关于中风后与健康相关的生活质量,活动和参与的DYAD干预措施:系统性审查
Emily A Kringle1, Jessica Kersey2, Grace J Kim3
1School of Kinesiology, University of Minnesota, Minneapolis, MN, USA.
Disability and rehabilitation
|July 28, 2025
概括
迪亚德干预措施显示出改善中风幸存者和护理人员健康相关生活质量 (HRQOL) 的新希望. 需要进一步的研究来探索有效性,并包括护理人员参与措施.
科学领域:
- 康复研究 康复研究
- 脑卒中恢复科学 脑卒中恢复科学
- 护理人员支持系统 护理人员支持系统
背景情况:
- 脑卒中对幸存者和他们的照顾者都产生重大影响,影响日常生活和福祉.
- 以DYAD为中心的干预措施旨在解决中风幸存者及其非正式支持系统的相互联系的需求.
- 了解这些干预措施对健康相关生活质量 (HRQOL),参与和活动的影响对于优化护理至关重要.
研究的目的:
- 系统地审查和描述二干预对中风幸存者和护理人员健康相关生活质量 (HRQOL),参与和活动的影响.
- 确定在中风恢复中实施的不同类型的二干预措施.
- 综合证据证明这些干预措施对二元组的两个成员的有效性.
主要方法:
- 在五个数据库中进行了全面的搜索,使用与中风,二关系和干预相关的关键词.
- 纳入标准要求研究涉及干预措施,让中风幸存者和护理人员一起参与,并测量两个人的结果.
- 两个独立的审稿人进行了标题/摘要/全文选和数据提取.
主要成果:
- 在64,988个记录中,有17项研究符合纳入标准,确定了三个主要的二元干预类型:教育/培训,心理社会和以运动为中心.
- 对HRQOL的影响是混合的,一些研究表明对幸存者和护理人员都有中等到大的积极影响 (科恩的d范围:0.517.90).
- 在包括的研究中,护理人员活动和参与度的测量很少被报告.
结论:
- 新出现的证据表明,特定的二干预措施可以对中风幸存者和护理人员产生积极影响.
- 需要进一步的研究来调查各种dyad干预措施的有效性和潜在机制.
- 未来的研究应该优先考虑包括护理人员活动和参与的综合措施,以充分理解干预的好处.
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