帕金森病患者呼吸系统康复计划的特点:范围审查
Ricardo Filipe de Moura Loureiro1,2,3, Elaine Dos Santos Santana1, Filipa Margarida Gonçalves Duque1
1The Health Sciences Research Unit: Nursing (UICISA: E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal.
JBI evidence synthesis
|June 3, 2025
概括
帕金森病的呼吸系统康复计划主要集中在呼吸系统肌肉力量训练上. 未来的研究应该探索针对所有疾病阶段的多学科方法和多样化的干预措施.
科学领域:
- 神经学 神经学
- 肺部病理学 肺部病理学
- 康复科学 康复科学 康复科学
背景情况:
- 帕金森病 (PD) 是一种进展性神经退行性疾病.
- 呼吸系统功能障碍在PD中很常见,增加了发病率和死亡率.
- 呼吸系统问题,如无效的咳和呼吸障碍严重影响生活质量.
研究的目的:
- 为患有帕金森病的个体绘制现有呼吸系统康复计划的特征.
- 确定PD呼吸系统康复中常见的干预措施,目标人群和结果措施.
主要方法:
- 根据JBI方法和PRISMA-ScR指南进行范围审查.
- 在多个数据库 (PubMed,CINAHL,Cochrane,Scopus等) 中进行全面的文献搜索. 试验和试验注册表.
- 包括对患有PD的成年人的研究,无论疾病的阶段如何,没有日期或语言限制 (英语,西班牙语,葡萄牙语).
主要成果:
- 分析了33项涉及1007名参与者的研究 (2001-2023年).
- 计划主要针对早期PD (Hoehn和Yahr阶段1-3),使用呼吸肌肉力量训练装置.
- 语音病理学家,理疗师和医生在家庭或临床环境中进行干预,测量各种呼吸和非呼吸结果.
结论:
- 目前PD的呼吸道康复主要强调呼吸肌肉力量训练.
- 在所有PD阶段采用多学科方法和多样化的干预措施方面存在重大差距.
- 建议进行进一步的研究,以开发帕金森病的综合性,包容性康复策略.
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