息康复和生活质量:系统审查和元分析
Katherine Pryde1, Ali Lakhani2, Leeroy William2,3
1Hospital in the Home-Cancer Services, Eastern Health, Box Hill, Victoria, Australia kat.pryde@yahoo.com.
多学科息康复显著改善了晚期疾病患者的生活质量. 这种方法还减少了医院再入院,为标准息治疗提供了经济高效的补充.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 康复医学 康复医学 康复医学
- 生活质量研究 研究 生命质量研究
背景情况:
- 国际指导方针提倡将多学科康复纳入息治疗.
- 这种整合在各种疾病类型中对生活质量的影响仍然不完全理解.
研究的目的:
- 评估多学科息康复对生活质量的影响.
- 评估在接受息性康复治疗的晚期危及生命的疾病的成年人中的医疗保健服务结果.
主要方法:
- 对27项随机对照试验 (n=3571) 进行了系统审查和元分析.
- 在CINAHL,EMBASE,MEDLINE和PEDro数据库中进行了搜索,截至2024年2月.
- 使用PEDro评估方法质量,并使用随机效应和GRADE标准进行元分析.
主要成果:
- 多学科息性康复显示生活质量有小但显著的改善 (SMD 0.40).
- 在各种疾病中观察到好处,包括癌症,心力衰竭和呼吸系统疾病.
- 低确定性证据表明,医院再入院日减少了1.84.
结论:
- 多学科息性康复改善了先进,限制生命条件的个体的生活质量.
- 这种干预可以减少住院时间,而不会增加与通常护理相比的成本.
- 息康复应纳入标准的息护理方案.
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