发症).
结论:
- 建议进一步研究教育对信仰,恐惧和疼痛管理的影响.
- 建议研究习惯形成,以改善康复中的时间管理.
- 实施已识别的行为改变策略可以提高肌病康复的坚持性,并改善患者的治疗结果.
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