多发性硬化症护理体育活动指南的可行性:系统性审查和AACTT框架分析
Claudia H Marck1, Isabelle V Weld-Blundell1, Marlena Klaic2
1The Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia.
Archives of physical medicine and rehabilitation
|October 24, 2024
概括
这次审查发现,促进多发性硬化症 (MS) 身体活动的临床指南往往缺乏对医疗保健提供者 (HCP) 的可行的建议. 改善指导方针的制定对于将证据转化为实践至关重要.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 身体活动 (PA) 对于管理多发性硬化症 (MS) 至关重要.
- 医疗保健提供者 (HCP) 在促进MS患者的PA方面发挥着关键作用.
- 现有的临床指南需要对其质量和实际适用性进行评估.
研究的目的:
- 系统地审查在MS中促进PA的临床指南.
- 通过使用AGREE-II.II来评估这些指南的方法质量.
- 使用AACTT框架评估建议的可执行性.
主要方法:
- 对2013-2023年发布的指导方针进行系统审查.
- 纳入了针对医疗保健人员的19条指导方针,用于在MS中促进PA.
- 评估方法质量 (AGREE-II) 和行为可操作性 (AACTT).
主要成果:
- 从19条指南中提取了78条建议.
- 只有两个指导方针表明了高的方法质量.
- 可行性差异很大,在0%的建议中"上下文"的指定很差.
结论:
- 目前在MS中促进PA的指导方针需要改善可操作性和报告能力.
- 改进的指导方针开发可以改善证据转化为临床实践.
- 进一步的研究应该专注于为医疗保健人员制定更实用和可执行的建议.
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