在患有常见自身免疫性风湿性疾病的人群中利用康复服务:系统性审查
Joel R Thompson1, Keri Geinosky2, Josh Torrey3
1niversity of North Carolina at Chapel Hill, Chapel Hill, NC.
Arthritis care & research
|January 12, 2026
概括
风湿性疾病患者不一致地使用康复服务. 使用率差异很大,物理疗法比职业疗法更常见,突出需要更好地融入类风湿病护理.
科学领域:
- 类风湿病学 类风湿病学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 康复服务,包括物理和职业治疗,经常被推用于类风湿性疾病 (ARDs).
- 然而,这些关键服务的实际使用率在不同的ARD中仍然不清楚.
- 这种差距需要全面了解当前的康复服务采用情况.
研究的目的:
- 系统地审查和评估被诊断患有常见ARD的个体中利用康复服务的频率.
- 为了识别不同类型的风湿性疾病中康复吸收的模式和变化.
主要方法:
- 对2023年12月之前发表的研究进行了系统审查.
- 在PubMed和CINAHL数据库中进行了搜索.
- 关于康复利用率 (百分比和/或访问频率) 的数据被提取并按疾病,学科,报告期和国家总结.
主要成果:
- 包括86项研究,报告了1991年至2023年间来自22个国家的数据.
- 类风湿性关节炎,轴性脊柱关节炎和全身性硬化症显示了最多报告的利用率.
- 使用率差异很大 (0-100%),物理疗法比职业疗法使用率更高;欧洲国家报告的使用率高于北美.
结论:
- 在ARD和卫生系统之间,在康复服务利用方面存在显著的异质性.
- 这种变化表明康复不一致地被纳入常规的类风湿病治疗中.
- 需要进一步的研究,以解决障碍和促进者,为ARD患者提供公平和优化的康复服务.
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