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为患有的成年人提供服务,行为和自我管理干预措施
Yun Huang1,2, Sarah J Nevitt3,4, Josephine Mayer2,5
1Clinical Infection, Microbiology and Immunology, Institute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, UK.
The Cochrane database of systematic reviews
|September 24, 2025
概括
行为和自我管理干预措施对改善发作控制或成年患者的生活质量有有限的证据. 需要进一步的研究来证实长期的益处和适用于不同患者群体.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 影响全球数以百万计的人,其中很大一部分人经历了不受控制的发作,尽管药物治疗.
- 目前的治疗方法往往忽视了认知,心理和行为方面的关键因素,这些因素对改善控制和生活质量至关重要.
研究的目的:
- 评估患者成年人服务提供,行为和自我管理干预措施的有效性.
- 评估对控制和与健康相关的生活质量 (HRQoL) 的影响.
主要方法:
- 随机对照试验 (RCT) 和准RCT的系统审查.
- 包括针对行为,自我管理或服务提供方法的干预措施.
- 主要结局:发作频率;次要结局:发作严重程度,HRQoL,药物使用等.
主要成果:
- 心理行为干预可以在短期内减少发作频率 (中度确定性证据).
- 心身和自我管理干预措施对发作频率和HRQoL的影响有限或不确定.
- 身体炼和护士领导的服务交付干预措施对控制和HRQoL的证据是不确定的或负面的.
结论:
- 没有高确定性证据支持使用这些干预措施来改善发作控制或HRQoL在的成年人.
- 研究设计,干预措施和人群的异质性限制了当前证据的解释.
- 需要经过验证的有效措施的精心设计的研究来评估长期结果.
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