基于活动的干预措施,以增加中风后在医院环境中的独立性:系统审查的协议
Tayla Grant1,2, Laura Jolliffe1,3,4, Kylie Wales1,5
1Monash University, Melbourne, Australia.
JMIR research protocols
|July 8, 2025
概括
本系统性审查审查了早期的,基于医院的,职业治疗师领导的中风幸存者的活动干预措施. 它旨在确定改善基本和简单的认知日常生活活动的有效方法,以最大限度地提高中风后的独立性.
科学领域:
- 康复医学 康复医学 康复医学
- 职业疗法 职业疗法 职业疗法
- 神经学 神经学
背景情况:
- 脑卒中是导致长期残疾的主要原因,影响日常活动.
- 早期康复对于功能恢复至关重要,但最佳干预措施尚不清楚.
- 本综述侧重于由职业治疗师领导的基于医院的,基于活动的干预措施.
研究的目的:
- 系统地审查有关职业治疗师主导的基于活动的干预措施有效性的证据.
- 改善成年中风幸存者日常生活的基本活动 (b-ADL) 和日常生活的简单认知工具活动 (C-IADL) 的表现.
- 在住院期间为临床实践提供信息并改善中风幸存者的治疗结果.
主要方法:
- 在主要数据库 (MEDLINE,CINAHL,EMBASE,Cochrane) 进行全面搜索.
- 包括涉及成年中风幸存者的随机对照试验 (RCT) 和准RCT.
- 使用PEDro尺度进行数据提取和质量评估;必要时进行元分析.
主要成果:
- 结果将根据干预类型,中风后的时间和交付方法 (组与个体化) 进行分析.
- 结果将包括全球功能测量 (例如,FIM) 和特定任务评估 (例如,诺丁汉服装评估).
结论:
- 本次审查将解决关于中风幸存者的早期,住院活动性干预的证据缺口.
- 研究结果将为改善中风后早期独立的有效策略提供临床指导.
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