找到正确的剂量:一个范围审查,检查促进作为基于证据的中风护理的实施策略
Oyebola Fasugba1,2, Heilok Cheng1,2, Simeon Dale1,2
1Nursing Research Institute, St Vincent's Health Network Sydney, St Vincent's Hospital Melbourne & Australian Catholic University, Level 5, deLacy Building, St. Vincent's Hospital, 390 Victoria Street, Darlinghurst, 2010, New South Wales, Australia.
Implementation science : IS
|January 13, 2025
概括
实施中风干预措施是不理想的. 这次审查发现,关于促进剂量和策略的报告有限,阻碍了有效的中风护理改进. 需要标准化的测量.
科学领域:
- 医疗实施科学 医疗实施科学
- 脑卒中康复研究研究
- 改善临床实践的改善
背景情况:
- 对中风患者存在有效的干预措施,但尚未得到广泛实施.
- 便利化策略可以帮助将研究纳入临床实践.
- 促进剂量和含量的变化可能会影响有效性.
研究的目的:
- 确定如何在中风干预研究中报告促进剂量和策略.
- 评估所使用的促进活动类型和角色.
- 评估在实施研究中报告检查清单的使用情况.
主要方法:
- 范围审查基于阿克西和奥马利的框架.
- 搜索了Cochrane,CINAHL和MEDLINE数据库的随机试验和准实验研究 (2017年1月至2023年7月).
- 包括随附的定量,定性和混合方法论文;叙事数据合成.
主要成果:
- 十项研究 (23篇论文) 符合纳入标准.
- 只有两项研究报告了总促进剂量 (频率和持续时间).
- 促进活动包括远程/现场支持,研讨会和指导;角色各不相同.
结论:
- 在中风实施研究中,缺乏关于促进剂量和内容的详细报告.
- 详细的报告对于促进中风护理的科学基础至关重要.
- 为了未来的研究和翻译,需要一种标准化的方法来测量促进剂量.
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