适用于同时存在超重或肥胖和膝关节骨关节炎的成年人的自我管理教育计划 (SMEPs):系统性审查
Duha Batayneh1, Mohd Razif Shahril1, Sumaiyah Mat1
1Centre for Healthy Ageing and Wellness, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Journal of bodywork and movement therapies
|November 29, 2025
概括
在超重/肥胖成年人膝关节骨关节炎 (KOA) 的自我管理教育计划 (SMEPs) 通常包括炼和体重管理. 这些计划有望改善疼痛和其他结果.
科学领域:
- 膝关节骨关节炎管理管理
- 肥胖和体重管理
- 自主管理教育计划 自主管理教育计划
背景情况:
- 膝关节关节炎 (KOA) 经常与超重/肥胖并存,使管理复杂化.
- 对这种特定的患者群体需要有效的干预措施.
- 自主管理教育计划 (SMEPs) 为改善结果提供了一个潜在的途径.
研究的目的:
- 综合了超重/肥胖和KOA的成年人中小企业计划的内容和交付方法.
- 探索SMEPs对疼痛,膝盖功能,减肥和生活质量等结果的影响.
- 确定计划设计和实施的最佳实践.
主要方法:
- 对多个数据库和灰色文献进行系统的文献搜索.
- 包括RCT,非RCT和评估超重/肥胖和KOA的成年人中SMEP的潜在队列.
- 使用主题分析和方法学质量评估 (MQCAT) 进行叙述综合.
主要成果:
- 十六项研究符合中等到高方法质量的纳入标准.
- 中小企业计划通常包括症状管理,运动,体重管理,节奏和心理社会支持.
- 大多数课程是以小组为基础的,混合格式的,以设施为基础的,短于8周的,主要是在美国.
- 中小企业在多个结果中表现出改善,特别是减少疼痛.
结论:
- 调查结果支持量身定制的多学科中小企业计划,将运动,体重管理和心理社会支持纳入过重/肥胖和KOA的成年人.
- 临床医生和政策制定者可以利用这些发现来协调护理和可扩展的社区服务.
- 未来的研究应该专注于分层的RCT,标准化的结果,以及对这一群体的成本效益评估.
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