在低资源环境中对社区性中风康复进行范围审查
Yudi Hardianto1,2, Elizabeth A Lynch3, Andi Masyitha Irwan4
1Stroke and Ageing Research, Department of Medicine, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.
在资源较低的环境中,基于社区的中风康复计划存在很大差异. 需要更多关于成本效益的研究,以优化这些对中风幸存者至关重要的服务.
科学领域:
- 全球健康 全球健康
- 康复医学 康复医学 康复医学
- 脑卒中护理 脑卒中护理
背景情况:
- 越来越多的中风幸存者需要可访问的康复.
- 资源较少的环境面临着提供足够的中风后护理的挑战.
- 在低收入和中等收入国家需要有效的社区康复计划.
研究的目的:
- 系统地审查和综合有关社区中风康复计划的文献.
- 确定在低资源环境中共同的战略,交付方法和结果.
主要方法:
- 我们遵循了PRISMA范围审查指南.
- 在七个数据库中搜索了2012年1月至2024年12月期间发表的研究.
- 包括来自11个国家的25项研究,重点关注贫困环境中成人中风幸存者的身体康复.
主要成果:
- 主要由单独的医疗保健专业人员 (理疗师,护士) 在家亲自提供.
- 会议通常为一个小时或更少,每周一次,超过2-3个月;持续时间通常不详.
- 十个随机对照试验 (RCT) 显示出显著差异;五个RCT没有发现显著差异.
结论:
- 基于社区的中风康复计划表现出不同的策略和特征.
- 越来越多的证据基础,但缺乏成本效益数据阻碍了计划优化和投资决策.
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